411-360-0120 Training Requirements for Adult Foster Homes for Individuals with Intellectual or Developmental Disabilities (AFH-DD) (1) A provider must complete the Department’s Basic Training Course that includes but is not limited to taking and passing an examination on course work and necessary skills. Failure to obtain a passing score on the Basic Training Examination may result in the denial or non-renewal of a license pursuant to OAR 411-360-0270. If an applicant fails the first Examination, a second Examination may be taken. If the applicant fails the second Examination, the application may be denied. (2) All resident manager applicants must complete the Department’s Basic Training Course and pass the Basic Training Examination prior to becoming a resident manager. If the applicant fails the first Examination, a second Examination may be taken. If the applicant fails the second Examination, the application may be denied. (3) All substitute caregivers must complete the Department’s Basic Training Course and pass the Basic Training Examination prior to providing care and services. If a substitute caregiver fails the first Examination, a second Examination may be taken. If the substitute caregiver fails the second Examination, the substitute caregiver must wait 14 calendar days to retake the Examination. Each subsequent test failure requires a 14 calendar day waiting period until the substitute caregiver passes the Examination. (4) The provider or resident manager must keep documentation of the completion of the Department’s Basic Training Course and annual training of substitute caregivers including the date of the training, subject content, name of the agency or organization providing the training, and the number of training hours. (5) Prior to placement of individuals in an AFH-DD, the provider must complete an AFH-DD orientation provided by the Department that at a minimum covers the requirements of the rules governing AFH-DD services. (6) Prior to providing care and services to any individual, a resident manager and substitute caregiver must be oriented to the AFH-DD and to the individuals by the provider. Orientation must be clearly documented in the AFH-DD records. Orientation includes but is not limited to: (a) The location of the fire extinguishers; (b) Demonstration of evacuation procedures; (c) Instruction on the emergency preparedness plan; (d) Location of the individuals’ records; (e) Location of telephone numbers for the individuals’ physicians, the provider, and other emergency contacts; (f) Location of medication and key for medication cabinet; (g) Introduction to individuals; (h) Instructions for caring for each individual; (i) Delegation by a registered nurse for nursing tasks if applicable; and (j) Instructions related to any Advance Directives. (7) All provider and resident manager applicants must have current certification in first aid and CPR by a training agency approved by the Department. (a) Accepted CPR and First Aid courses must be provided or endorsed by the American Heart Association, the American Red Cross, the American Safety and Health Institute, or MEDIC First Aid. (b) CPR or First Aid courses conducted online are only accepted by the Department when an in-person skills competency check is conducted by a qualified instructor endorsed by the American Heart Association, the American Red Cross, the American Safety and Health Institute, or MEDIC First Aid. (8) The Department requires at least 12 hours of Department-approved training annually for the provider, resident manager, and substitute caregivers. Training must be documented in the records of the AFH-DD. (9) If a provider, resident manager, or substitute caregiver is not in compliance with these rules, the Department may require additional training in the deficient area, whether or not the 12-hour approved annual training requirement has already been met. (10) Providers, resident managers, or substitute caregivers who perform tasks of care that are delegated by a registered nurse or taught by a physician must receive appropriate training and monitoring from a registered nurse or physician on performance and implementation of the task of care. The delegated tasks of care must be addressed as part of an individual’s ISP. Statutory/Other Authority: ORS 409.050, 427.104, 430.662, 443.001, 443.004, 443.725, 443.730, 443.734, 443.735, 443.738, 443.742, 443.760, 443.765, 443.767, 443.775 & 443.790 Statutes/Other Implemented: ORS 409.010, 427.007, 427.101, 427.104, 430.662, 441.993, 443.001-443.004, 443.705-443.825, 443.875 & 443.991 History: APD 19-2025, amend filed 12/23/2025, effective 01/01/2026 SPD 34-2013, f. & cert. ef. 9-27-13 SPD 13-2010, f. 6-30-10, cert. ef. 7-1-10 SPD 3-2005, f. 1-10-05, cert. ef 2-1-05