A provider must complete the Department's
Basic Training Course that includes but is not limited to taking and passing an
examination on course work and necessary skills. Failure to obtain a passing
score on the Basic Training Examination may result in the denial or non-renewal
of a license pursuant to OAR 411-360-0270
. If an applicant fails the first
Examination, a second Examination may be taken. If the applicant fails the
second Examination, the application may be denied.
(2) All resident manager applicants must
complete the Department's Basic Training Course and pass the Basic Training
Examination prior to becoming a resident manager. If the applicant fails the
first Examination, a second Examination may be taken. If the applicant fails
the second Examination, the application may be denied.
(3) All substitute caregivers must complete
the Department's Basic Training Course and pass the Basic Training Examination
prior to providing care and services. If a substitute caregiver fails the first
Examination, a second Examination may be taken. If the substitute caregiver
fails the second Examination, the substitute caregiver must wait 14 days to
retake the Examination. Each subsequent test failure requires a 14-day waiting
period until the substitute caregiver passes the Examination.
(4) The provider or resident manager must
keep documentation of the completion of the Department's Basic Training Course
and annual training of substitute caregivers including the date of the
training, subject content, name of the agency or organization providing the
training, and the number of training hours.
(5) Prior to placement of individuals in an
AFH-DD, the provider must complete an AFH-DD orientation provided by the local
CDDP that at a minimum covers the requirements of the rules governing AFH-DD
Prior to providing
care and services to any individual, a resident manager and substitute
caregiver must be oriented to the AFH-DD and to the individuals by the
provider. Orientation must be clearly documented in the AFH-DD records.
Orientation includes but is not limited to:
(a) The location of the fire extinguishers;
(b) Demonstration of evacuation
(c) Instruction on the
emergency preparedness plan;
Location of the individuals' records;
(e) Location of telephone numbers for the
individuals' physicians, the provider, and other emergency contacts;
(f) Location of medication and key for
Introduction to individuals;
Instructions for caring for each individual;
(i) Delegation by a registered nurse for
nursing tasks if applicable; and
(j) Instructions related to any Advance
provider and resident manager applicants must have current certification in
first aid and CPR by a training agency approved by the Department.
(a) Accepted CPR and First Aid courses must
be provided or endorsed by the American Heart Association, the American Red
Cross, the American Safety and Health Institute, or MEDIC First Aid.
(b) CPR or First Aid courses conducted online
are only accepted by the Department when an in-person skills competency check
is conducted by a qualified instructor endorsed by the American Heart
Association, the American Red Cross, the American Safety and Health Institute,
or MEDIC First Aid.
The Department requires at least 12 hours of Department-approved training
annually for the provider, resident manager, and substitute caregivers.
Training must be documented in the records of the AFH-DD.
(9) If a provider, resident manager, or
substitute caregiver is not in compliance with these rules, the Department may
require additional training in the deficient area, whether or not the 12-hour
approved annual training requirement has already been met.
(10) Providers, resident managers, or
substitute caregivers who perform tasks of care that are delegated by a
registered nurse or taught by a physician must receive appropriate training and
monitoring from a registered nurse or physician on performance and
implementation of the task of care. The delegated tasks of care must be
addressed as part of an individual's ISP.