Adult Family Homes/Assisted Living Facilities

The following information is designed to help adult family homes and assisted living facilities get approved to offer long term care worker training to their staff.

Home and Community Based Services (HCBS) and New Federal Rules slideshow for providers.

LTC Worker Training Options

It is your responsibility to make sure your LTC workers get all training in the required timelines. Here are your options.

  • Option 1: Teach your own staff with your own instructors.
  • Option 2: Send your staff to outside DSHS approved community instructors. Find a Community Instructor.
  • Option 3: A combination of options 1 and 2.
    If you use community instructors to teach ALL required LTC worker courses, there are no forms you have to submit to DSHS. If you want to provide ANY LTC worker course, you must follow the instructions below to train your own staff.

Important Announcement: Continuing Education Curriculum You Developed

  • No more than 24 class hours may be submitted per CE approval form (forms with more than 24 class hours will be returned).

Applying for the First Time to Train Your Staff or Updating Information Use Same TPA Form

Review all the following steps. Click on each link for instructions.

Step 1: Understand training requirements


Step 2: Apply to DSHS to offer training
How this is done Form Needed Helpful Information
Fill out and submit a Training Program Application (TPA) form.  This form tells DSHS what courses, instructors, and curriculum you want to use TPA form Send in a separate TPA form for each different licensed home/facility if you have more than one.
Step 3: Get instructors approved.

Identify and get approved instructors who meet the DSHS required qualifications for each course.

How this is done Form Needed

Review the DSHS minimum instructor qualifications.

Attest that your instructors meet these qualifications and list each instructor in your TPA form.

Instructors applying to teach Dementia and/or Mental Health Specialty are required to submit a Facility Instructor Form.

TPA form
Step 4. Get curriculum (training materials) approved

Identify or develop curriculum (training materials) to use.

How this is done

Choose curriculum (training materials) options. Curriculum:

Make sure to list the curriculum name in your TPA form.

Curriculum Form Helpful Information
Orientation and Safety (ORSA) No form needed ORSA Instruction Sheet
Review to learn how to get YOUR own training materials approved if you won't be using the DSHS materials.

DSHS has curriculum for these courses. See or download the DSHS training materials.  Now available in Chinese, Korean, Russian, Spanish, and Vietnamese

Core basic training 
Revised Fundamentals of Caregiving (RFOC) with enhancements
CB-RFOC Form RFOC can be used as the foundation for core basic training but it must be enhanced.  These enhancements must be approved and sent in with the CBRFOC 

CBRFOC Instruction Sheet
More detailed information on what is and is not considered RFOC enhancements and some tips on how to develop these enhancements. highly encouraged!

DSHS has a 3 hour curriculum on challenging behaviors that can be used in core basic training, population specific training, or CE.  List it in your application where you want to use it. Download the Navigating Through Challenging Behaviors curriculum (PDF). Now available in Chinese, Korean, Russian, Spanish, and Vietnamese.

Continuing Education,

Population Specific and

Orientation and Safety (ORSA)

New Curriculum Form

Use this form to get CE curriculum you developed approved or approval to use DSHS developed CE.

Other important CE information:

List of Forms
Form Description
TPA Form Use to apply to become a DSHS approved Training Program the first time.
Instructor Application for Facilities Form Submit this form to offer long term care (LTC) worker training course(s) to your staff in Dementia and/or Mental Health specialty training
Instructor Requirements - Facility Instructor  
ORSA Instruction Sheet Use to get more detailed instructions if you want to submit your own orientation and safety training for approval.
CBRFOC Form Use if you are sending in enhancements to RFOC to use as core basic training.
CBRFOC Instruction Sheet Use to learn what is and is not considered RFOC enhancements and get tips on how to develop enhancements.  
New Curriculum Form Use to get CE, Population Specific or ORSA that you developed approved as long term care worker training.