Florida Senate - 2019 COMMITTEE AMENDMENT
Bill No. SB 184
Senate . House
The Committee on Appropriations (Book) recommended the
1 Senate Amendment (with title amendment)
3 Between lines 768 and 769
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
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
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
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
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
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.
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