Florida Senate - 2022                             CS for SB 1572
       
       
        
       By the Committee on Health Policy; and Senators Baxley, Gibson,
       Jones, and Garcia
       
       
       
       
       588-02925A-22                                         20221572c1
    1                        A bill to be entitled                      
    2         An act relating to dementia-related staff training;
    3         creating s. 430.5025, F.S.; providing a short title;
    4         defining terms; requiring the Department of Elderly
    5         Affairs to offer certain dementia-related education to
    6         the public; specifying uniform dementia-related
    7         education and training for employees of covered
    8         providers; requiring the department or its designee to
    9         provide certain dementia-related employee training in
   10         an online format and at no cost; providing minimum
   11         requirements for the training; requiring the
   12         department or its designee to make a record of the
   13         completion of the training; providing requirements for
   14         the record; requiring covered providers to maintain
   15         such records of training completion for their
   16         employees; providing that an employee does not have to
   17         repeat such training after changing employment to
   18         another covered provider; providing additional
   19         training and continuing education requirements for
   20         certain employees providing direct care; authorizing
   21         the department to adopt training curriculum
   22         guidelines; authorizing the department or its designee
   23         to approve training providers and curricula and
   24         maintain a list of approved providers; authorizing
   25         training to be offered in a variety of formats;
   26         providing that certain continuing education does not
   27         require the adoption of curriculum guidelines by the
   28         department or provider or curriculum approval by the
   29         department or its designee; providing qualifications
   30         and requirements for approved providers; providing
   31         that training curricula approved before the effective
   32         date of this act remain in effect until their
   33         respective expiration dates; authorizing the
   34         department to adopt certain rules; authorizing
   35         certified nursing assistants to count the dementia
   36         related training toward their annual certification
   37         training requirements; authorizing health care
   38         practitioners to count the dementia-related training
   39         requirements toward their continuing education
   40         requirements for licensure; creating s. 400.51, F.S.;
   41         requiring individuals employed, contracted, or
   42         referred by a nurse registry and individuals
   43         registered as companion or homemaker services
   44         providers to complete specified dementia-related
   45         training; amending ss. 400.1755, 400.4785, 429.178,
   46         429.52, 429.83, 429.917, and 429.918, F.S.; revising
   47         dementia-related staff training requirements for
   48         nursing homes, home health agencies, facilities that
   49         provide special care for persons with Alzheimer’s
   50         disease or related dementia, assisted living
   51         facilities, adult family-care homes, adult day care
   52         centers, and specialized Alzheimer’s services adult
   53         day care centers, respectively, to conform to changes
   54         made by the act; extending the timeframe in which
   55         individuals employed, contracted, or referred to
   56         provide services before a specified date must complete
   57         the dementia-related staff training required by this
   58         act; providing that proof of completion of equivalent
   59         training substitutes for such training; providing that
   60         individuals employed, contracted, or referred to
   61         provide services on or after a specified date are
   62         subject to the timeframes for completion of such
   63         training which are specified in the act; providing an
   64         effective date.
   65          
   66  Be It Enacted by the Legislature of the State of Florida:
   67  
   68         Section 1. Section 430.5025, Florida Statutes, is created
   69  to read:
   70         430.5025Education and training to foster awareness of
   71  Alzheimer’s disease and related forms of dementia.—
   72         (1)This section may be cited as the “Florida Alzheimer’s
   73  Disease and Dementia Education and Training Act.”
   74         (2)As used in this section, the term:
   75         (a)“Covered provider” means a nursing home facility, a
   76  home health agency, a nurse registry, a companion or homemaker
   77  service provider, an assisted living facility, an adult family
   78  care home, or an adult day care center licensed or registered
   79  under chapter 400 or chapter 429.
   80         (b)“Department” means the Department of Elderly Affairs.
   81         (c)“Direct care” means providing, through in-person
   82  contact, assistance with the activities of daily living;
   83  assistance with the self-administration of medication; homemaker
   84  or companion services; nursing services; or other services that
   85  promote the physical, mental, and psychosocial well-being of
   86  participants, patients, and residents of covered providers. The
   87  term does not include administrative functions or maintenance of
   88  the physical environment of a licensed facility, including
   89  grounds maintenance, building maintenance, housekeeping,
   90  laundry, or food preparation.
   91         (d)“Employee” means an individual, contracted staff, or an
   92  independent contractor employed or referred by a covered
   93  provider who is required to undergo a level 2 background
   94  screening as required by s. 408.809 and chapter 435.
   95         (e)“Regular contact” means the performance of duties other
   96  than direct care which may require employees to interact in
   97  person on a daily basis with participants, patients, or
   98  residents.
   99         (3)The department shall offer education to the general
  100  public about Alzheimer’s disease and related forms of dementia.
  101  The education must provide basic information about the most
  102  common forms of dementia, how to identify the signs and symptoms
  103  of dementia, skills for coping with and responding to changes as
  104  a result of the onset of dementia symptoms, planning for the
  105  future, and how to access additional resources about dementia.
  106         (4)Employees of covered providers must receive uniform
  107  training about Alzheimer’s disease and related forms of dementia
  108  as follows:
  109         (a)Upon beginning employment, each employee must receive
  110  basic written information about interacting with individuals who
  111  have Alzheimer’s disease or a related form of dementia.
  112         (b)Within 30 days after the date of beginning employment,
  113  each employee who provides direct care and is in regular contact
  114  with participants, patients, or residents must complete a 1-hour
  115  training provided by the department or its designee.
  116         1.The department or its designee shall provide the
  117  training required under this paragraph in an online format and
  118  at no cost. The 1-hour training must include information on
  119  understanding the basics about the most common forms of
  120  dementia, how to identify the signs and symptoms of dementia,
  121  and skills for communicating and interacting with individuals
  122  who have Alzheimer’s disease or a related form of dementia. A
  123  record of completion of the training must be made available
  124  which identifies the training course, the name of the employee,
  125  and the date of completion.
  126         2.A covered provider must maintain a record of the
  127  employee’s completion of the training.
  128         3.An employee who has completed the training is not
  129  required to repeat the training after changing employment to a
  130  different covered provider.
  131         (c)Within 7 months after the date of beginning employment,
  132  each employee of a home health agency or nurse registry, or a
  133  companion or homemaker service provider who provides direct
  134  care, must complete an additional 2 hours of training. The
  135  training must cover, but need not be limited to, behavior
  136  management, promotion of the individual’s independence in
  137  activities of daily living, and skills for working with family
  138  members and caregivers.
  139         (d)Within 7 months after the date of beginning employment,
  140  each employee of a nursing home, an assisted living facility, an
  141  adult family-care home, or an adult day care center who provides
  142  direct care must complete an additional 3 hours of training. The
  143  training must cover, but need not be limited to, behavior
  144  management, promotion of the individual’s independence in
  145  activities of daily living, skills for working with family
  146  members and caregivers, group and individual activities,
  147  maintaining an appropriate environment, and ethical issues.
  148         (e)For an assisted living facility, adult family-care
  149  home, or adult day care center that advertises and provides, or
  150  is designated to provide, specialized care for individuals who
  151  have Alzheimer’s disease or a related form of dementia, its
  152  employees must receive the following training in addition to the
  153  training specified in paragraphs (a) and (b):
  154         1.Within 3 months after the date of beginning employment,
  155  each employee who has regular contact with or provides direct
  156  care to residents or participants must complete an additional 3
  157  hours of training in the topics specified in paragraph (d).
  158         2.Within 6 months after the date of beginning employment,
  159  each employee who provides direct care must complete an
  160  additional 4 hours of dementia-specific training. The training
  161  must include, but need not be limited to, information related to
  162  understanding Alzheimer’s disease and related forms of dementia,
  163  the stages of Alzheimer’s disease, communication strategies,
  164  medical information, and stress management.
  165         3.Thereafter, each employee who provides direct care must
  166  participate in a minimum of 4 contact hours of continuing
  167  education each calendar year. The continuing education must
  168  cover at least one of the topics included in the dementia
  169  specific training in which the employee has not received
  170  previous training.
  171         (f)The department may adopt training curriculum guidelines
  172  for the training specified in paragraphs (c), (d), and (e). The
  173  department or its designee may approve training providers and
  174  training curricula and maintain a list of approved providers.
  175  Approved training may be offered in a variety of formats,
  176  including in-person and electronic formats. However, continuing
  177  education under this section does not require the adoption of
  178  training curriculum guidelines by the department or the approval
  179  of training providers and curricula by the department or its
  180  designee.
  181         1.A training provider meeting one of the following
  182  qualifications may offer training in accordance with the
  183  curriculum guidelines without prior department or designee
  184  approval of the provider or the curriculum:
  185         a.An individual approved by a board of the Department of
  186  Health to provide training who is registered with the electronic
  187  continuing education tracking system established in s.
  188  456.025(7);
  189         b.An individual with a master’s or doctoral degree in
  190  health care, social services, or gerontology from an accredited
  191  college or university; or
  192         c.A training provider approved by the department or its
  193  designee before July 1, 2022.
  194         2.Training providers qualified under sub-subparagraphs
  195  1.a. and b. must also have:
  196         a.At least 1 year of teaching experience as an educator
  197  for caregivers of individuals with Alzheimer’s disease or
  198  related forms of dementia;
  199         b.At least 1 year of practical experience in a program
  200  providing care to individuals with Alzheimer’s disease or
  201  related forms of dementia; or
  202         c.Completed a specialized training program in the subject
  203  matter of Alzheimer’s disease and related forms of dementia from
  204  an accredited health care, human services, or gerontology
  205  education provider.
  206         3.Upon an employee’s completion of the training specified
  207  in paragraphs (c), (d), or (e), the training provider must
  208  provide a record of completion of the training which includes
  209  the name of the employee, the name of the training provider, the
  210  topics covered, and the date of completion. The record is
  211  evidence of completion of training in the identified topic, and
  212  the employee is not required to repeat training in that topic if
  213  the employee changes employment to a different covered provider.
  214         4.Any training curriculum on Alzheimer’s disease or
  215  related forms of dementia approved by the department or its
  216  designee before July 1, 2022, remains in effect until the
  217  curriculum’s expiration date.
  218         (g)The department may adopt rules to create training
  219  curriculum guidelines, to establish requirements for the
  220  approval of qualified training providers, and to conduct
  221  sampling of training or training curricula as necessary to
  222  monitor for compliance with curriculum guidelines.
  223         (5)For a certified nursing assistant as defined in s.
  224  464.201, training completed as required by this section may be
  225  counted toward the total hours of training required to maintain
  226  certification as a certified nursing assistant.
  227         (6)For a health care practitioner as defined in s.
  228  456.001, training completed as required by this section may be
  229  counted toward the total hours of continuing education required
  230  by that practitioner’s licensing board.
  231         Section 2. Section 400.1755, Florida Statutes, is amended
  232  to read:
  233         400.1755 Care for persons with Alzheimer’s disease or
  234  related disorders; staff training requirements.—
  235         (1) As a condition of licensure, the employees of
  236  facilities licensed under this part must complete the training
  237  as required by the Florida Alzheimer’s Disease and Dementia
  238  Education and Training Act in s. 430.5025 provide to each of
  239  their employees, upon beginning employment, basic written
  240  information about interacting with persons with Alzheimer’s
  241  disease or a related disorder.
  242         (2) All employees who are expected to, or whose
  243  responsibilities require them to, have direct contact with
  244  residents with Alzheimer’s disease or a related disorder must,
  245  in addition to being provided the information required in
  246  subsection (1), also have an initial training of at least 1 hour
  247  completed in the first 3 months after beginning employment. This
  248  training must include, but is not limited to, an overview of
  249  dementias and must provide basic skills in communicating with
  250  persons with dementia.
  251         (3) An individual who provides direct care shall be
  252  considered a direct caregiver and must complete the required
  253  initial training and an additional 3 hours of training within 9
  254  months after beginning employment. This training shall include,
  255  but is not limited to, managing problem behaviors, promoting the
  256  resident’s independence in activities of daily living, and
  257  skills in working with families and caregivers.
  258         (a) The required 4 hours of training for certified nursing
  259  assistants are part of the total hours of training required
  260  annually.
  261         (b) For a health care practitioner as defined in s.
  262  456.001, continuing education hours taken as required by that
  263  practitioner’s licensing board shall be counted toward this
  264  total of 4 hours.
  265         (4) For an employee who is a licensed health care
  266  practitioner as defined in s. 456.001, training that is
  267  sanctioned by that practitioner’s licensing board shall be
  268  considered to be approved by the Department of Elderly Affairs.
  269         (5) The Department of Elderly Affairs or its designee must
  270  approve the initial and continuing training provided in the
  271  facilities. The department must approve training offered in a
  272  variety of formats, including, but not limited to, Internet
  273  based training, videos, teleconferencing, and classroom
  274  instruction. The department shall keep a list of current
  275  providers who are approved to provide initial and continuing
  276  training. The department shall adopt rules to establish
  277  standards for the trainers and the training required in this
  278  section.
  279         (6) Upon completing any training listed in this section,
  280  the employee or direct caregiver shall be issued a certificate
  281  that includes the name of the training provider, the topic
  282  covered, and the date and signature of the training provider.
  283  The certificate is evidence of completion of training in the
  284  identified topic, and the employee or direct caregiver is not
  285  required to repeat training in that topic if the employee or
  286  direct caregiver changes employment to a different facility or
  287  to an assisted living facility, home health agency, adult day
  288  care center, or adult family-care home. The direct caregiver
  289  must comply with other applicable continuing education
  290  requirements.
  291         Section 3. Section 400.4785, Florida Statutes, is amended
  292  to read:
  293         400.4785 Patients with Alzheimer’s disease or other related
  294  disorders; staff training requirements; certain disclosures.—The
  295  employees of a home health agency must complete the training as
  296  required by the Florida Alzheimer’s Disease and Dementia
  297  Education and Training Act in s. 430.5025.
  298         (1) A home health agency must provide the following staff
  299  training:
  300         (a) Upon beginning employment with the agency, each
  301  employee must receive basic written information about
  302  interacting with participants who have Alzheimer’s disease or
  303  dementia-related disorders.
  304         (b) In addition to the information provided under paragraph
  305  (a), newly hired home health agency personnel who will be
  306  providing direct care to patients must complete 2 hours of
  307  training in Alzheimer’s disease and dementia-related disorders
  308  within 9 months after beginning employment with the agency. This
  309  training must include, but is not limited to, an overview of
  310  dementia, a demonstration of basic skills in communicating with
  311  persons who have dementia, the management of problem behaviors,
  312  information about promoting the client’s independence in
  313  activities of daily living, and instruction in skills for
  314  working with families and caregivers.
  315         (c) For certified nursing assistants, the required 2 hours
  316  of training shall be part of the total hours of training
  317  required annually.
  318         (d) For a health care practitioner as defined in s.
  319  456.001, continuing education hours taken as required by that
  320  practitioner’s licensing board shall be counted toward the total
  321  of 2 hours.
  322         (e) For an employee who is a licensed health care
  323  practitioner as defined in s. 456.001, training that is
  324  sanctioned by that practitioner’s licensing board shall be
  325  considered to be approved by the Department of Elderly Affairs.
  326         (f) The Department of Elderly Affairs, or its designee,
  327  must approve the required training. The department must consider
  328  for approval training offered in a variety of formats. The
  329  department shall keep a list of current providers who are
  330  approved to provide the 2-hour training. The department shall
  331  adopt rules to establish standards for the employees who are
  332  subject to this training, for the trainers, and for the training
  333  required in this section.
  334         (g) Upon completing the training listed in this section,
  335  the employee shall be issued a certificate that states that the
  336  training mandated under this section has been received. The
  337  certificate shall be dated and signed by the training provider.
  338  The certificate is evidence of completion of this training, and
  339  the employee is not required to repeat this training if the
  340  employee changes employment to a different home health agency.
  341         (h) A licensed home health agency whose unduplicated census
  342  during the most recent calendar year was composed comprised of
  343  at least 90 percent of individuals aged 21 years or younger at
  344  the date of admission is exempt from the training requirements
  345  in this section.
  346         (2) An agency licensed under this part which claims that it
  347  provides special care for persons who have Alzheimer’s disease
  348  or other related disorders must disclose in its advertisements
  349  or in a separate document those services that distinguish the
  350  care as being especially applicable to, or suitable for, such
  351  persons. The agency must give a copy of all such advertisements
  352  or a copy of the document to each person who requests
  353  information about the agency and must maintain a copy of all
  354  such advertisements and documents in its records. The Agency for
  355  Health Care Administration shall examine all such advertisements
  356  and documents in the agency’s records as part of the license
  357  renewal procedure.
  358         Section 4. Section 400.51, Florida Statutes, is created to
  359  read:
  360         400.51Patients with Alzheimer’s disease or other related
  361  disorders; staff training requirements.—Each individual
  362  employed, contracted, or referred by a nurse registry or any
  363  individual registered with the agency to provide companion
  364  services or homemaker services must complete the training as
  365  required by the Florida Alzheimer’s Disease and Dementia
  366  Education and Training Act in s. 430.5025.
  367         Section 5. Section 429.178, Florida Statutes, is amended to
  368  read:
  369         429.178 Special care for persons with Alzheimer’s disease
  370  or other related disorders.—
  371         (1) A facility that which advertises that it provides
  372  special care for persons with Alzheimer’s disease or other
  373  related disorders must meet the following standards of
  374  operation:
  375         (1)(a)1. If the facility has 17 or more residents, have an
  376  awake staff member on duty at all hours of the day and night; or
  377         (b)2. If the facility has fewer than 17 residents, have an
  378  awake staff member on duty at all hours of the day and night or
  379  have mechanisms in place to monitor and ensure the safety of the
  380  facility’s residents.
  381         (2)(b) Offer activities specifically designed for persons
  382  who are cognitively impaired.
  383         (3)(c) Have a physical environment that provides for the
  384  safety and welfare of the facility’s residents.
  385         (4)(d)Require its employees to complete Employ staff who
  386  have completed the training and continuing education as required
  387  by the Florida Alzheimer’s Disease and Dementia Education and
  388  Training Act in s. 430.5025 subsection (2).
  389         (2)(a) An individual who is employed by a facility that
  390  provides special care for residents who have Alzheimer’s disease
  391  or other related disorders, and who has regular contact with
  392  such residents, must complete up to 4 hours of initial dementia
  393  specific training developed or approved by the department. The
  394  training must be completed within 3 months after beginning
  395  employment and satisfy the core training requirements of s.
  396  429.52(3)(g).
  397         (b) A direct caregiver who is employed by a facility that
  398  provides special care for residents who have Alzheimer’s disease
  399  or other related disorders and provides direct care to such
  400  residents must complete the required initial training and 4
  401  additional hours of training developed or approved by the
  402  department. The training must be completed within 9 months after
  403  beginning employment and satisfy the core training requirements
  404  of s. 429.52(3)(g).
  405         (c) An individual who is employed by a facility that
  406  provides special care for residents with Alzheimer’s disease or
  407  other related disorders, but who only has incidental contact
  408  with such residents, must be given, at a minimum, general
  409  information on interacting with individuals with Alzheimer’s
  410  disease or other related disorders, within 3 months after
  411  beginning employment.
  412         (3) In addition to the training required under subsection
  413  (2), a direct caregiver must participate in a minimum of 4
  414  contact hours of continuing education each calendar year. The
  415  continuing education must include one or more topics included in
  416  the dementia-specific training developed or approved by the
  417  department, in which the caregiver has not received previous
  418  training.
  419         (4) Upon completing any training listed in subsection (2),
  420  the employee or direct caregiver shall be issued a certificate
  421  that includes the name of the training provider, the topic
  422  covered, and the date and signature of the training provider.
  423  The certificate is evidence of completion of training in the
  424  identified topic, and the employee or direct caregiver is not
  425  required to repeat training in that topic if the employee or
  426  direct caregiver changes employment to a different facility. The
  427  employee or direct caregiver must comply with other applicable
  428  continuing education requirements.
  429         (5) The department, or its designee, shall approve the
  430  initial and continuing education courses and providers.
  431         (6) The department shall keep a current list of providers
  432  who are approved to provide initial and continuing education for
  433  staff of facilities that provide special care for persons with
  434  Alzheimer’s disease or other related disorders.
  435         (7) Any facility more than 90 percent of whose residents
  436  receive monthly optional supplementation payments is not
  437  required to pay for the training and education programs required
  438  under this section. A facility that has one or more such
  439  residents shall pay a reduced fee that is proportional to the
  440  percentage of such residents in the facility. A facility that
  441  does not have any residents who receive monthly optional
  442  supplementation payments must pay a reasonable fee, as
  443  established by the department, for such training and education
  444  programs.
  445         (8) The department shall adopt rules to establish standards
  446  for trainers and training and to implement this section.
  447         Section 6. Subsection (1) of section 429.52, Florida
  448  Statutes, is amended to read:
  449         429.52 Staff training and educational requirements.—
  450         (1)(a) Each new assisted living facility employee who has
  451  not previously completed core training must attend a preservice
  452  orientation provided by the facility before interacting with
  453  residents. The preservice orientation must be at least 2 hours
  454  in duration and cover topics that help the employee provide
  455  responsible care and respond to the needs of facility residents.
  456  Upon completion, the employee and the administrator of the
  457  facility must sign a statement that the employee completed the
  458  required preservice orientation. The facility must keep the
  459  signed statement in the employee’s personnel record.
  460         (b)Each employee of an assisted living facility must
  461  complete the training as required by the Florida Alzheimer’s
  462  Disease and Dementia Education and Training Act in s. 430.5025.
  463         (c)If completed before interacting with residents, the 1
  464  hour training required by s. 430.5025(4)(b) relating to
  465  information on Alzheimer’s disease and related forms of dementia
  466  may count toward the 2 hours of preservice orientation required
  467  under paragraph (a).
  468         Section 7. Section 429.83, Florida Statutes, is amended to
  469  read:
  470         429.83 Residents with Alzheimer’s disease or other related
  471  disorders; training; certain disclosures.—
  472         (1)The employees of an adult family-care home licensed
  473  under this part must complete the training as required by the
  474  Florida Alzheimer’s Disease and Dementia Education and Training
  475  Act in s. 430.5025.
  476         (2) An adult family-care home licensed under this part
  477  which claims that it provides special care for persons who have
  478  Alzheimer’s disease or other related disorders must Disclose in
  479  its advertisements or in a separate document those services that
  480  distinguish the care as being especially applicable to, or
  481  suitable for, such persons. The home must give a copy of all
  482  such advertisements or a copy of the document to each person who
  483  requests information about programs and services for persons
  484  with Alzheimer’s disease or other related disorders offered by
  485  the home and must maintain a copy of all such advertisements and
  486  documents in its records. The agency shall examine all such
  487  advertisements and documents in the home’s records as part of
  488  the license renewal procedure.
  489         Section 8. Subsection (1) of section 429.917, Florida
  490  Statutes, is amended to read:
  491         429.917 Patients with Alzheimer’s disease or other related
  492  disorders; staff training requirements; certain disclosures.—
  493         (1) The employees of an adult day care center licensed
  494  under this part must complete the provide the following staff
  495  training as required by the Florida Alzheimer’s Disease and
  496  Dementia Education and Training Act in s. 430.5025:
  497         (a) Upon beginning employment with the facility, each
  498  employee must receive basic written information about
  499  interacting with participants who have Alzheimer’s disease or
  500  dementia-related disorders.
  501         (b) In addition to the information provided under paragraph
  502  (a), newly hired adult day care center personnel who are
  503  expected to, or whose responsibilities require them to, have
  504  direct contact with participants who have Alzheimer’s disease or
  505  dementia-related disorders must complete initial training of at
  506  least 1 hour within the first 3 months after beginning
  507  employment. The training must include an overview of dementias
  508  and must provide instruction in basic skills for communicating
  509  with persons who have dementia.
  510         (c) In addition to the requirements of paragraphs (a) and
  511  (b), an employee who will be providing direct care to a
  512  participant who has Alzheimer’s disease or a dementia-related
  513  disorder must complete an additional 3 hours of training within
  514  9 months after beginning employment. This training must include,
  515  but is not limited to, the management of problem behaviors,
  516  information about promoting the participant’s independence in
  517  activities of daily living, and instruction in skills for
  518  working with families and caregivers.
  519         (d) For certified nursing assistants, the required 4 hours
  520  of training shall be part of the total hours of training
  521  required annually.
  522         (e) For a health care practitioner as defined in s.
  523  456.001, continuing education hours taken as required by that
  524  practitioner’s licensing board shall be counted toward the total
  525  of 4 hours.
  526         (f) For an employee who is a licensed health care
  527  practitioner as defined in s. 456.001, training that is
  528  sanctioned by that practitioner’s licensing board shall be
  529  considered to be approved by the Department of Elderly Affairs.
  530         (g) The Department of Elderly Affairs or its designee must
  531  approve the 1-hour and 3-hour training provided to employees and
  532  direct caregivers under this section. The department must
  533  consider for approval training offered in a variety of formats.
  534  The department shall keep a list of current providers who are
  535  approved to provide the 1-hour and 3-hour training. The
  536  department shall adopt rules to establish standards for the
  537  employees who are subject to this training, for the trainers,
  538  and for the training required in this section.
  539         (h) Upon completing any training described in this section,
  540  the employee or direct caregiver shall be issued a certificate
  541  that includes the name of the training provider, the topic
  542  covered, and the date and signature of the training provider.
  543  The certificate is evidence of completion of training in the
  544  identified topic, and the employee or direct caregiver is not
  545  required to repeat training in that topic if the employee or
  546  direct caregiver changes employment to a different adult day
  547  care center or to an assisted living facility, nursing home,
  548  home health agency, or hospice. The direct caregiver must comply
  549  with other applicable continuing education requirements.
  550         (i) An employee who is hired on or after July 1, 2004, must
  551  complete the training required by this section.
  552         Section 9. Subsection (6) of section 429.918, Florida
  553  Statutes, is amended to read:
  554         429.918 Licensure designation as a specialized Alzheimer’s
  555  services adult day care center.—
  556         (6)(a) An adult day care center having a license designated
  557  under this section must provide the following staff training and
  558  supervision:
  559         (a)1. A registered nurse or licensed practical nurse must
  560  be on site daily for at least 75 percent of the time that the
  561  center is open to ADRD participants. Each licensed practical
  562  nurse who works at the center must be supervised in accordance
  563  with chapter 464.
  564         2. Upon beginning employment with the center, each employee
  565  must receive and review basic written information about
  566  interacting with ADRD participants.
  567         3. In addition to the information provided in subparagraph
  568  2., every employee hired on or after July 1, 2012, who has
  569  direct contact with ADRD participants shall complete 4 hours of
  570  dementia-specific training within 3 months after employment.
  571         4. In addition to the requirements of subparagraphs 2. and
  572  3., each employee hired on or after July 1, 2012, who provides
  573  direct care to ADRD participants shall complete an additional 4
  574  hours of dementia-specific training within 6 months after
  575  employment.
  576         (b) Each employee must complete the training and continuing
  577  education as required by the Florida Alzheimer’s Disease and
  578  Dementia Education and Training Act in s. 430.5025 The
  579  Department of Elderly Affairs or its designee shall approve the
  580  training required under this section. The department shall adopt
  581  rules to establish standards for employees who are subject to
  582  this training, for trainers, and for the training required in
  583  this section.
  584         (c) Upon completing any training described in this section,
  585  the employee shall be issued a certificate that includes the
  586  name of the training provider, the topics covered, and the date
  587  and signature of the training provider. The certificate is
  588  evidence of completion of training in the identified topics, and
  589  the employee is not required to repeat training in those topics
  590  if the employee changes employment to a different adult day care
  591  center.
  592         (d) Each employee hired on or after July 1, 2012, who
  593  provides direct care to ADRD participants, must receive and
  594  review an orientation plan that includes, at a minimum:
  595         1. Procedures to locate an ADRD participant who has
  596  wandered from the center. These procedures must shall be
  597  reviewed regularly with all direct care staff.
  598         2. Information on the Silver Alert program in this state.
  599         3. Information regarding available products or programs
  600  used to identify ADRD participants or prevent them from
  601  wandering away from the center, their home, or other locations.
  602         Section 10. Each individual employed, contracted, or
  603  referred to provide services before July 1, 2022, must complete
  604  the training required by s. 430.5025, Florida Statutes, as
  605  created by this act, by July 1, 2025. Proof of completion of
  606  equivalent training received before July 1, 2022, shall
  607  substitute for the required training under s. 430.5025, Florida
  608  Statutes. Individuals employed, contracted, or referred to
  609  provide services on or after July 1, 2022, must complete the
  610  required training in the timeframes specified in s. 430.5025,
  611  Florida Statutes.
  612         Section 11. This act shall take effect July 1, 2022.