Washington Administrative Code

The 70-hour home care aide basic training includes core competencies that describe the behavior and skills that a long-term care worker must exhibit when working with residents and the learning objectives associated with each competency as follows:(1) Communicate effectively and …

(1) Effective July 1, 2012, on-the-job training is a method of training where the long-term care worker successfully demonstrates in the 70-hour home care aide basic training, the core competencies in personal care and infection control skills while working with a resident on the…

(1) Population specific basic training is training on topics unique to the care needs of the population that the home or provider serves. Topics may include but are not limited to:(a) Dementia;(b) Mental health;(c) Developmental disabilities;(d) Young adults with physical disabil…

When basic training is used to meet the specialty training requirements:(1) The curriculum for specialty training must include the department developed competencies and learning objectives as described in WAC 388-112A-0430, 388-112A-0440, or 388-112A-0450. Homes or providers may …

(1) Specialty training refers to approved curricula that meets the requirements of RCW 18.20.270 and 70.128.230 to provide basic core knowledge and skills to effectively and safely provide care to residents living with mental illness, dementia, or developmental disabilities.(2) S…

(1) If a resident has needs in more than one of the special needs areas, the adult family home, enhanced services facility, or assisted living facility must determine which of the specialty training classes will most appropriately address the overall needs of the resident and ens…

(1) Developmental disabilities specialty training must include all of the competencies and learning objectives described in WAC 388-112A-0430 for the following topics:(a) Overview of developmental disabilities;(b) Values of service delivery;(c) Effective communication;(d) Introdu…

The following developmental disabilities specialty competencies describe the behavior and skills a long-term care worker must exhibit when working with residents and include learning objectives associated with each competency:(1) Regarding the competency on an overview of develop…

Curricula developed and approved as dementia specialty training must include all of the knowledge, skills, topics, competencies, and learning objectives described in this section.(1) Understanding dementia.(a) Introduction to dementia. The caregiver will review common signs, symp…

Curricula approved as mental health specialty training must include all of the knowledge, skills, topics, competencies and learning objectives described in this section.(1) Introduction to mental disorders. The caregiver will review definitions, common signs, and symptoms and ide…

The following individuals must pass the DSHS competency test as provided under this chapter for successful completion of the specialty training class:(1) All adult family home applicants or providers, resident managers or designees, entity representatives, and long-term care work…

(1) Individuals may take the DSHS challenge test instead of the required specialty training class. A person who does not pass a challenge test on the first attempt must attend the specialty training class.(2) A challenge test is not permitted when specialty training is taken to m…

Adult family homes.(1) An adult family home applicant, provider, entity representative, and resident manager must complete specialty training and demonstrate competency before admitting or serving residents who have special needs related to mental illness, dementia, or a developm…

Adult family homes.(1) If an adult family home serves one or more residents with special needs, the adult family home must ensure that a long-term care worker employed by the home completes and demonstrates competency in specialty training as described in WAC 388-112A-0400 within…

(1) Nurse delegation core training is required before certified or registered nursing assistants or certified home care aides may be delegated a nursing task.(2) DSHS approves instructors for nurse delegation core training.[Statutory Authority: RCW 74.39A.009, 74.39A.070, 74.39A.…

Only the DSHS developed curriculum for nurse delegation entitled, "nurse delegation for nursing assistants & home care aides," meets the training requirement for nurse delegation core training.[Statutory Authority: RCW 74.39A.009, 74.39A.070, 74.39A.074, 74.39A.351, 74.39A.341, 1…

Passing the DSHS competency test is required for successful completion of nurse delegation core or specialized diabetes training, as provided under WAC 388-112A-0900 through 388-112A-0950.[Statutory Authority: RCW 18.20.270, 70.128.230, 74.08.090, 74.39A.070, and 74.39A.074. WSR …

(1) Before performing any delegated nursing task, long-term care workers in adult family homes and assisted living facilities must:(a) Successfully complete the DSHS designated nurse delegation core training, "nurse delegation for nursing assistants & home care aides";(b) Be one …

(1) Nurse delegation specialized diabetes training is the required training for certified or registered nursing assistants or certified home care aides, who will be delegated the task of insulin injections. (2) DSHS approves the instructors for nurse delegation specialized diabet…

Specialized diabetes nurse delegation training consists of three modules on diabetes, insulin, and injections. Only the curriculum developed by DSHS, "nurse delegation for nursing assistants: special focus on diabetes," may be used for the specialized diabetes nurse delegation tr…

Passing the DSHS competency test is required for successful completion of the specialized diabetes nurse delegation training, as provided under WAC 388-112A-0900 through 388-112A-0950.[Statutory Authority: RCW 74.39A.009, 74.39A.070, 74.39A.074, 74.39A.351, 74.39A.341, 18.20.270,…

There is no challenge test for nurse delegation core or specialized diabetes training.[Statutory Authority: RCW 18.20.270, 70.128.230, 74.08.090, 74.39A.070, and 74.39A.074. WSR 23-01-022, § 388-112A-0580, filed 12/9/22, effective 1/9/23. Statutory Authority: RCW 74.39A.009, 74.3…

(1) Nurse delegation core and specialized diabetes training may be required in the same year as basic training if delegated tasks need to be performed. If completed within one hundred twenty days of hire, the nurse delegation core and specialized diabetes training hours may be co…

(1) Continuing education is annual training designed to promote professional development and increase a long-term care worker's knowledge, expertise, and skills. DSHS must approve continuing education curricula and instructors. (2) Continuing education courses may be repeated for…

(1) The continuing education training requirements that apply to certain individuals working in adult family homes are described in this section.(a) The following long-term care workers must complete 12 hours of continuing education by their birthday each year:(i) A certified hom…

(1) The continuing education training requirements that apply to certain individuals working in assisted living facilities are described in this section.(a) The following long-term care workers must complete 12 hours of continuing education by their birthday each year:(i) A certi…

(1) The continuing education training requirements that apply to certain individuals working in enhanced services facilities are described in this section.(a) The following long-term care workers must complete 12 hours of continuing education by their birthday each year:(i) A cer…

Cardiopulmonary resuscitation (CPR) training is training provided by an authorized CPR instructor. Trainees must successfully complete the written and skills demonstration tests.[Statutory Authority: RCW 74.39A.009, 74.39A.070, 74.39A.074, 74.39A.351, 74.39A.341, 18.20.270, 18.88…

CPR/first-aid training is training that meets the guidelines established by the Occupational Safety and Health Administration (OSHA). Under OSHA guidelines, training must include hands on skills development through the use of mannequins or trainee partners.[Statutory Authority: R…

(1) Adult family homes.(a) Adult family home applicants, providers, entity representatives, and resident managers must have and maintain a valid CPR and first-aid card or certificate before they obtain a license.(b) Licensed nurses who work in adult family homes must have and mai…

(1) Residential care administrator training is specific training on the administration of the care and services required to obtain a license or manage a facility. The training covers the facility specific Washington state statutes and administrative rules related to the operation…

New applicants for an adult family home (AFH) license must successfully complete the DSHS developed adult family home administrator training from colleges contracted with the department.[Statutory Authority: RCW 74.39A.009, 74.39A.070, 74.39A.074, 74.39A.351, 74.39A.341, 18.20.27…

At a minimum, adult family home (AFH) administrator training must include fifty-four hours of class time and all of the following subjects:(1) Business planning and marketing;(2) Fiscal planning and management;(3) Human resource planning;(4) Identifying resident health issues;(5)…

Competency testing is required for adult family home administrator training.[Statutory Authority: RCW 74.39A.009, 74.39A.070, 74.39A.074, 74.39A.351, 74.39A.341, 18.20.270, 18.88B.021, 18.88B.035, 70.128.230, 71A.12.030. WSR 17-22-036, § 388-112A-0830, filed 10/24/17, effective 1…

(1) Competency testing, including challenge testing, is evaluating a trainee to determine if they can demonstrate the required level of skill, knowledge, and behavior with respect to the identified learning outcomes of a particular course.(2) Competency and challenge tests are DS…

(1) Competency testing must include the following components:(a) Skills demonstration except as provided in (b) of this sub-section on the ability to perform and implement specific caregiving approaches and activities as appropriate for the training;(b) Adult family home administ…

The following trainings must include a DSHS developed competency test:(1) Dementia specialty training;(2) Mental health specialty training;(3) Developmental disabilities specialty training;(4) Expanded specialty training;(5) Nurse delegation core training;(6) Nurse delegation spe…

To standardize competency test administration, testing must include the following components:(1) The person teaching the course must administer or supervise the administration of all testing; and(2) The tester must follow DSHS guidelines for:(a) The maximum length of time allowed…

Students must provide photo identification before they take a competency or challenge test.[Statutory Authority: RCW 18.20.270, 70.128.230, 74.08.090, 74.39A.070, and 74.39A.074. WSR 23-01-022, § 388-112A-0940, filed 12/9/22, effective 1/9/23. Statutory Authority: RCW 74.39A.009,…

(1) A competency test that is part of a course may be taken twice. If the test is failed a second time, the person must retake the course before any additional tests are administered.(2) If a challenge test is available for a course, it may be taken only once. If the test is fail…

(1) Except for facility orientation training under WAC 388-112A-0200(1), the department must preapprove the curriculum, including delivery mode, and instructors for all training required under this chapter.(2) The following trainings must use only DSHS curriculum:(a) Nurse delega…

To obtain the department's approval of the curriculum for orientation, safety training, core basic training, specialty training, and continuing education, applicants must adhere to the following steps and requirements:(1) Prior to submission:(a) For all courses except continuing …

(1) If a training entity modifies a department developed curriculum in any manner, the training entity must submit the amended curriculum to the department for approval.(2) Training must not be offered before receiving department approval.(3) Online classes when applicable must a…

(1) An assisted living facility, enhanced services facility, or adult family home provider may conduct orientation, safety, basic, on-the-job, continuing education, and specialty trainings if the provider:(a) Verifies, documents using the department's attestation process, keeps o…

(1) DSHS may prohibit a home from providing its own seventy-hour long-term care worker basic, specialty, or continuing education training when any one of the following occurs:(a) DSHS determines that the training fails to meet the standards under this chapter;(b) The home fails t…

The training entity is responsible for:(1) Coordinating and teaching classes;(2) Assuring that the curriculum used is taught as designed;(3) Selecting qualified guest speakers where applicable;(4) Establishing a method whereby the long-term care worker can ask the instructor ques…

Training entities and their instructors must be approved by DSHS as follows:(1) For DSHS contracted training entities:(a) DSHS must approve or approve and contract with a training entity and its instructor(s) to conduct orientation, safety training, basic training, population spe…