1. (1) The licensee shall ensure that qualified direct-care personnel are on-site 24 hours a day to meet each resident's needs as determined by the resident's assessment and service plans.

2. (2) The licensee shall hire and keep additional staff as necessary to perform:

   1. (a) cooking;
   2. (b) general maintenance;
   3. (c) housekeeping;
   4. (d) laundering; and
   5. (e) office work.
3. (3) The licensee shall ensure qualified staff perform services in accordance with the resident's written service plan.

4. (4) The licensee shall ensure that any personnel who provide personal care to any resident in a type I and type II assisted living facility:

   1. (a) are at least 18 years of age; or
   2. (b) is a certified nurse aide in accordance with Section 58-31b-3, with related experience or on-the-job training for the job assigned;
5. (5) The licensee shall ensure that personnel are licensed, certified, or registered in accordance with applicable laws governing their professional licensure in Utah.

6. (6) The administrator shall maintain written job descriptions for each position, including each position's:

   1. (a) qualifications;
   2. (b) required skills;
   3. (c) responsibilities; and
   4. (d) title.
7. (7) The licensee shall make facility policies and procedures available to personnel.

8. (8)(a) The licensee shall provide and document each employee's orientation to the facility for their hired position.

   1. (b) The licensee shall provide orientation to each employee within 30 days of hire that includes:

      1. (i) an explanation of ethics, confidentiality, and resident rights;
      2. (ii) an OL-approved core competency training;
      3. (iii) each relevant job description;
      4. (iv) employee responsibility for reporting abuse, neglect, and exploitation;
      5. (v) the facility fire and disaster plan; and
      6. (vi) the facility policy and procedures.

9. (9)(a) The licensee shall provide each direct-care employee with:

   1. (i) a demonstration of core competency skills;

      1. (ii) a facility orientation;
      2. (iii) 16 hours of one-on-one training with a direct-care employee who has at least three months experience and has completed the facility orientation.

   2. (b) The licensee shall ensure training is not transferred to another facility, and includes:

      1. (i) ADLs; and
      2. (ii) transfer assistance and safety.

   3. (c) The licensee shall ensure:

      1. (i) a direct-care employee hired from a staffing agency is a certified nurse aide; and
      2. (ii) each certified nurse aide is exempt from the 16 hours of one-on-one job training.

10. (10)(a) The licensee shall ensure each employee receives documented in-service training.

    1. (b) The licensee shall ensure the in-service and annual trainings include the following subjects relevant to the employee's job responsibilities:

       1. (i) abuse and neglect reporting requirements;
       2. (ii) accident prevention, including safe bath and shower temperatures;
       3. (iii) communication skills that enhance resident dignity;
       4. (iv) dementia and Alzheimer's-specific training;
       5. (v) first aid;
       6. (vi) principles of good housekeeping;
       7. (vii) principles of good nutrition, menu planning, food preparation and food storage;
       8. (viii) principles of providing personal and social care;
       9. (ix) proper procedures in assisting a resident with medication;
       10. (x) recognizing early signs of illness and determining when there is a need for professional assistance;
       11. (xi) resident rights; and
       12. (xii) review of core competency training.
11. (11) The administrator shall annually complete a minimum of four hours of core competency training that includes dementia and Alzheimer's-specific training.

12. (12) In addition to core competency training, the administrator shall:

    1. (a) complete a minimum of six hours of approved continuing professional education (CPE) annually that include a minimum of:

       1. (i) five hours in-person;
       2. (ii) one additional hour either in-person or online; and
       3. (iii) calculate 50 minutes of CPE as one hour;

    2. (b) ensure CPE courses under this subsection are approved by:

       1. (i) Utah Assisted Living Association;
       2. (ii) Utah Health Care Association;
       3. (iii) Beehive Homes; or
    3. (c) an entity listed in this subsection if the course is offered by another entity or organization.
13. (13) The licensee shall ensure employees who report suspected abuse, neglect, or exploitation are not subject to retaliation, disciplinary action, or termination by the licensee for that reason alone.
14. (14) The licensee shall ensure a personnel health program is established through written personnel health policies and procedures that protect the health and safety of personnel, residents, and the public.

15. (15) The licensee shall:

    1. (a) ensure an employee health inventory is completed when an employee is hired;

    2. (b) use an OL-approved form for the health inventory evaluation or their own form if it includes at least the employee's history of:

       1. (i) conditions that may predispose the employee to acquiring or transmitting infectious diseases; and
       2. (ii) conditions that may prevent the employee from performing certain assigned duties satisfactorily;
    3. (c) develop an employee health screening and immunization components of for its personnel health program;

    4. (d) ensure employee skin testing:

       1. (i) uses the Mantoux Method or other Food and Drug Administration, (FDA) approved in vitro serologic test; and
       2. (ii) perform follow-up procedures for tuberculosis in accordance with Rule R388-804, Special Measures for the Control of Tuberculosis;

    5. (e) ensure employees are skin-tested for tuberculosis within two weeks of:

       1. (i) initial hiring;
       2. (ii) suspected exposure to a person with active tuberculosis; and
       3. (iii) development of symptoms of tuberculosis;
    6. (f) report any infections and communicable diseases reportable by law to the local health department in accordance with Section R386-702-3; and
    7. (g) allow employees with known positive reactions to skin tests to be exempt from skin testing.
16. (16) The licensee shall develop and implement policies and procedures governing an infection control program that include task-related employee infection control procedures and practices that protect residents, family members, and personnel from infection.
17. (17) The licensee shall ensure compliance with 29 CFR 1910.1030 (2001), the Occupational Safety and Health Administration's Bloodborne Pathogen Standard.

KEY: health care facilities

Date of Last Change: November 13, 2025

Notice of Continuation: February 7, 2024

Authorizing, and Implemented or Interpreted Law: 26B-2-202