Adult Family Home Training – Revised Requirements
of DQA 12-014 (PDF, 60 KB)
|| August 22, 2012
DQA Memo 12-014
Obsoletes DQA Memo 11-30
Adult Family Homes
|| Alfred Johnson, Interim Director
Bureau of Assisted Living
Otis Woods, Administrator
Division of Quality Assurance
Adult Family Home Training – Revised Requirements
The purpose of this memorandum is to identify and further clarify the
training requirements for adult family home service providers and licensees.
This memo also describes the sources of training that are acceptable to the
Adult Family Home Training Requirements
Wisconsin Administrative Code § DHS 88.04(5)(a), states that “the
licensee and each service provider shall complete 15 hours of training
approved by the licensing agency related to health, safety and welfare of
residents, resident rights and treatment appropriate to residents served
prior to or within 6 months after starting to provide care.” This training
shall include training in fire safety and first aid.
NOTE: Although § DHS 88.04(5)(a) allows for up to 6 months to obtain
training, employees must be competent to provide services and treatment
appropriate to meet the needs of the residents. Allowing staff who are not
adequately trained to work in the adult family home may result in a
condition that puts the health, safety and welfare of the residents at risk.
Per § DHS 88.04(2)(f), “the licensee may not permit the existence or
continuation of a condition in the home which places the health, safety or
welfare of a resident at substantial risk of harm.”
Section DHS 88.04(5)(b) states in part that “the licensee and each
service provider shall complete 8 hours of training approved by the
licensing agency related to the health, safety, welfare, rights and
treatment of residents every year beginning with the calendar year after the
year in which the initial training is received.”
Section DHS 88.09(2)(a) states in part that “the licensee shall
maintain and keep up-to-date a separate personnel record for each service
provider. The licensee shall ensure that all service provider records are
adequately safeguarded against destruction, loss, or unauthorized use. A
service provider record shall include all of the following:
Name and address.
Social security number.
Date of birth.
Beginning date of employment.
Job-related experience and training.
Documentation of successful completion of
the training requirements under s.DHS 88.04(5).
The results of screening for communicable
Description of any disciplinary action.
Date of discharge or resignation.”
Question: What is considered “training
approved by the licensing agency related to health, safety and welfare
of residents, resident rights and treatment appropriate to residents
Answer: Approved training
Training in standard precautions, fire
safety, first aid and choking, or medication administration provided
by a Department approved trainer for community based residential
facility (CBRF) training. The name of the person who received the
training must be included on the CBRF training registry. (See Question
Training provided by a recognized
training entity or an entity with expertise in the subject area (for
example: technical college, university, Red Cross, American Heart
Association, fire department, hospital or other health care provider,
public health department).
Training provided by a managed care
organization (MCO) or county human services department.
Training provided by an advocacy agency
such as the Board on Aging and Long Term Care Ombudsman or Disability
Training provided by a trainer or
consultant with expertise in the subject area. Acceptable
documentation of the trainer’s credentials would include, but is not
limited to: Documentation such as a license or certificate (i.e., RN
or LPN license, EMT certification); a valid Instructor Card issued
from American Red Cross, American Heart Association; a resume showing
experience/knowledge in the subject area. The Department will accept a
broad spectrum of documentation that supports an individual’s
knowledge and expertise in the topic area.
CBRF training programs that were
approved prior to April 1, 2009. The Department will not accept
training in standard precautions, fire safety, first aid/choking and
medication administration taken on or after April 1, 2010, from
instructors who were approved prior to April 1, 2009. Previously
approved CBRF training programs may be found at: http://www.dhs.wisconsin.gov/rl_dsl/CBRF/prevAprvdTrgProgs.htm
Question: Do fire safety and
first aid courses required under § DHS 88.04(5)(a) need to be courses
approved for CBRFs?
Answer: No. Fire safety and
first aid courses that are taught by Department approved CBRF trainers
will be accepted IF the student is on the CBRF training registry. However,
other sources of fire safety and first aid training are also acceptable,
as noted in Question #1.
Question: What is accepted as 8
hours per year of training approved by the licensing agency related to
the health, safety, and welfare, rights and treatment of residents?
Answer: The Department will
review documented training to determine the appropriateness of the
training. Appropriate training for adult family home service providers and
licensees could include:
Medications and medication
First aid and procedures to alleviate
Fire safety and emergency procedures
Prevention and reporting of abuse,
neglect and misappropriation of resident property
Provision of personal care
Needs of the client group served
Question: What documentation is
required to be available as evidence of initial and ongoing training?
Answer: As stated in Question
#1 above, if the person has completed training in standard precautions,
fire safety, first aid and choking, or medication administration provided
by a Department approved trainer for CBRF training on or after April 1,
2010, the person MUST be included on the CBRF training registry. For all
other training, the personnel record must include the name of the
employee, the name of the instructor, a description of the training
content, date of training, and the length of the training.
For additional information regarding
approved CBRF trainers and the CBRF training registry please visit: http://www.uwosh.edu/ccdet/CBRF/index.htm
Question: Is online training
Answer: Online training,
webcasts and videos are acceptable formats for presenting information. The
source of the training needs to be a recognized entity or trainer with
experience in the subject area (see Question #1). Training provided by
these methods must be documented in the employee’s personnel records as
stated in Question #4.
If you have questions regarding this memo,
please contact the appropriate regional office for the county in which your
facility is located.
Contact information can be found at the
following website: http://www.dhs.wisconsin.gov/rl_dsl/Contacts/ALSreglmap.htm
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Last Updated: August 22, 2012