20 CAR Part 45 — Rules for Home Caregiver Training in Arkansas

Chapter I

Subchapter B

Subpart 1

20 CAR § 45-101 Definitions {#sec-20-car-45-101 omnilex-key=us-ar-regs-official--title-20-part-45--20 CAR § 45-101}

20 CAR § 45-101. Definitions.

As used in this part:

(1) "Caregiver services" means the services provided to an individual in the State of Arkansas to assist the recipient of the services in the activities of daily living, and the recipient of services is fifty (50) years of age or older at the time the services are provided;

(2) "Compensation" means money or another type of property of value received by a provider of caregiver services in exchange for the services of the provider without regard to the source of payment of the money or other type of property;

(3) "In-home services agency" means any partnership, association, corporation, or other organization, whether public or private, proprietary, or nonprofit, that:

(A) Provides caregiver services for pay in a client’s residence; and

(B) Is not otherwise licensed by the Department of Health as a:

(i) Home health agency;

(ii) Private care agency; or

(iii) Hospice agency;

(4) "Successful completion" means completion of training in acceptable core competencies in the physical skills under Arkansas Code § 20-77-2303 and 20 CAR § 45-102; and

(5) "Trained in-home assistant" means an individual who:

(A) Has met the requirements of Arkansas Code § 20-77-2301 et seq.; and

(B) Provides caregiver services.

20 CAR § 45-102 Training requirement {#sec-20-car-45-102 omnilex-key=us-ar-regs-official--title-20-part-45--20 CAR § 45-102}

20 CAR § 45-102. Training requirement.

(a) A person who applies for employment to provide caregiver services in this state for compensation shall provide documentation to an in-home services agency of successful completion of training as a trained in-home assistant under this part.

(b) A person qualifies as a trained in-home assistant under this part if the person:

(1) Is eighteen (18) years of age or older;

(2) Has not been convicted of a felony that would prevent the person from working in a long-term care facility under Arkansas Code § 20-38-101 et seq., unless the conviction has been expunged or pardoned; and

(3)(A) Except as provided under 20 CAR § 45-104, has successfully completed a caregiver training course addressing the following core competencies approved by the Department of Health, including not less than forty (40) hours of training in:

(i) Body functions;

(ii) Body mechanics and safety precautions;

(iii) Communication skills;

(iv) At least four (4) hours covering Alzheimer’s diseases and other dementia, which shall include:

(a) Communication skills;

(b) Problem solving with challenging behaviors;

(c) Assistance with daily living; and

(d) Explanation of Alzheimer’s disease and other dementia;

(v) Dementia and Alzheimer's diseases;

(vi) Emergency situations, including recognition of conditions and proper procedures;

(vii) Household safety and fire prevention;

(viii) Infection control and prevention, including maintaining a safe and clean working environment;

(ix) Ethical considerations and state law regarding delegation of nursing tasks to unlicensed personnel; and

(x) Nutrition;

(B) At least sixteen (16) of the forty (40) required hours covering physical skills and competent demonstration of such skills for:

(i) Ambulation;

(ii) Basic housekeeping procedures, including laundry skills;

(iii) Bathing, shampooing, and shaving;

(iv) Dressing and undressing;

(v) Meal preparation and clean up;

(vi) Oral hygiene;

(vii) Range of motion;

(viii) Toileting;

(ix) Transfer techniques;

(x) Recordkeeping and documentation of activities;

(xi) Role of caregiver in a healthcare team; and

(xii) Nail and skin care.

20 CAR § 45-103 Certification of training by employer {#sec-20-car-45-103 omnilex-key=us-ar-regs-official--title-20-part-45--20 CAR § 45-103}

20 CAR § 45-103. Certification of training by employer.

The training required under this part may be certified by an employer if that employer maintains records regarding:

(1) The identification of the employee who received training;

(2) The topic for which the training was conducted; and

(3) The amount of time spent on training.

20 CAR § 45-104 Exemptions {#sec-20-car-45-104 omnilex-key=us-ar-regs-official--title-20-part-45--20 CAR § 45-104}

20 CAR § 45-104. Exemptions.

(a)(1) A person is exempt from the training specifications in 20 CAR § 45-102 if the person has at least one (1) year of experience working in an institutional setting, including without limitation a:

(A) Home health agency;

(B) Hospital;

(C) Hospice; or

(D) Long-term care facility.

(2) The experience required under this subsection shall be verified by the person's employer during the experience.

(b) An individual may provide caregiver services without the training required by this part if the person is a:

(1) Certified nursing assistant;

(2) Licensed practical nurse;

(3) Parent, grandparent, child, grandchild, or sibling of the recipient of the services;

(4) Physician;

(5) Registered nurse;

(6) Service provider who does not receive compensation for his or her services;

(7) Licensed social worker;

(8) Court-appointed legal guardian of the recipient of the caregiver services; or

(9) A direct-care worker providing caregiver services to a participant in any program licensed, administered, or certified by the Department of Human Services.