1. (a) The licensee shall ensure that each direct care staff person completes a minimum of 32 hours of on-site orientation within the first 40 hours of employment. The on-site orientation must include the following:

   1. (1) Training required pursuant to Title 22, California Code of Regulations, Section 85365(h);

   2. (2) Overview of the following concepts, including, but not limited to:

      1. (A) Trauma-informed care;
      2. (B) Person-centered practices;
      3. (C) Positive behavioral supports; and
      4. (D) Cultural competency.
2. (b) In addition to staff receiving the on-site orientation described in Subsection (a), within the first 80 hours of employment, the licensee shall ensure that direct care staff receive a minimum of 16 hours of emergency intervention training annually by a qualified instructor, pursuant to Title 22, California Code of Regulations, Section 85165(c), including, for group home staff, training on the emergency intervention requirements of Sections 59010.1-59010.5. The training must include the techniques the licensee will use to prevent serious injury and maintain safety regarding consumers who are a danger to self or others and must emphasize positive behavioral supports and techniques that are alternatives to physical restraints, pursuant to Title 22, California Code of Regulations, Section 84365 for a Community Crisis Home licensed as a group home and Section 85165 for a Community Crisis Home licensed as an adult residential facility.
3. (c) A direct care staff person may not implement emergency interventions prior to successfully completing the training required in Subsection (b).

4. (d) In addition to the training required by Subsections (a) and (b), the licensee shall ensure that, prior to providing direct consumer care, direct care staff receive hands-on training in first aid and cardiopulmonary resuscitation by a certified instructor.

   1. (1) Direct care staff shall maintain current certifications in first aid and cardiopulmonary resuscitation. The licensee shall maintain the certifications in facility personnel records.
   2. (2) Cardiopulmonary resuscitation certification must be renewed annually.
5. (e) The licensee shall ensure that direct care staff complete the competency-based training required by Sections 4695.2(a) and (d) of the Welfare and Institutions Code and pursuant to Section 56033(b)-(g), and (i). Direct care staff shall successfully complete both segments of the competency-based training and passage of the competency test, or pass the challenge test, prior to or within one (1) year of employment at the Community Crisis Home.
6. (f) The licensee shall ensure direct care staff who use, participate in, approve, or provide visual checks of physical restraint only use techniques specified in the Emergency Intervention Plan and which are not prohibited in Section 59010.1.

7. (g) Direct care staff who use, participate in, approve, or provide visual checks of physical restraint shall comply with Title 22, California Code of Regulations, Section 85365(i) and (j), and also receive training on the emergency intervention requirements specified in Sections 59010.1-59010.5. The training shall be completed on an annual basis. The training shall be provided by an instructor who meets the requirements specified in Title 22, California Code of Regulations, Section 84365(c).

   1. (1) Direct care staff who use, participate in, approve, or provide visual checks of physical restraints shall be trained in the physical restraint technique utilized.
   2. (2) Direct care staff shall maintain written certification of completion of the training requirements specified in Subsection (g) issued by the emergency intervention program and specified in the emergency intervention plan.

Note: Authority cited: Section 4698.1, Welfare and Institutions Code. Reference: Sections 4695.2 and 4698.1, Welfare and Institutions Code.

History

1. New section filed 3-20-2017 as an emergency; operative 3-20-2017 (Register 2017, No. 12). Pursuant to Welfare and Institutions Code section 4698.1(b), a Certificate of Compliance must be transmitted to OAL by 3-19-2019 or emergency language will be repealed by operation of law on the following day.

2. Certificate of Compliance as to 3-20-2017 order, including amendment of section and Note, transmitted to OAL 2-8-2019 and filed 3-25-2019; amendments operative 3-25-2019 pursuant to Government Code section 11343.4(b)(3) (Register 2019, No. 13).

3. Amendment filed 6-25-2021 as a deemed emergency; operative 6-25-2021 (Register 2021, No. 26). Pursuant to Welfare and Institutions Code section 4698.1(b), a Certificate of Compliance must be transmitted to OAL by 6-25-2023 or emergency language will be repealed by operation of law on the following day.

4. Amendment refiled 4-25-2022 as a deemed emergency; operative 4-25-2022 (Register 2022, No. 17). Pursuant to Welfare and Institutions Code section 4698.1(b), a Certificate of Compliance must be transmitted to OAL by 6-25-2023 or emergency language will be repealed by operation of law on the following day.

5. Amendment refiled 7-25-2022 as a deemed emergency; operative 7-25-2022 (Register 2022, No. 30). Pursuant to Welfare and Institutions Code section 4698.1(b), a Certificate of Compliance must be transmitted to OAL by 6-25-2023 or emergency language will be repealed by operation of law on the following day.

6. Updating certificate of compliance information in History 3, 4 and 5.

7. Certificate of Compliance as to 7-25-2022 order, including amendment of section, transmitted to OAL 5-30-2023 and filed 7-12-2023; amendments effective 7-12-2023 pursuant to Government Code section 11343.4(b)(3) (Register 2023, No. 28).