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Administrators and direct care staff must successfully complete a 26-hour ALF core training program and a competency test. The 26-hour core educational requirement must cover at least the following topics:

State law and rules on ALFs; Resident rights and identifying and reporting abuse, neglect, and exploitation; Special needs of elderly persons, persons with mental illness, and persons with

developmental disabilities and how to meet those needs; Nutrition and food service, including acceptable sanitation practices for preparing,

storing, and serving food; Medication management, recordkeeping, and proper techniques for assisting

residents with self-administered medication; Fire safety requirements, including fire evacuation; and other emergency

procedures; and Care for persons with Alzheimer’s disease and related disorders.

Nutrition and food service. The administrator or person responsible for the facility’s food service and day-to-day supervision of food services staff shall participate in continuing education a minimum of two hours annually.

Administrators must also receive 12 hours of continuing education every two years. The administrator of an ECC facility and the ECC supervisor must complete six hours of initial training on the physical, psychological, or social needs of frail elders or persons with Alzheimer’s disease and adults with disabilities, and six hours of continuing training every two years.

Staff. In addition to the core training, new staff must complete one hour of training in each of the following areas: infection control, including universal precautions and sanitation procedures. A minimum of one hour must cover reporting major incidents and emergency procedures. A minimum of one hour must also cover resident rights and recognizing/reporting abuse, neglect, or exploitation. Three hours is required on resident behavior and needs and providing assistance with ADLs. Staff who prepare or serve food must receive a minimum of one hour in-service training in safe food handling practices. HIV/AIDS training is required biennially. Staff that assist with self-administration of medications must receive four hours of training prior to assuming these responsibilities.

Two hours of in-service training that addresses ECC, concepts, statutory and rule requirements and delivery of personal care and supportive services is required for ECC direct care staff.

Facilities which advertise that it provides special care for persons with Alzheimer’s disease or other related disorders or who maintain secured areas are required to ensure that staff who have regular contact with or provide direct care to residents with Alzheimer’s disease and related disorders receive four hours of initial training within three months of employment in understanding the disease, characteristics of Alzheimer’s disease, communication with residents


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