{"data":{"id":"us-dc/d.c.-code-7-744.02","jurisdiction":"us-dc","citation":"D.C. Code § 7-744.02","heading":"Dementia training for direct care workers.","body":"(a)\nFor the purposes of this section, the term:\n(1)\n\"Department\" means the Department of Health.\n(2)\n\"Facilities or programs\" means residential facilities or home-based and community-based programs that provide supportive services, including Skilled Nursing Facilities, as defined in 42 U.S.C. § 1395i-3(a), Assisted Living Residences, as defined in § 44-102.01(4), Home Care Agencies and Hospice, as defined, respectively, in § 44-501(a)(2) and (7) [§ 44-501(a)(7) and (8)], that have residents or program participants with Alzheimer's disease or related dementia in residential settings.\n(3)\n\"Covered administrative staff member\" means a senior employee at a facility or program, including an administrator as well as a managerial staff member who directly supervises covered direct service staff members.\n(4)\n\"Covered direct service staff members\" refers to staff members whose work involves extensive contact with residents or program participants, including certified nursing assistants, nurse aides, personal care assistants, home health or personal care aides, licensed practical nurses, licensed vocational nurses, registered nurses, social workers, activity directors and staff, dietary staff, physician assistants, nurse practitioners, physical, speech therapists, and occupational therapy staff.\n(5)\n\"Other covered staff member\" refers to a staff member who is either a full-time or part-time employee, independent consultant, or a staff member of a contractor or subcontractor who has contact on a recurring basis with, but does not provide medical services for, residents or program participants, including housekeeping staff, front desk staff, other administrative staff, and other individuals who have incidental contact.\n\n(b)\n(1)\nFacilities or programs shall provide initial training of at least 8 hours to:\n(A)\nAll covered direct service staff members, covered administrative staff members, and other covered staff members hired on, or within 6 months after, October 1, 2021 who shall begin dementia training within 90 days of the hire date, and complete the training within 120 days of the hire date; and\n(B)\nAll covered direct service staff members, covered administrative staff members, and other covered staff members who were employed prior to October 1, 2021 and who have not received equivalent training within the prior 24 months shall complete the initial training requirements within one year following publication by the Department of Health of acceptable trainings regulations.\n(2)\nEach facility or program shall establish procedures for ongoing staff support regarding the treatment and care of persons with dementia, which shall include on-site mentoring programs and other support mechanisms developed by the Department.\n(3)\nFor covered direct service staff members and covered administrative staff members, the curriculum used for the initial training shall cover:\n(A)\nAlzheimer's disease, and related dementia;\n(B)\nPerson-centered care;\n(C)\nAssessment and care planning;\n(D)\nActivities of daily living; and\n(E)\nDementia-related behaviors and communication.\n(4)\nFor covered administrative staff members, the curriculum used for the initial training shall also cover:\n(A)\nMedical management information education and support;\n(B)\nStaffing;\n(C)\nSupportive and therapeutic environments; and\n(D)\nTransitions and coordination of services.\n(5)\nFor other covered staff members, training shall include, at a minimum, an overview of dementia, principles of person-centered care, and communication issues.\n(6)\nInitial dementia training shall be considered complete only after the staff member has taken and passed an evaluation.\n\n(c)\n(1)\nWithin 120 days after October 1, 2021, the Department shall identify and designate standardized trainings, including online trainings, and trainings currently used by providers that meet the requirements of subsection (b)(3) through (5) [of this section] and shall also establish a process whereby other non-standardized training programs will be determined to meet the requirements for dementia training.\n(2)\nTo receive approval by the Department, whether online or in-person, all training modules, presentations, materials, and evaluations must reflect current standards and best practices in the care and treatment of persons with dementia.\n(3)\nThe Department may also approve independent evaluation instruments currently used by providers that meet the Department's criterion for dementia training or develop an evaluation instrument or instruments that relate to the demonstration of competency.\n\n(d)\n(1)\nThe facility shall issue a certificate to covered staff members upon completion of dementia training, which certification shall be portable between settings within the District.\n(2)\nProvided that the covered staff member does not have a lapse of dementia-related direct service or administration employment for 24 consecutive months or more, the covered staff member shall not be required to repeat the initial dementia training.\n(3)\nCovered staff members shall be responsible for maintaining documentation regarding completed dementia trainings and evaluations.\n\n(e)\n(1)\nA minimum of 4 hours of continuing education in each calendar year shall be required for covered administrative staff members and covered direct service staff members.\n(2)\nA minimum of 2 hours of continuing education in each calendar year shall be required for other covered staff members.\n(3)\nSuch continuing education shall include new information on best practices in the treatment and care of persons with dementia.\n\n(f)\n(1)\nPersons responsible for conducting in-person dementia trainings shall have, at a minimum:\n(A)\nTwo years of work experience related to Alzheimer's disease or other related dementias in health care, gerontology, or other related field; and\n(B)\nCompleted training equivalent to the requirements provided in this section, including successful passage of any skills competency or knowledge test required by the District.\n(2)\nCovered staff members shall not be required to bear any of the cost of training offered by the facility or program and shall receive their normal compensation when attending required trainings.\n\n(g)\n(1)\nThe Department shall exercise oversight of a facility's or program's dementia training program as part of its comprehensive regulatory responsibilities, which shall:\n(A)\nEnsure that the facility or program provides continuing education opportunities;\n(B)\nEnsure that the facility or program uses designated online training programs or facility-based training that meets the requirements for dementia training in the District;\n(C)\nInclude a periodic review of the training evaluation, including the use of competency measures to demonstrate knowledge gained;\n(D)\nInvolve observation and assessment of the proficiencies of direct care staff; and\n(E)\nEnsure compliance with any other requirements not specified above.\n(2)\nThe Department may use all of its enforcement tools to ensure that facilities or programs comply with these provisions.\n\n(h)\nWhere the training requirements established by this section differ or overlap with other District law or regulation, the more rigorous training requirements shall apply.","path":["Title 7. Human Health Care and Safety.","Chapter 7A. Functions of the Department of Health.","Subchapter V. Dementia Services."],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/7-744.02","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"4a44cd7232d031ce0e886360987b51031a8c3ed5125c474fbce577d7e0a74b8d","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-7-744.01","next":"us-dc/d.c.-code-7-751.01"},"notice":"GroundRules: Original legal text. Not legal advice."}