Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 33 - BOARD OF EXAMINERS OF NURSING CARE ADMINISTRATORS AND ASSISTED LIVING FACILITY MANAGERS › Article 7 - ASSISTED LIVING FACILITY CAREGIVER TRAINING PROGRAMS › Section R4-33-704 - Application for Approval of an Assisted Living Facility Caregiver Training Program

Current through Register Vol. 30, No. 28, July 12, 2024
A. The owner of
				an assisted living facility caregiver training program shall ensure no training
				is provided until the program is approved by the Board.
B. To obtain approval of an assisted living
				facility caregiver training 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 website of the training
				program;
3. Form of business
				organization under which the training program is operated and a copy of the
				establishing documents 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, e-mail address, and license or certificate number of the program
				administrator required under R4-33-702(B);
6. Name, telephone number, e-mail address,
				and license number of each program instructor and evidence 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 program will provide instruction:
a. Name, address, and telephone number of the
				assisted living facility;
b. Name,
				e-mail address, 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
				instructional facilities, equipment, and l 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 caregiver 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
				instructional 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 technology-based materials
				used, producer 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).