6.1 In order to ensure that the administrator is of good, moral and responsible character, the assisted
living residence shall request a fingerprint-based criminal history record check with notification of
future arrests for each prospective administrator prior to hire.
(A) If an administrator applicant has lived in Colorado for more than three years at the time of
application, the assisted living residence shall request the criminal history record check
from the Colorado Bureau of Investigation (CBI).
(B) If an administrator applicant has lived in Colorado for less than three years at the time of
application, the assisted living residence shall request the criminal history record check
from the Federal Bureau of Investigation through the CBI.
(C) The cost of obtaining such information shall be borne by the individual who is the subject
of such check. The information shall be forwarded by the CBI directly to the Department.
Qualifications
6.2 An administrator who is recognized by the Department as having been an assisted living
residence administrator of record prior to July 1, 2019, shall not be required to meet the criteria in
section 6.3.
6.3 Effective July 1, 2019, each newly hired administrator who does not qualify under section 6.2,
shall be at least 21 years of age, possess a high school diploma or equivalent and at least one
year of experience supervising the delivery of personal care services that include activities of
daily living Training
6.4 Each administrator shall have completed an administrator training program before assuming an
administrator position. Written proof regarding the successful completion of such training program
shall be maintained in the administrator’s personnel file.
6.5 Effective January 1, 2019, an administrator training program shall meet all of the following
requirements:
(A) The program or program components are conducted by an accredited college, university,
or vocational school; or an organization, association, corporation, group or agency with
specific expertise in the provision of residential care and services, and
(B) The curriculum includes at least 40 actual hours, 20 of which shall focus on applicable
state regulations. The remaining 20 hours shall provide an overview of the following
topics:
(1) Business operations including, but not limited to,
(a) Budgeting,
(b) Business plan/service model,
(c) Insurance,
(d) Labor laws,
(e) Marketing, messaging and liability consequences, and
(f) Resident agreement.
(2) Daily business management including, but not limited to,
(a) Coordination with external service providers (i.e., community and support
services including case management, referral agencies, mental health
resources, ombudsmen, adult protective services, hospice, and home
care),
(b) Ethics, and
(c) Grievance and complaint process.
(3) Physical plant
(4) Resident care including, but not limited to,
(a) Admission and discharge criteria,
(b) Behavior expression management,
(c) Care needs assessment,
(d) Fall management,
(e) Nutrition,
(f) Person-centered care,
(g) Personal versus skilled care,
(h) Quality management education,
(i) Resident rights,
(j) Sexuality and aging,
(k) Secure environment, and
(l) Medication Management.
(5) Resident psychosocial needs including, but not limited to,
(a) Cultural competency (ethnicity, race, sexual orientation),
(b) Family involvement and dynamics,
(c) Mental health care (maintaining good mental health and recognizing
symptoms of poor mental health),
(d) Palliative care standards, and
(e) Resident engagement.
6.6 Competency testing shall be performed to demonstrate that the individuals trained have a
comprehensive, evidence-based understanding of the regulations and topics. Duties
6.7 The administrator shall be responsible for the overall operation of the assisted living residence,
including, but not limited to:
(A) Managing the day to day delivery of services to ensure residents receive the care that is
described in the resident agreement, the comprehensive resident assessment and the
resident care plan,
(B) Organizing and directing the assisted living residence’s ongoing functions including
physical maintenance,
(C) Ensuring that resident care services conform to the requirements set forth in section 12 of
this chapter,
(D) Employing, training and supervising qualified personnel,
(E) Providing continuing education for all personnel,
(F) Establishing and maintaining a written organizational chart to ensure there are welldefined lines of responsibility and adequate supervision of all personnel,
(G) Reviewing the marketing materials and information published by an assisted living
residence to ensure consistency with the services actually provided by the ALR,
(H) Managing the business and financial aspects of the assisted living residence which
includes working with the licensee to ensure there is an adequate budget to provide
necessary resident services,
(I) Completing, maintaining and submitting all reports and records required by the
Department,
(J) Complying with all applicable federal, state and local laws concerning licensure and
certification, and
(K) Appointing and supervising a qualified designee who is capable of satisfactorily fulfilling
the administrator’s duties when the administrator is unavailable.
(1) The name and contact information for the administrator or qualified designee on
duty shall always be readily available to the residents and public.
(2) The administrator or qualified designee shall always, whether on or off site, be
readily accessible to staff.
(3) When a qualified designee is acting as administrator in an assisted living
residence that is licensed for more than 12 beds, there shall be at least one other staff member on duty whose primary responsibility is the daily care of residents.