Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 68 - Adult Residential Care Providers
Subchapter F - Requirements Related to Staff, Record Keeping and Incident and Accident Reports
Section I-6867 - Staff Training
Universal Citation: LA Admin Code I-6867
Current through Register Vol. 50, No. 9, September 20, 2024
A. All staff shall receive the necessary and appropriate training to assure competence to perform the duties that are assigned to them.
1. All staff shall receive any specialized
training required by law or regulation to meet residents needs.
2. The ARCP shall maintain documentation that
orientation and annual training has been provided for all current
employees.
3. Orientation shall be
completed within 14 days of hire and shall include, in addition to the topics
listed in §6867 B, the
following topics:
a. the ARCP's policies and
procedures; and
b. general overview
of the job specific requirements.
B. The following training topics shall be covered in orientation and annually thereafter for all staff and ARCP contracted providers having direct contact with residents:
1. residents rights;
2. procedures and requirements concerning the
reporting of abuse, neglect, exploitation, misappropriation and critical
incidents;
3. building safety and
procedures to be followed in the event of any emergency situation including
instructions in the use of fire -fighting equipment and resident evacuation
procedures including safe operation of fire extinguishers and evacuation of
residents from the building;
4.
basic sanitation and food safety practices;
5. requirements for reporting changes in
residents health conditions; and
6.
infection control, including, but not limited to PPE, as appropriate.
C. Training for Direct Care Staff
1. In addition to the topics listed in
§6867. A.3 and
§6867 B, orientation for direct care staff
shall include an evaluation to ensure competence to provide ADL and IADL
assistance. A new employee shall not be assigned to carry out a residents PCSP
until competency has been demonstrated and documented.
2. In addition to the required dementia
training in
§6867 F, direct care staff shall receive
12 hours of annual training which shall be recorded and maintained in the
employee personnel file.
3. Annual
training shall address the special needs of individual residents and address
areas of weakness as determined by the direct care staff performance
reviews.
4. All direct care staff
shall receive certification in cardiac pulmonary resuscitation and adult first
aid within the first 90 days of employment. The ARCP shall maintain the
documentation of current certification in the staffs personnel file.
5. The requirements of
§6867. C.1 may qualify as
the first years annual training requirements. However, normal supervision shall
not be considered to meet this requirement on an annual basis.
D. Continuing Education for Directors
1. All directors shall obtain 12
continuing education units per year that have been approved by any one of the
following organizations:
a. Louisiana
Assisted Living Association (LALA);
b. Louisiana Board of Examiners of Nursing
Facility Administrators;
c.
LeadingAge Gulf States;
d.
Louisiana Nursing Home Association (LNHA); or
e. any of the national assisted living
associations, including:
i. National Center
for Assisted Living (NCAL);
ii.
Argentum (formerly ALFA); or
iii.
Leading Age; or
f. any
of the nationally recognized organizations for long term care that offers
continuing education for assisted living providers, such as NAB.
2. Topics shall include, but not
be limited to:
a. person-centered
care;
b. specialty training in the
population served;
c.
supervisory/management techniques; and
d. geriatrics.
3. - 4. Repealed.
E. Third-Party Providers. A general orientation and review of ARCP policies and procedures is required to be provided to third-party providers entering the building to serve residents.
F. Dementia Training
1. All employees shall be trained in the care
of persons diagnosed with dementia and dementia-related practices that include
or that are informed by evidence-based care practices. All new employees shall
receive such training within 90 days from the date of hire and annually as
required in accordance with
§6867.F 1-10.b.
2. All employees who provide care to
residents in a specialized dementia care Program shall meet the following
training requirements.
a. Employees who
provide direct face-to-face care to residents shall be required to obtain at
least eight hours of dementia-specific training within 90 days of employment
and eight hours of dementia-specific training annually. The training shall
include the following topics:
i. an overview
of Alzheimer's disease and other forms of dementia;
ii. communicating with persons with
dementia;
iii. behavior
management;
iv. promoting
independence in activities of daily living; and
v. understanding and dealing with family
issues.
b. Employees who
have regular contact with residents, but who do not provide direct face-to-face
care, shall be required to obtain at least four hours of dementia-specific
training within 90 days of employment and two hours of dementia training
annually. This training shall include the following topics:
i. an overview of dementias; and
ii. communicating with persons with
dementia.
c. Employees
who have only incidental contact with residents shall receive general written
information provided by the ARCP on interacting with residents with dementia
within 90 days of employment and annually.
3. Employees who do not provide care to
residents in a special dementia care program shall meet the following training
requirements.
a. Employees who provide direct
face-to-face care to residents shall be required to obtain at least two hours
of dementia-specific training within 90 days of employment and annually. This
training shall include the following topics:
i. an overview of Alzheimer's disease and
related dementias; and
ii.
communicating with persons with dementia.
b. All other employees shall receive general
written information provided by the ARCP on interacting with residents with
dementia within 90 days of employment and annually.
4. Any dementia-specific training received in
a nursing or nursing assistant prog ram approved by the department or its
designee may be used to fulfill the training hours required pursuant to this
Section.
5. ARCPs may offer a
complete training curriculum themselves, or they may contract with another
organization, entity, or individual to provide the training.
6. The dementia-specific training curriculum
shall be approved by the department or its designee. To obtain training
curriculum approval, the organization, entity, or individual shall submit the
following information to the department or its designee:
a. a copy of the curriculum;
b. the name of the training coordinator and
his/her qualifications;
c. a list
of all instructors;
d. the location
of the training; and
e. whether or
not the training will be web-based.
7. A provider, organization, entity, or
individual shall submit any content changes to an approved training curriculum
to the department, or its designee, for review and approval.
a. Continuing education undertaken by the
ARCP does not require the departments approval.
8. If a provider, organization, entity, or
individual, with an approved curriculum, ceases to provide training, the
department shall be notified in writing within 30 days of cessation of
training. Prior to resuming the training program, the provider, organization,
entity, or individual shall reapply to the department for approval to resume
the program.
9. Disqualification of
Training Programs and Sanctions. The department may disqualify a training
curriculum offered by a provider, organization, entity, or individual that has
demonstrated substantial noncompliance with training requirements including,
but not limited to:
a. the qualifications of
training coordinators; or
b.
training curriculum requirements.
10. Compliance with Training Requirements
a. The review of compliance with training
requirements will include, at a minimum, a review of:
i. the documented use of an approved training
curriculum; and
ii. the providers
adherence to established training requirements.
b. The department may impose applicable
sanctions for failure to adhere to the training requirements outlined in this
Section.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2166.1-2166.8.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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