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).
  • Only one CE Application will be accepted at a time (additional CE forms will be returned).

Applying for the FIRST Time to Train Staff

Applying for the first time to offer training? Review all the following steps. Click on each link for instructions.

Step 1: Understand training requirements

Review:

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.

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.

Population Specific Training PB Form  
Continuing Education CE Approval 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.
TPA Update Form Use to make changes once your Training Program is approved.
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.  
PB Form Use to get population specific training approved
CE Approval Form  Use to get CEs approved that you developed of if you want to add certain DSHS training as CE.

Update Your Approved Training Program

Already approved to offer classes but need to make changes? Review all the following steps to UPDATE your training program. Click on each link for instructions.

Additional Information for AFHs

AFH Administrator Training - All applicants for an AFH license must successfully complete AFH Administrator Training. This includes an applicant applying for an initial license or opening additional AFHs. Learn more about this training or find an AFH Administrator Training class.

AFHs food safety CE requirements - All AFHs must have long term care workers complete 30 minutes of CE on safe food handling each year in lieu of getting a food worker card. Learn more about required Food Safety as CE.

Step 1: Notify DSHS of Changes
How this is done Form Needed Helpful Information
Fill out and send in a Training Program Application Update form. This form tells DSHS what courses, instructors, and curriculum you want to add or remove. TPA UPDATE Form   Only list changes and updates.
Step 2: Add or remove Instructors
How this is done Form Needed
To add new instructors, review the DSHS minimum instructor qualifications. Attest that new instructors meet these qualifications and list them in your TPA UPDATE Form.  List any instructors you want to remove in the TPA UPDATE Form. TPA UPDATE Form
Step 3: Get Any new 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 Update 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.

Population Specific Training PB Form  
Continuing Education CE Approval Form Use this form to get CE YOU developed approved or approval to use DSHS developed CE. Before filling out the CE approval form, learn more about:

Other important CE information