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First, let’s note what the requirements are.  These have some variances depending upon the type of licensed home that employs you, however, all homes must have equipped staff:

General Rule from Large Group
Home Rule Manual:

R 400.15204 Direct care staff; qualifications and training.

Rule 204. (1) Direct care staff shall not be less than 18 years of age and shall be able to complete required reports

and follow written and oral instructions that are related to the care and supervision of residents.

(2) Direct care staff shall possess all the following qualifications:

(a) Be suitable to meet the physical, emotional, intellectual, and social needs of each resident.

(b) Be capable of appropriately handling emergency situations.

(3) A licensee or administrator shall provide in-service training or make training available through other sourcesto direct care staff. Direct care staff shall be competent before performing assigned tasks, which shall include beingcompetent in all the following areas:

(a) Reporting requirements.

(b) First aid.

(c) Cardiopulmonary resuscitation.

(d) Personal care, supervision, and protection.

(e) Resident rights.

(f) Safety and ®re prevention.

(g) Prevention and containment of communicable diseases

History: 1994 MR 3, Eff. May 24, 1994

Rule applicable for specialized settings:

R 330.1806Staffing levels and qualifications. Rule 1806. (1) Staffing levels shall be sufficient to implement the individual plans of service and plans of service shall be implemented for individuals residing in the facility. (2) All staff who work independently and staff who function as lead workers with clients shall have successfully completed a course of training which imparts basic concepts required in providing specialized dependent care and which measures staff comprehension and competencies to deliver each client’s individual plan of service as written.

Basic training shall address all the following areas:

(a) An introduction to community residential services and the role of direct care staff.

(b) An introduction to the special needs of clients who have developmental disabilities or have been diagnosed as having a mental illness. Training shall be specific to the needs of clients to be served by the home.

(c) Basic interventions for maintaining and caring for a client’s health, for example, personal hygiene, infection control, food preparation, nutrition, and special diets, and recognizing signs of illness.

(d) Basic first aid and cardiopulmonary resuscitation.

(e) Proper precautions and procedures for administering prescriptive and nonprescriptive medications. (f) Preventing, preparing for, and responding to, environmental emergencies, for example, power failures, fires, and tornados.

(g) Protecting and respecting the rights of clients, including providing client orientation with respect to the written policies and procedures of the licensed facility.

(h) Non-aversive techniques for the prevention and treatment of challenging behavior of clients.

Our training covers all requirements and more and is available by annual subscription.  This means an employer pays an annual licensing fee, also called a subscription, and can train up to 20 people.  More license slots are available with special subscriptions.

Questions??  Please email us:


Note:  If you are an organization that oversees care in licensed homes, i.e. community mental health, county managed mental health authority or Medicaid waiver agent and would like to discuss a system wide subscription arrangement or a private label arrangements wherein we would assist in developing your own internal training mechanism, please request a chat via email to:

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