Bill Text: FL S1572 | 2022 | Regular Session | Comm Sub
Bill Title: Dementia-related Staff Training
Spectrum:
Status: (Failed) 2022-03-14 - Died in Appropriations Subcommittee on Health and Human Services [S1572 Detail]
Download: Florida-2022-S1572-Comm_Sub.html
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: 70 430.5025 Education 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. 430.5025provide to each of239their employees, upon beginning employment, basic written240information about interacting with persons with Alzheimer’s241disease or a related disorder. 242(2) All employees who are expected to, or whose243responsibilities require them to, have direct contact with244residents with Alzheimer’s disease or a related disorder must,245in addition to being provided the information required in246subsection (1), also have an initial training of at least 1 hour247completed in the first 3 months after beginning employment. This248training must include, but is not limited to, an overview of249dementias and must provide basic skills in communicating with250persons with dementia.251(3) An individual who provides direct care shall be252considered a direct caregiver and must complete the required253initial training and an additional 3 hours of training within 9254months after beginning employment. This training shall include,255but is not limited to, managing problem behaviors, promoting the256resident’s independence in activities of daily living, and257skills in working with families and caregivers.258(a) The required 4 hours of training for certified nursing259assistants are part of the total hours of training required260annually.261(b) For a health care practitioner as defined in s.262456.001, continuing education hours taken as required by that263practitioner’s licensing board shall be counted toward this264total of 4 hours.265(4) For an employee who is a licensed health care266practitioner as defined in s. 456.001, training that is267sanctioned by that practitioner’s licensing board shall be268considered to be approved by the Department of Elderly Affairs.269(5) The Department of Elderly Affairs or its designee must270approve the initial and continuing training provided in the271facilities. The department must approve training offered in a272variety of formats, including, but not limited to, Internet273based training, videos, teleconferencing, and classroom274instruction. The department shall keep a list of current275providers who are approved to provide initial and continuing276training. The department shall adopt rules to establish277standards for the trainers and the training required in this278section.279(6) Upon completing any training listed in this section,280the employee or direct caregiver shall be issued a certificate281that includes the name of the training provider, the topic282covered, and the date and signature of the training provider.283The certificate is evidence of completion of training in the284identified topic, and the employee or direct caregiver is not285required to repeat training in that topic if the employee or286direct caregiver changes employment to a different facility or287to an assisted living facility, home health agency, adult day288care center, or adult family-care home. The direct caregiver289must comply with other applicable continuing education290requirements.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 staff299training:300(a) Uponbeginning employment with the agency, each301employee must receive basic written information about302interacting with participants who have Alzheimer’s disease or303dementia-related disorders.304(b) In addition to the information provided under paragraph305(a), newly hired home health agency personnel who will be306providing direct care to patients must complete 2 hours of307training in Alzheimer’s disease and dementia-related disorders308within 9 months after beginning employment with the agency. This309training must include, but is not limited to, an overview of310dementia, a demonstration of basic skills in communicating with311persons who have dementia, the management of problem behaviors,312information about promoting the client’s independence in313activities of daily living, and instruction in skills for314working with families and caregivers.315(c) For certified nursing assistants, the required 2 hours316of training shall be part of the total hours of training317required annually.318(d) For a health care practitioner as defined in s.319456.001, continuing education hours taken as required by that320practitioner’s licensing board shall be counted toward the total321of 2 hours.322(e) For an employee who is a licensed health care323practitioner as defined in s. 456.001, training that is324sanctioned by that practitioner’s licensing board shall be325considered to be approved by the Department of Elderly Affairs.326(f) The Department of Elderly Affairs, or its designee,327must approve the required training. The department must consider328for approval training offered in a variety of formats. The329department shall keep a list of current providers who are330approved to provide the 2-hour training. The department shall331adopt rules to establish standards for the employees who are332subject to this training, for the trainers, and for the training333required in this section.334(g) Upon completing the training listed in this section,335the employee shall be issued a certificate that states that the336training mandated under this section has been received. The337certificate shall be dated and signed by the training provider.338The certificate is evidence of completion of this training, and339the employee is not required to repeat this training if the340employee 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 composedcomprisedof 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: 360 400.51 Patients 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 thatwhichadvertises 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 completeEmploy staff who386have completedthe training and continuing education as required 387 by the Florida Alzheimer’s Disease and Dementia Education and 388 Training Act in s. 430.5025subsection (2). 389(2)(a) An individual who is employed by a facility that390provides special care for residents who have Alzheimer’s disease391or other related disorders, and who has regular contact with392such residents, must complete up to 4 hours of initial dementia393specific training developed or approved by the department. The394training must be completed within 3 months after beginning395employment and satisfy the core training requirements of s.396429.52(3)(g).397(b) A direct caregiver who is employed by a facility that398provides special care for residents who have Alzheimer’s disease399or other related disorders and provides direct care to such400residents must complete the required initial training and 4401additional hours of training developed or approved by the402department. The training must be completed within 9 months after403beginning employment and satisfy the core training requirements404of s. 429.52(3)(g).405(c) An individual who is employed by a facility that406provides special care for residents with Alzheimer’s disease or407other related disorders, but who only has incidental contact408with such residents, must be given, at a minimum, general409information on interacting with individuals with Alzheimer’s410disease or other related disorders, within 3 months after411beginning employment.412(3)In addition to the training required under subsection413(2), a direct caregiver must participate in a minimum of 4414contact hours of continuing education each calendar year. The415continuing education must include one or more topics included in416the dementia-specific training developed or approved by the417department, in which the caregiver has not received previous418training.419(4) Upon completing any training listed in subsection (2),420the employee or direct caregiver shall be issued a certificate421that includes the name of the training provider, the topic422covered, and the date and signature of the training provider.423The certificate is evidence of completion of training in the424identified topic, and the employee or direct caregiver is not425required to repeat training in that topic if the employee or426direct caregiver changes employment to a different facility. The427employee or direct caregiver must comply with other applicable428continuing education requirements.429(5) The department, or its designee, shall approve the430initial and continuing education courses and providers.431(6) The department shall keep a current list of providers432who are approved to provide initial and continuing education for433staff of facilities that provide special care for persons with434Alzheimer’s disease or other related disorders.435(7) Any facility more than 90 percent of whose residents436receive monthly optional supplementation payments is not437required to pay for the training and education programs required438under this section. A facility that has one or more such439residents shall pay a reduced fee that is proportional to the440percentage of such residents in the facility. A facility that441does not have any residents who receive monthly optional442supplementation payments must pay a reasonable fee, as443established by the department, for such training and education444programs.445(8) The department shall adopt rules to establish standards446for 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 theprovidethe followingstaff495 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, each498employee must receive basic written information about499interacting with participants who have Alzheimer’s disease or500dementia-related disorders.501(b) In addition to the information provided under paragraph502(a), newly hired adult day care center personnel who are503expected to, or whose responsibilities require them to, have504direct contact with participants who have Alzheimer’s disease or505dementia-related disorders must complete initial training of at506least 1 hour within the first 3 months after beginning507employment. The training must include an overview of dementias508and must provide instruction in basic skills for communicating509with persons who have dementia.510(c) In addition to the requirements of paragraphs (a) and511(b), an employee who will be providing direct care to a512participant who has Alzheimer’s disease or a dementia-related513disorder must complete an additional 3 hours of training within5149 months after beginning employment. This training must include,515but is not limited to, the management of problem behaviors,516information about promoting the participant’s independence in517activities of daily living, and instruction in skills for518working with families and caregivers.519(d) For certified nursing assistants, the required 4 hours520of training shall be part of the total hours of training521required annually.522(e) For a health care practitioner as defined in s.523456.001, continuing education hours taken as required by that524practitioner’s licensing board shall be counted toward the total525of 4 hours.526(f) For an employee who is a licensed health care527practitioner as defined in s. 456.001, training that is528sanctioned by that practitioner’s licensing board shall be529considered to be approved by the Department of Elderly Affairs.530(g) The Department of Elderly Affairs or its designee must531approve the 1-hour and 3-hour training provided to employees and532direct caregivers under this section. The department must533consider for approval training offered in a variety of formats.534The department shall keep a list of current providers who are535approved to provide the 1-hour and 3-hour training. The536department shall adopt rules to establish standards for the537employees who are subject to this training, for the trainers,538and for the training required in this section.539(h) Upon completing any training described in this section,540the employee or direct caregiver shall be issued a certificate541that includes the name of the training provider, the topic542covered, and the date and signature of the training provider.543The certificate is evidence of completion of training in the544identified topic, and the employee or direct caregiver is not545required to repeat training in that topic if the employee or546direct caregiver changes employment to a different adult day547care center or to an assisted living facility, nursing home,548home health agency, or hospice. The direct caregiver must comply549with other applicable continuing education requirements.550(i) An employee who is hired on or after July 1, 2004, must551complete 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. 5642.Upon beginning employment with the center, each employee565must receive and review basic written information about566interacting with ADRD participants.5673. In addition to the information provided in subparagraph5682., every employee hired on or after July 1, 2012, who has569direct contact with ADRD participants shall complete 4 hours of570dementia-specific training within 3 months after employment.5714. In addition to the requirements of subparagraphs 2. and5723., each employee hired on or after July 1, 2012, who provides573direct care to ADRD participants shall complete an additional 4574hours of dementia-specific training within 6 months after575employment.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. 430.5025The579Department of Elderly Affairs or its designee shall approve the580training required under this section. The department shall adopt581rules to establish standards for employees who are subject to582this training, for trainers, and for the training required in583this section. 584 (c)Upon completing any training described in this section,585the employee shall be issued a certificate that includes the586name of the training provider, the topics covered, and the date587and signature of the training provider. The certificate is588evidence of completion of training in the identified topics, and589the employee is not required to repeat training in those topics590if the employee changes employment to a different adult day care591center.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 mustshallbe 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.