6202.1 Except as otherwise provided in this chapter, an applicant shall furnish proof satisfactory to the Board, in accordance with § 504(f) of the District of Columbia Health Occupations Revision Act of 1985 (“Act”), effective March 25 1986 (D.C. Law 6-99; D.C. Official Code § 3-1205.04(f)) (2001), of the following:

1. (a) That the applicant has earned a baccalaureate degree from a four (4) year institution of higher education which was accredited, at the time the degree was conferred, by an accrediting body recognized by the Secretary of the United States Department of Education or the Council on Postsecondary Accreditation;
2. (b) That an applicant has completed the following courses:
3. (1) Accounting, three (3) credit hours;
4. (2) Human resources or personnel management, three (3) credit hours;
5. (3) Management, three (3) credit hours;
6. (4) Gerontology, three (3) credit hours;
7. (5) Health care law or health care ethics, three (3) credit hours; and
8. (6) Management of long term care institutions, three (3) credit hours; and
9. (c) That the applicant meets one of the following requirements:
10. (1) Has successfully completed an Administrator In Training (A.I.T.) program;
11. (2) Has worked for at least one (1) year during or after completion of the baccalaureate program in a nursing home licensed in the District under the general or immediate supervision of a nursing home administrator which work meets the requirements listed in § 6202.4, by submitting with the application a signed statement from each supervisor and preceptor, as required in § 6202.5; or
12. (3) Has earned a master's degree in a program accredited by the Accrediting Commission on Education for Health Services Administration (ACEHSA) which meets one of the following requirements:
    1. (A) The program included an experiential component for a period of not less than six (6) months in a licensed nursing home; or
    2. (B) The program was supplemented by employment in a licensed nursing home for six (6) months during or after completion of the master's program, which employment was under the general or immediate supervision of a nursing home administrator, and which meets the requirements listed in § 6202.4(c), by submitting with the application a signed statement from each supervisor, as required in § 6202.5.
13. (d) That the applicant meets one of the following requirements:

(1) That the applicant has worked for at least one (1) year during or after completion of the baccalaureate program in a nursing home licensed in the District under the general or immediate supervision of a nursing home administrator, which work meets the requirements listed in § 6202.4, by submitting with the application a signed statement from each supervisor, as required in § 6202.5; or

(2) That the applicant has earned a master's degree in a program accredited by the Accrediting Commission on Education for Health Services Administration (ACEHSA) which meets one of the following requirements:

(A) The program included an experiential component in a licensed nursing home; or

(B) The program was supplemented by employment in a licensed nursing home for six (6) month during or after completion of the master's program, which employment was under the general or immediate supervision of a nursing home administrator, and which meets the requirements listed in § 6202.4, by submitting with the application a signed statement from each supervisor, as required in § 6202.5.

6202.2 An applicant shall submit to the Board with the completed application a certified transcript of the applicant's educational record(s), and when required by the Board, official course descriptions.

6202.3 Required courses shall be taken at an educational institution accredited by an accrediting body recognized by the Secretary of the United States Department of Education or the Council on Postsecondary Accreditation.

6202.4 The practical experience required by §§ 6202.1(c)(1) and 6202.1(c)(2) shall be as follows:

(a) Be rated as at least satisfactory by each supervisor and the preceptor;

(b) Include practice under general supervision averaging at least thirty-five (35) hours per week, two (2) hours per week of which shall be under immediate supervision; and

(c) Encompass all aspects of the practice of nursing home administration, including the following:

(1) Preparing and reviewing a budget encompassing all operations and contracting by the nursing home;

(2) Preparing a cost analysis of specific operational categories within the nursing home;

(3) Developing or reviewing Medicare and Medicaid cost reports;

(4) Reviewing all federal and District of Columbia laws relating to nursing homes, including reporting and filing requirements, residents' care, residents' rights, and pharmacy services;

(5) Participating in the daily operations of each operational unit within the nursing home, including the making of administrative rounds;

(6) Reviewing procedures for handling medical emergencies and

emergencies involving fires and cut-offs of water, gas, and electricity;

(7) Bookkeeping and financial management;

(8) Procurement, including purchasing and contracting procedures and decisions;

(9) Personnel management, including the recruitment of employees and volunteers, review and revision of position descriptions, and development and application of performance standards;

(10) Public relations;

(11) Employees and volunteer training programs;

(12) Residents' care, including participation in the care of residents involved in daily activities;

(13) Therapeutic services, including physical, occupational, and speech therapy;

(14) Out-patient services available in the community;

(15) Reviewing transfer agreements;

(16) Generating and maintaining medical records;

(17) Engineering and maintenance functions;

(18) Housekeeping, including cleaning schedules, trash removal arrangements, and laundering;

(19) Nursing, medical, dental, podiatric, pharmacy, and laboratory services procedures;

(20) Food and nutrition services;

(21) Counseling and social work services;

(22) Recreation programs;

(23) Interaction with residents' council;

(24) Safety and accident prevention procedures and devices;

(25) Participation in the admission, transfer, and discharge of residents;

(26) The role and functions of the governing body;

(27) Evaluating the quality of resident care services;

(28) Reviewing the quality of resident care services; and

(29) Acquiring a knowledge of the residents' rights program.

(d) If the applicant demonstrates by education or professional experience that any portion

or all of the practice experience required under § 6202.1(c) has been met, the Board, in its discretion, may approve up to 1000 hours of practical credits toward the Administrator In Training Program (A.I.T.).

6202.5 An applicant under § 6202.1(c)(1) or § 6202.1(c)(2) shall demonstrate the required experience by submitting with the application a signed statement from each supervisor and preceptor during the required period of experience, on a form approved by the Board, which sets forth the following:

1. (a) The location at which and period of time during which the supervision took place;
2. (b) The hours of general supervision of the applicant;
3. (c) The hours of immediate supervision of the applicant;
4. (d) The specific nature of and responsibilities included in the applicant's practice;
5. (e) A rating of the applicant's performance; and
6. (f) The preceptor's license number in the District of Columbia or other jurisdiction in which the supervision took place.
7. (g) Proof satisfactory to the Board that the applicant has received the required degree from a foreign institution that was accredited, at the time the degree was conferred, by an accrediting body recognized by the national government of the country in which the institution is located; or
8. (h) A certification from a private education evaluation service approved by the Board that the applicant's foreign education is substantially equivalent to the education required by this chapter.

6202.6 Supervised practice which violates the Act or this chapter shall not be acceptable experience.

SOURCE: Final Rulemaking published at 35 DCR 3774 (May 20, 1988); as amended by Final Rulemaking published at 37 DCR 2747, 2752 (May 4, 1990); as amended by Final Rulemaking published at 51 DCR 10622 (November 19, 2004).