Florida Senate - 2014                        COMMITTEE AMENDMENT
       Bill No. SB 316
       
       
       
       
       
       
                                Ì6996226Î699622                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/25/2014           .                                
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       (Grimsley) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Section 429.52, Florida Statutes, is amended to
    6  read:
    7         429.52 Staff training and educational programs; core
    8  educational requirement.—
    9         (1) Effective July 1, 2014, administrators shall meet the
   10  minimum training and education requirements established by a
   11  third-party credentialing entity pursuant to s. 429.55 or by the
   12  Department of Elderly Affairs by rule. and Other assisted living
   13  facility staff shall must meet minimum training and education
   14  requirements established by the department of Elderly Affairs by
   15  rule. This training and education is intended to assist
   16  facilities to appropriately respond to the needs of residents,
   17  to maintain resident care and facility standards, and to meet
   18  licensure requirements.
   19         (2) The department shall establish a competency test and a
   20  minimum required score to indicate successful completion of the
   21  training and educational requirements. The department shall
   22  develop the competency test must be developed by the department
   23  in conjunction with the agency and providers. A third-party
   24  credentialing entity approved under s. 429.55 must also develop
   25  a competency test and a minimum required score to indicate
   26  successful completion of the training and educational
   27  requirements. The required training and education must cover at
   28  least the following topics:
   29         (a) State law and rules relating to assisted living
   30  facilities.
   31         (b) Resident rights and identifying and reporting abuse,
   32  neglect, and exploitation.
   33         (c) Special needs of elderly persons, persons with mental
   34  illness, and persons with developmental disabilities and how to
   35  meet those needs.
   36         (d) Nutrition and food service, including acceptable
   37  sanitation practices for preparing, storing, and serving food.
   38         (e) Medication management, recordkeeping, and proper
   39  techniques for assisting residents with self-administered
   40  medication.
   41         (f) Firesafety requirements, including fire evacuation
   42  drill procedures and other emergency procedures.
   43         (g) Care of persons who have with Alzheimer’s disease and
   44  related disorders.
   45         (3) Effective January 1, 2004, A new facility administrator
   46  hired on or after July 1, 2014, must:
   47         (a) Complete the required training and education, including
   48  the competency test, within a reasonable time after being
   49  employed as an administrator, as determined by the department;
   50  or
   51         (b) Earn and maintain certification as an assisted living
   52  facility administrator from a third-party credentialing entity
   53  that is approved by the department as provided in s. 429.55.
   54  
   55  Failure of a facility administrator to comply with paragraph (a)
   56  or paragraph (b) do so is a violation of this part and subjects
   57  the violator to an administrative fine as prescribed in s.
   58  429.19. Administrators licensed in accordance with part II of
   59  chapter 468 are exempt from this requirement. Other licensed
   60  professionals may be exempted, as determined by the department
   61  by rule.
   62         (4) Administrators shall are required to participate in
   63  continuing education for a minimum of 12 contact hours every 2
   64  years.
   65         (5) Staff involved with the management of medications and
   66  assisting with the self-administration of medications under s.
   67  429.256 must complete a minimum of 4 additional hours of
   68  training provided by a registered nurse, licensed pharmacist, or
   69  department staff. The department shall establish by rule the
   70  minimum requirements of this additional training.
   71         (6) Other facility staff shall participate in training
   72  relevant to their job duties as specified by rule of the
   73  department.
   74         (7) If the department or the agency determines that there
   75  is a need for are problems in a facility that could be reduced
   76  through specific staff training or education beyond that already
   77  required under this section, the department or the agency may
   78  require, and provide, or cause to be provided, the training or
   79  education of any personal care staff in the facility. However,
   80  this subsection does not apply to an assisted living facility
   81  administrator certified under s. 429.55.
   82         (8) The department shall adopt rules related to these
   83  training requirements, the competency test, necessary
   84  procedures, and competency test fees and shall adopt or contract
   85  with another entity to develop a curriculum, which shall be used
   86  as the minimum core training requirements. The department shall
   87  consult with representatives of stakeholder associations and
   88  agencies in the development of the curriculum.
   89         (9) The training required by this section must shall be
   90  conducted by a person who is persons registered with the
   91  department as having the requisite experience and credentials to
   92  conduct the training or by a training entity recognized by a
   93  third-party credentialing entity under s. 429.55(7)(f). A person
   94  seeking to register as a trainer must provide the department
   95  with proof of completion of the minimum core training education
   96  requirements, successful passage of the competency test
   97  established under this section, and proof of compliance with the
   98  continuing education requirement in subsection (4).
   99         (10) A person seeking to register as a trainer must also:
  100         (a) Provide proof of completion of a 4-year degree from an
  101  accredited college or university and must have worked in a
  102  management position in an assisted living facility for 3 years
  103  after being core certified;
  104         (b) Have worked in a management position in an assisted
  105  living facility for 5 years after being core certified and have
  106  1 year of teaching experience as an educator or staff trainer
  107  for persons who work in assisted living facilities or other
  108  long-term care settings;
  109         (c) Have been previously employed as a core trainer for the
  110  department; or
  111         (d) Meet other qualification criteria as defined in rule,
  112  which the department may is authorized to adopt.
  113         (11) The department may shall adopt rules to establish
  114  staff training trainer registration requirements.
  115         Section 2. Section 429.55, Florida Statutes, is created to
  116  read:
  117         429.55 Assisted living facility administrator;
  118  certification.—
  119         (1) LEGISLATIVE INTENT.—It is the intent of the Legislature
  120  that each assisted living facility administrator have the option
  121  to earn and maintain professional certification from a third
  122  party credentialing entity that is approved by the Department of
  123  Elderly Affairs. The Legislature further intends that
  124  certification ensure that an administrator has the competencies
  125  necessary to appropriately respond to the needs of residents, to
  126  maintain resident care and facility standards, and to meet
  127  licensure requirements for a facility. The Legislature
  128  recognizes professional certification by a professional
  129  credentialing organization as an equivalent alternative to a
  130  state-run licensure program and, therefore, intends that
  131  certification pursuant to this section is sufficient as an
  132  acceptable alternative to the training and educational
  133  requirements of s. 429.52.
  134         (2)DEFINITIONS.—As used in this section, the term:
  135         (a)“Assisted living facility administrator certification”
  136  means a professional credential awarded by a department-approved
  137  third-party credentialing entity to a person who meets core
  138  competency requirements in assisted living facility practice
  139  areas.
  140         (b)“Core competency” means the minimum knowledge and
  141  skills necessary to carry out work responsibilities.
  142         (c) “Department” means the Department of Elderly Affairs.
  143         (d)“Third-party credentialing entity” means an
  144  organization that develops and administers certification
  145  programs according to the standards established by the National
  146  Commission for Certifying Agencies.
  147         (3)THIRD-PARTY CREDENTIALING ENTITIES.—The department
  148  shall approve one or more third-party credentialing entities for
  149  the purpose of developing and administering a professional
  150  credentialing program for administrators. Within 90 days after
  151  receiving documentation from a third-party credentialing entity,
  152  the department shall approve a third-party credentialing entity
  153  that demonstrates compliance with the following minimum
  154  standards:
  155         (a)Establishment of assisted living facility administrator
  156  core competencies, certification standards, testing instruments,
  157  and recertification standards according to national psychometric
  158  standards.
  159         (b)Establishment of a process to administer the
  160  certification application, award, and maintenance processes
  161  according to national psychometric standards.
  162         (c)Demonstrated ability to administer a professional code
  163  of ethics and disciplinary process that applies to all certified
  164  persons.
  165         (d)Establishment of, and ability to maintain a publicly
  166  accessible Internet-based database that contains information on
  167  each person who applies for and is awarded certification, such
  168  as the person’s first and last name, certification status, and
  169  ethical or disciplinary history.
  170         (e)Demonstrated ability to administer biannual continuing
  171  education and certification renewal requirements.
  172         (f)Demonstrated ability to administer an education
  173  provider program to approve qualified training entities and to
  174  provide precertification training to applicants and continuing
  175  education opportunities to certified professionals.
  176         (4)ASSISTED LIVING FACILITY ADMINISTRATOR CERTIFICATION.
  177  Effective July 1, 2014, an assisted living facility
  178  administrator may be certified by a third-party credentialing
  179  entity that is approved by the department under this section. An
  180  assisted living facility administrator who fails to be certified
  181  under this section or fails to meet training and educational
  182  requirements of s. 429.52 violates this section and is subject
  183  to an administrative fine as provided under s. 429.19. This
  184  subsection does not apply to an administrator licensed under
  185  part II of chapter 468.
  186         (5)GRANDFATHER CLAUSE.—A third-party credentialing entity
  187  shall allow the following persons to enroll in its certification
  188  program, at no cost to the department or the person, in the 12
  189  months immediately after the department approves the third-party
  190  credentialing entity as provided in subsection (3):
  191         (a) A person who is employed as an assisted living facility
  192  administrator and is in compliance with the requirements in s.
  193  429.52, including continuing education requirements in place
  194  before July 1, 2014.
  195         (b) A person who has completed before July 1, 2014, the
  196  required training as an administrator, including the competency
  197  test and continuing education requirements established in s.
  198  429.52.
  199         (6)CORE COMPETENCIES.—A third-party credentialing entity
  200  that is approved by the department shall establish the core
  201  competencies for assisted living facility administrators
  202  according to the standards established by the National
  203  Commission for Certifying Agencies.
  204         (7)CERTIFICATION PROGRAM REQUIREMENTS.—A certification
  205  program of a third-party credentialing entity that is approved
  206  by the department must:
  207         (a)Be established according to the standards set forth by
  208  the National Commission for Certifying Agencies.
  209         (b)Be directly related to the core competencies.
  210         (c)Establish minimum requirements in each of the following
  211  categories:
  212         1. Formal education.
  213         2. Training.
  214         3. On-the-job work experience.
  215         4. Supervision.
  216         5. Testing.
  217         6. Biannual continuing education.
  218         (d)Administer a professional code of ethics and
  219  disciplinary process that applies to all certified persons.
  220         (e)Administer and maintain a publicly accessible Internet
  221  based database that contains information on each person who
  222  applies for certification or is certified.
  223         (f) Approve qualified training entities that provide
  224  precertification training to applicants and continuing education
  225  to certified assisted living facility administrators.
  226         (8) APPEAL.—An individual who is adversely affected by the
  227  decision of a department-approved, third-party credentialing
  228  entity with regard to the denial of initial certification or an
  229  adverse action on continued certification may appeal such
  230  decision to the department for a final determination.
  231  Section 3. This act shall take effect July 1, 2014.
  232  
  233  ================= T I T L E  A M E N D M E N T ================
  234  And the title is amended as follows:
  235         Delete everything before the enacting clause
  236  and insert:
  237                        A bill to be entitled                      
  238         An act relating to certification of assisted living
  239         facility administrators; amending s. 429.52, F.S.;
  240         requiring assisted living facility administrators to
  241         meet the training and education requirements
  242         established by a third-party credentialing entity or
  243         by the Department of Elderly Affairs; requiring the
  244         department to establish a competency test; requiring a
  245         third-party credentialing entity to develop a
  246         competency test and a minimum required score to
  247         indicate successful completion of the training and
  248         educational requirements; revising requirements for
  249         facility administrators who are hired on or after a
  250         specified date; authorizing the department to require
  251         additional training and education of any personal care
  252         staff in the facility, except for certain assisted
  253         living facility administrators; requiring training to
  254         be conducted by an entity recognized by a third-party
  255         credentialing entity under s. 429.55, F.S.;
  256         authorizing the department to adopt rules to establish
  257         staff training requirements; creating s. 429.55, F.S.;
  258         providing legislative intent; defining terms;
  259         authorizing the department to approve third-party
  260         credentialing entities for the purpose of developing
  261         and administering a professional credentialing program
  262         for assisted living facility administrators; requiring
  263         the department to approve a third-party credentialing
  264         entity that documents compliance with certain minimum
  265         standards; authorizing an administrator to be
  266         certified by a third-party credentialing entity;
  267         providing that an administrator who fails to be
  268         certified under s. 429.55, F.S., or fails to complete
  269         training and educational requirements under s. 429.55
  270         is subject to an administrative fine; providing an
  271         exemption for an administrator licensed under part II
  272         of ch. 468, F.S.; requiring a third-party
  273         credentialing entity to allow certain persons to
  274         enroll in its certification program for a specified
  275         time after the department approves the third-party
  276         credentialing entity; requiring an approved third
  277         party credentialing entity to establish the core
  278         competencies for administrators according to the
  279         standards set forth by the National Commission for
  280         Certifying Agencies; requiring a certification program
  281         of a third-party credentialing entity to meet certain
  282         requirements; authorizing an individual adversely
  283         affected by the decision of a third-party
  284         credentialing entity to appeal the decision under
  285         certain circumstances; providing an effective date.