Virginia Administrative Code › Title 22 - SOCIAL SERVICES › Agency 40 - DEPARTMENT OF SOCIAL SERVICES › Chapter 61 - STANDARDS AND REGULATIONS FOR LICENSED ADULT DAY CENTERS › Part III - Personnel › Section 22VAC40-61-140 - Direct care staff qualifications

Current through Register Vol. 40, No. 24, July 15, 2024
A. All staff persons who work with
				  participants and who are counted in the staff-to-participant ratio shall be at
				  least 18 years of age unless certified in Virginia as a nurse aide.
B. Direct care staff shall meet one of the
				  requirements in this subsection. If the staff does not meet the requirement at
				  the time of employment, he shall successfully meet one of the requirements in
				  this subsection within two months of employment. Licensed health care
				  professionals practicing within the scope of their profession are not required
				  to complete the training in this subsection.
1. Certification as a nurse aide issued by
				  the Virginia Board of Nursing.
2.
				  Successful completion of a Virginia Board of Nursing-approved nurse aide
				  education program.
3. Successful
				  completion of a personal care aide training program that meets the requirements
				  of the Elderly or Disabled with Consumer Direction Waiver program for adult day
				  health care as required by the Department of Medical Assistance
				  Services.
4. Successful completion
				  of an educational program for geriatric assistant or home health aide or for
				  nurse aide that is not covered under subdivision 2 of this subsection. The
				  program shall be provided by a hospital, nursing facility, or educational
				  institution and may include out-of-state training. The program must be approved
				  by the department. To obtain department approval:
a. The center shall provide to the
				  department's representative an outline of course content, dates and hours of
				  instruction received, the name of the entity that provided the training, and
				  other pertinent information.
b. The
				  department will make a determination based on the information in subdivision 4
				  a of this subsection and provide written confirmation to the center when the
				  educational program meets department requirements.
5. Successful completion of the
				  department-approved 40-hour Assisted Living Facility Direct Care Staff Training
				  curriculum.
6. Successful
				  completion of at least 40 hours of training as taught by a licensed health care
				  professional or, if online training is accessed, accredited by a national
				  association. Topics for this training shall include the following:
a. Participant rights;
b. Physical, biological, and psychological
				  aspects of aging;
c. Health care
				  needs such as hypertension, arthritis, diabetes, heart disease, osteoporosis,
				  stroke, incontinence or skin care;
d. Functional needs, limitations, and
				  disabilities including sensory, physical, and developmental disabilities;
				  mental illness; substance abuse; and aggressive behavior;
e. Dementia and other cognitive
				  impairment;
f. Assistance with
				  activities of daily living;
g. Body
				  mechanics, ambulation, and transfer;
h. Infection control;
i. Meals and nutrition;
j. Activities; and
k. Safety and accident prevention.