Aides must pass a competency exam. Each agency shall have an in-service education policy that provides an annual average of at least one hour bimonthly for each assisted living aide. The in-service training shall include but not be limited to current information regarding specific service procedures and techniques and information related to the population being served. Monitoring ALSAs are required to establish a quality assurance committee that consists of a physician, a registered nurse, and a social worker. The committee meets every four months and reviews the ALSA's policies on program evaluations, assessment and referral criteria, service records, evaluation of client satisfaction, standards of care, and professional issues relating to the delivery of services.
Program evaluations are also to be conducted by the quality assurance committee.
The evaluation examines the extent to which the managed residential community's policies and resources are adequate to meet the needs of residents. The committee is also responsible for reviewing a sample of resident records to determine whether agency policies were followed, whether services are provided only to residents whose level of care needs can be met by the ALSA, and whether care is coordinated and appropriate referrals are made when needed. The committee submits an annual report to the ALSA summarizing findings and recommendations. The report and actions taken to implement recommendations are made available to the state Department of Public Health. Agencies are inspected biennially.