Section R4-33-704. Application for Approval of an Assisted Living Facility Caregiver Training Program

A.      The owner of an assisted living facility caregiver training pro- gram shall ensure that no training is provided until the pro- gram is approved by the Board.

B.       To obtain approval of an assisted living facility caregiver train- ing program, the owner of the training program shall submit to the Board an application packet that contains the following:

1.        Name, address, telephone number, and e-mail address of the owner;

2.        Name, address, telephone and fax numbers, and web site of the training program;

3.        Form of business organization under which the training program is operated and a copy of the establishing docu- ments and organizational chart;

4.        A statement of whether the training program is based within an assisted living facility or other location;

5.        Name, telephone number, and license or certificate num- ber of the program administrator required under R4-33- 702(B);

6.        Name, telephone number, and certificate number of each program instructor and evidence that each program instructor is qualified under R4-33-702(C);

7.        A statement of whether the training program is accredited and if so, name of the accrediting body and date of last review;

8.        For all assisted living facilities at which the training pro- gram will provide instruction:

a.         Name, address, and telephone number of the assisted living facility;

b.        Name and telephone number of a contact person at the assisted living facility;

c.         License number of the assisted living facility issued by the Department of Health Services;

d.        A statement of whether the license of the assisted living facility is in good standing; and

e.         Date and results of the most recent compliance inspection conducted by the Department of Health Services;

9.        Evidence of compliance with R4-33-702 and R4-33-703, including the following:

a.         Written training program description, consistent with R4-33-702(A)(1), and an implementation plan that includes timelines;

b.        Description of classroom facilities, equipment, and instructional tools available, consistent with R4-33- 702(F);

c.         Written curriculum, consistent with R4-33-703(C);

d.        Skills checklist used to verify whether a student has acquired the necessary assisted living facility care- giver skills, consistent with R4-33-702(A)(6)(a);

e.         Evaluation form required under R4-33-702(A)(6)(c) to enable students to assess the quality of the instruc- tional experience provided by the training program;

f.         Evidence of completion issued to a student under R4-33-702(A)(4);

g.        Name of textbook used, author, publication date, and publisher;

h.        Name of any distance learning materials used, pro- ducer of the material, and date produced; and

i.         Copy of written policies and procedures required under R4-33-702(A)(2);

10.     Signature of the owner of the training program; and

11.     The fee prescribed under R4-33-104(D)(1).

C.      The owner of an assisted living facility caregiver training pro- gram shall ensure  that the application materials submitted under subsection (B) are printed on only one side of white, let- ter-sized paper, and are not bound in any manner.

D.      After review of the materials submitted under subsection (B), the Board shall schedule an onsite evaluation of the training program and take one of the following actions:

1.        If requirements are met, approve the training program for one year; or

2.        If requirements are not met, deny approval of the training program.

E.       The owner of an assisted living facility caregiver training pro- gram that is denied approval by the Board may request a hear- ing regarding the denial by filing a written request with the Board within 30 days after service of the Board’s order deny- ing approval of the training program. The Board shall conduct hearings under A.R.S. Title 41, Chapter 6, Article 10.

Historical Note

New Section made by final rulemaking at 19 A.A.R.

1619, effective August 4, 2013 (Supp. 13-2).