144G.63 ORIENTATION AND ANNUAL TRAINING REQUIREMENTS.

Subdivision 1. Orientation of staff and supervisors. Allstaff providing and supervising directservices
must complete an orientation to assisted living facility licensing requirements and regulations before providing
assisted living services to residents. The orientation may be incorporated into the training required under
subdivision 5. The orientation needs only be completed once for each staff person and is not transferable to
another facility.

Subd. 2. Content of required orientation. (a) The orientation must contain the following topics:
(1) an overview of this chapter;
(2) an introduction and review of the facility’s policies and procedures related to the provision of assisted
living services by the individual staff person;
(3) handling of emergencies and use of emergency services;
(4) compliance with and reporting of the maltreatment of vulnerable adults under section 626.557 to the
Minnesota Adult Abuse Reporting Center (MAARC);
(5) the assisted living bill of rights and staff responsibilities related to ensuring the exercise and protection
of those rights;
(6) the principles of person-centered planning and service delivery and how they apply to direct support
services provided by the staff person;
(7) handling of residents’ complaints, reporting of complaints, and where to report complaints, including
information on the Office of Health Facility Complaints;
(8) consumer advocacy services of the Office of Ombudsman for Long-Term Care, Office of Ombudsman
for Mental Health and Developmental Disabilities, Managed Care Ombudsman at the Department of Human
Services, county-managed care advocates, or other relevant advocacy services; and
(9) a review of the types of assisted living services the employee will be providing and the facility’s
category of licensure.
(b) In addition to the topics in paragraph (a), orientation may also contain training on providing services
to residents with hearing loss. Any training on hearing loss provided under this subdivision must be high
quality and research-based, may include online training and must include training on one or more of the
following topics:
(1) an explanation of age-related hearing loss and how it manifests itself, its prevalence, and the challenges
it poses to communication;
(2) health impacts related to untreated age-related hearing loss, such as increased incidence of dementia,
falls, hospitalizations, isolation, and depression; or
(3) information about strategies and techniques that may enhance communication and involvement,
including communication strategies, assistive listening devices, hearing aids, visual and tactile alerting
devices, communication access in real-time, and closed captions.

Subd. 3. Orientation to the resident. Staff providing assisted living services must be oriented specifically
to each individual resident and the services to be provided. This orientation may be provided in person,
orally, in writing, or electronically.

Subd. 4. Training required relating to dementia. All direct care staff and supervisors providing direct
services must demonstrate an understanding of the training specified in section 144G.64.

Subd. 5. Required annual training. (a) All staff that perform direct services must complete at least
eight hours of annual training for every 12 months of employment. The training may be obtained from the
facility or another source and must include topics relevant to the provision of assisted living services. The
annual training must include:
(1) training on reporting of maltreatment of vulnerable adults under section 626.557;
(2) review of the assisted living bill of rights and staff responsibilities related to ensuring the exercise
and protection of those rights;
(3) review of infection control techniques used in the home and implementation of infection control
standards including a review of hand washing techniques; the need for and use of protective gloves, gowns,
and masks; appropriate disposal of contaminated materials and equipment, such as dressings, needles,
syringes, and razor blades; disinfecting reusable equipment; disinfecting environmental surfaces; and reporting
communicable diseases;
(4) effective approaches to use to problem solve when working with a resident’s challenging behaviors,
and how to communicate with residents who have dementia, Alzheimer’s disease, or related disorders;
(5) review of the facility’s policies and procedures relating to the provision of assisted living services
(6) the principles of person-centered planning and service delivery and how they apply to direct support
services provided by the staff person.
(b) In addition to the topics in paragraph (a), annual training may also contain training on providing
services to residents with hearing loss. Any training on hearing loss provided under this subdivision must
be high quality and research-based, may include online training, and must include training on one or more
of the following topics:
(1) an explanation of age-related hearing loss and how it manifests itself, its prevalence, and challenges
it poses to communication;
(2) the health impacts related to untreated age-related hearing loss, such as increased incidence of
dementia, falls, hospitalizations, isolation, and depression; or
(3) information about strategies and techniques that may enhance communication and involvement,
including communication strategies, assistive listening devices, hearing aids, visual and tactile alerting
devices, communication access in real-time, and closed captions.

Subd. 6. Implementation. The assisted living facility must implement all orientation and training topics
covered in this section.

Subd. 7. Verification and documentation of orientation and training. The assisted living facility
shall retain evidence in the employee record of each staff person having completed the orientation and
training required by this section