Article 4. Training of California Health And Safety Code >> Division 2. >> Chapter 2.35. >> Article 4.
(a) An Administrator-in-Training Program (AIT Program)
shall be developed by the NHAP, in consultation with representatives
from the long-term care industry and advocacy groups. The AIT Program
shall include, but not be limited to, all of the following areas of
(2) Administration and business office.
(3) State and federal regulations governing long-term care
(4) Residents' rights and abuse prevention.
(5) Staffing requirements and workforce retention.
(6) Nursing services.
(7) Resident activities.
(8) Resident care.
(9) Social services.
(10) Dietary management.
(11) Environmental care, including housekeeping, laundry, and
(12) Financial management.
(13) General management.
(14) Government regulations.
(15) Legal management.
(16) Personnel management and training.
(17) Consultants and contracts.
(18) Medical records.
(19) Public relations and marketing.
(b) A person who seeks to satisfy requirements for admission to
licensure examinations through participation in an AIT Program shall
first receive approval to begin the AIT Program. An applicant shall
successfully complete the AIT Program in a program-approved facility
under the coordination, supervision, and teaching of a preceptor who
has obtained certification from the program and continues to meet the
qualifications set forth in the rules and regulations of the
(c) In order to be eligible for the AIT Program, an applicant
shall submit an application package on forms provided by the NHAP,
and pay the applicable fees established by this chapter. The
applicant shall be at least 18 years of age.
(d) In addition to the requirements in subdivision (c), the
applicant shall meet one or a combination of the following
requirements to be eligible for the AIT Program:
(1) A doctorate degree in medicine and a current valid license as
a physician and surgeon.
(2) A baccalaureate degree.
(3) Ten years of full-time work experience and a current valid
license as a registered nurse. At least the most recent five years of
the 10 years of work experience shall be in a supervisory or
director of nursing position.
(4) Ten years of full-time work experience in any department of a
skilled nursing facility, an intermediate care facility, or an
intermediate care facility/developmentally disabled with at least 60
semester units (or 90 quarter units) of college or university
courses. At least the most recent five years of the 10 years of work
experience shall be in a position as a department manager.
(5) Ten years of full-time hospital administration experience in
an acute care hospital with at least 60 semester units (or 90 quarter
units) of college or university courses. At least the most recent
five years of the 10 years of work experience shall be in a
(e) An applicant for the AIT Program may obtain from the
department a waiver of the education requirements in subdivision (d)
if he or she meets the requirements of Section 1416.23.
(f) The applicant shall submit an official transcript that
evidences the completion of required college or university courses,
degrees, or both. An applicant who is a member of a recognized church
or religious denomination whose teachings historically prohibit the
acquisition of the formal education that would otherwise be required
to qualify the applicant for the AIT Program may request a written
waiver of the education requirements from the department.
(g) An applicant who qualifies for the AIT Program on the basis of
work experience shall submit a declaration signed under penalty of
perjury verifying his or her work experience. This declaration shall
be signed by a licensed nursing home administrator, physician and
surgeon, chief of staff, director of nurses, or registered nurse who
can attest to the applicant's work experience.
(a) An individual may, upon compliance with the
requirements of this section, be approved by the program to be a
preceptor who is authorized to provide a training program in which
the preceptor coordinates, supervises, and teaches persons seeking to
meet specified requirements to qualify for the licensing examination
under this chapter. The approval obtained under this section shall
be effective for a period of two years, after which the preceptor is
required to renew his or her preceptor status and attend a preceptor
training course provided by the program.
(b) In order to qualify to be a preceptor, a person shall meet all
of the following conditions:
(1) Be a current active California licensed nursing home
(2) Have no pending disciplinary actions.
(3) Have served for at least two years as the designated
administrator of a California licensed nursing home or for at least
four years as the designated assistant administrator of a California
licensed nursing home.
(4) Have gained experience in all administrative functions of a
(c) The applicant seeking approval to be a preceptor shall submit
an application form provided by the program that requires the
applicant's name, address, birth date, the states and dates of
issuance of all professional licenses, including those as a nursing
home administrator, and any other information required by the
(d) At the time of application, for purposes of substantiating
that the conditions specified in subdivision (b) have been met, the
applicant shall provide satisfactory evidence of his or her
education, experience, and knowledge that qualifies him or her to
supervise the training of an AIT Program participant and verification
that the facilities at which the applicant has had direct management
control as an administrator had a continuous operating history, free
from major deficiencies, during the period of the applicant's
(e) An applicant shall not be approved as a preceptor until the
applicant attends a preceptor's training seminar provided or approved
by the program.
(f) (1) For purposes of this section, "AIT" means
(2) The following requirements shall apply to a preceptor approved
pursuant to this section:
(A) The preceptor shall provide a directly supervised training
program that will include a minimum of 20 hours per week and a
maximum of 60 hours per week and be available at least by telephone
at all other times. There shall be regular personal contact between
the preceptor and the AIT during the training program. For purposes
of this subparagraph, "a directly supervised training program" means
supervision by a preceptor of an AIT during the performance of duties
authorized by this section. The preceptor shall be available during
the AIT's performance of those duties.
(B) The preceptor shall be the designated administrator of the
facility where the training is conducted.
(C) The preceptor may not supervise more than two AIT trainees
during the same time period.
(D) The preceptor shall inform the NHAP of any significant
training program changes dealing with his or her specific AIT.
(E) The preceptor shall rate the AIT's training performance and
complete an AIT evaluation report at the end of the AIT's training.
(F) The preceptor shall be evaluated by the program based on the
examination success and failure history of his or her AIT trainees
and the program may revoke or suspend preceptor certificates as