Florida Senate - 2019                        COMMITTEE AMENDMENT
       Bill No. SB 184
       
       
       
       
       
       
                                Ì499518OÎ499518                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/07/2019           .                                
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       The Committee on Appropriations (Book) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Between lines 768 and 769
    4  insert:
    5         Section 28. Subsection (1) of section 429.917, Florida
    6  Statutes, is amended to read:
    7         429.917 Patients with Alzheimer’s disease or other related
    8  disorders; staff training requirements; certain disclosures.—
    9         (1) An adult day care center licensed under this part must
   10  provide the following staff training:
   11         (a) Upon beginning employment with the facility, each
   12  employee must receive basic written information about
   13  interacting with participants who have Alzheimer’s disease or
   14  dementia-related disorders.
   15         (b) In addition to the information provided under paragraph
   16  (a), newly hired adult day care center personnel who are
   17  expected to, or whose responsibilities require them to, have
   18  direct contact with participants who have Alzheimer’s disease or
   19  dementia-related disorders must complete initial training of at
   20  least 1 hour within the first 3 months after beginning
   21  employment. The training must include an overview of dementias
   22  and must provide instruction in basic skills for communicating
   23  with persons who have dementia.
   24         (c) In addition to the requirements of paragraphs (a) and
   25  (b), an employee who will be providing direct care to a
   26  participant who has Alzheimer’s disease or a dementia-related
   27  disorder must complete an additional 3 hours of training within
   28  9 months after beginning employment. This training must include,
   29  but is not limited to, the management of problem behaviors,
   30  information about promoting the participant’s independence in
   31  activities of daily living, and instruction in skills for
   32  working with families and caregivers.
   33         (d) For certified nursing assistants, the required 4 hours
   34  of training shall be part of the total hours of training
   35  required annually.
   36         (e) For a health care practitioner as defined in s.
   37  456.001, continuing education hours taken as required by that
   38  practitioner’s licensing board shall be counted toward the total
   39  of 4 hours.
   40         (f) For an employee who is a licensed health care
   41  practitioner as defined in s. 456.001, training that is
   42  sanctioned by that practitioner’s licensing board shall be
   43  considered to be approved by the agency Department of Elderly
   44  Affairs.
   45         (g) The agency Department of Elderly Affairs or its
   46  designee must approve the 1-hour and 3-hour training provided to
   47  employees and direct caregivers under this section. The agency
   48  department must consider for approval training offered in a
   49  variety of formats. The agency department shall keep a list of
   50  current providers who are approved to provide the 1-hour and 3
   51  hour training. The agency department shall adopt rules to
   52  establish standards for the employees who are subject to this
   53  training, for the trainers, and for the training required in
   54  this section.
   55         (h) Upon completing any training described in this section,
   56  the employee or direct caregiver shall be issued a certificate
   57  that includes the name of the training provider, the topic
   58  covered, and the date and signature of the training provider.
   59  The certificate is evidence of completion of training in the
   60  identified topic, and the employee or direct caregiver is not
   61  required to repeat training in that topic if the employee or
   62  direct caregiver changes employment to a different adult day
   63  care center or to an assisted living facility, nursing home,
   64  home health agency, or hospice. The direct caregiver must comply
   65  with other applicable continuing education requirements.
   66         (i) All employees An employee who is hired on or after July
   67  1, 2004, must complete the training required by this section.
   68         Section 29. Subsections (5), (6), and (12) of section
   69  429.918, Florida Statutes, are amended to read
   70         429.918 Licensure designation as a specialized Alzheimer’s
   71  services adult day care center.—
   72         (5)(a) The operator of an adult day care center having a
   73  license designated under this section, and the operator’s
   74  designee, as applicable, hired on or after July 1, 2012, shall:
   75         1. Have at least a bachelor’s degree in health care
   76  services, social services, or a related field, 1 year of staff
   77  supervisory experience in a social services or health care
   78  services setting, and a minimum of 1 year of experience in
   79  providing services to persons who have dementia;
   80         2. Be a registered or practical nurse licensed in this
   81  state, have 1 year of staff supervisory experience in a social
   82  services or health care services setting, and have a minimum of
   83  1 year of experience in providing services to persons who have
   84  dementia; or
   85         3. Have 5 years of staff supervisory experience in a social
   86  services or health care services setting and a minimum of 3
   87  years of experience in providing services to persons who have
   88  dementia.
   89         (b) The owner must sign an affidavit under penalty of
   90  perjury stating that he or she has verified that the operator,
   91  and the operator’s designee, if any, have completed the
   92  education and experience requirements of this subsection.
   93         (6)(a) An adult day care center having a license designated
   94  under this section must provide the following staff training and
   95  supervision:
   96         1. A registered nurse or licensed practical nurse must be
   97  on site daily for at least 75 percent of the time that the
   98  center is open to ADRD participants. Each licensed practical
   99  nurse who works at the center must be supervised in accordance
  100  with chapter 464.
  101         2. Upon beginning employment with the center, each employee
  102  must receive and review basic written information about
  103  interacting with ADRD participants.
  104         3. In addition to the information provided in subparagraph
  105  2., every employee hired on or after July 1, 2012, who has
  106  direct contact with ADRD participants shall complete 4 hours of
  107  dementia-specific training within 3 months after employment.
  108         4. In addition to the requirements of subparagraphs 2. and
  109  3., each employee hired on or after July 1, 2012, who provides
  110  direct care to ADRD participants shall complete an additional 4
  111  hours of dementia-specific training within 6 months after
  112  employment.
  113         (b) The agency Department of Elderly Affairs or its
  114  designee shall approve the training required under this section.
  115  The agency department shall adopt rules to establish standards
  116  for employees who are subject to this training, for trainers,
  117  and for the training required in this section.
  118         (c) Upon completing any training described in this section,
  119  the employee shall be issued a certificate that includes the
  120  name of the training provider, the topics covered, and the date
  121  and signature of the training provider. The certificate is
  122  evidence of completion of training in the identified topics, and
  123  the employee is not required to repeat training in those topics
  124  if the employee changes employment to a different adult day care
  125  center.
  126         (d) Each employee hired on or after July 1, 2012, who
  127  provides direct care to ADRD participants, must receive and
  128  review an orientation plan that includes, at a minimum:
  129         1. Procedures to locate an ADRD participant who has
  130  wandered from the center. These procedures shall be reviewed
  131  regularly with all direct care staff.
  132         2. Information on the Silver Alert program in this state.
  133         3. Information regarding available products or programs
  134  used to identify ADRD participants or prevent them from
  135  wandering away from the center, their home, or other locations.
  136         (12) The agency Department of Elderly Affairs may adopt
  137  rules to administer this section.
  138  
  139  ================= T I T L E  A M E N D M E N T ================
  140  And the title is amended as follows:
  141         Delete line 17
  142  and insert:
  143         429.67, 429.71, 429.73, 429.75, 429.81, 429.917,
  144         429.918, 429.929, and