Administrative Code

Virginia Administrative Code
8/7/2022

Part IV. Administrator-In-Training Program

18VAC95-20-300. Administrator-in-training qualifications.

A. To be approved as an administrator-in-training, a person shall:

1. Have received a passing grade on a total of 60 semester hours of education from an accredited institution;

2. Obtain a registered preceptor to provide training;

3. Submit the fee prescribed in 18VAC95-20-80;

4. Submit the application and Domains of Practice form provided by the board; and

5. Submit additional documentation as may be necessary to determine eligibility of the applicant and the number of hours required for the AIT program.

B. With the exception of school transcripts, all required parts of the application package shall be submitted at the same time. An incomplete package shall be retained by the board for one year after which time the application shall be destroyed and a new application and fee shall be required.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 6.1, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; Volume 19, Issue 19, eff. July 2, 2003; Volume 29, Issue 20, eff. July 18, 2013; Volume 35, Issue 12, eff. March 6, 2019.

18VAC95-20-310. Required hours of training.

A. The AIT program shall consist of 2,000 hours of continuous training in a facility as prescribed in 18VAC95-20-330 to be completed within 24 months. An extension may be granted by the board on an individual case basis. The board may reduce the required hours for applicants with certain qualifications as prescribed in subsection B and C of this section.

B. An AIT applicant with prior health care work experience may request approval to receive a maximum 1,000 hours of credit toward the total 2,000 hours as follows:

1. The applicant shall have been employed full time for four of the past five consecutive years immediately prior to application as an assistant administrator or director of nursing in a training facility as prescribed in 18VAC95-20-330, or as the licensed administrator of an assisted living facility;

2. The applicant with experience as a hospital administrator shall have been employed full time for three of the past five years immediately prior to application as a hospital administrator-of-record or an assistant hospital administrator in a hospital setting having responsibilities in all of the following areas:

a. Regulatory;

b. Fiscal;

c. Supervisory;

d. Personnel; and

e. Management; or

3. The applicant who holds a license as a registered nurse shall have held an administrative level supervisory position for at least four of the past five consecutive years, in a training facility as prescribed in 18VAC95-20-330.

C. An AIT applicant with the following educational qualifications shall meet these requirements:

1. An applicant with a master's or a baccalaureate degree in a health care-related field that meets the requirements of 18VAC95-20-221 with no internship shall complete 320 hours in an AIT program;

2. An applicant with a master's degree in a field other than health care shall complete 1,000 hours in an AIT program;

3. An applicant with a baccalaureate degree in a field other than health care shall complete 1,500 hours in an AIT program; or

4. An applicant with 60 semester hours of education in an accredited college or university shall complete 2,000 hours in an AIT program.

D. An AIT shall be required to serve weekday, evening, night and weekend shifts and to receive training in all areas of nursing home operation.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 6.2, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; Volume 19, Issue 19, eff. July 2, 2003; Volume 22, Issue 26, eff. October 4, 2006; Volume 29, Issue 20, eff. July 18, 2013.

18VAC95-20-320. (Repealed.)

Historical Notes

Derived from VR500-01-2:1 § 6.3, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; repealed, Virginia Register Volume 15, Issue 4, eff. December 9, 1998.

18VAC95-20-330. Training facilities.

Training in an AIT program shall be conducted only in:

1. A nursing home licensed by the Virginia Board of Health or by a similar licensing body in another jurisdiction;

2. An institution operated by the Virginia Department of Behavioral Health and Developmental Services in which long-term care is provided;

3. A certified nursing home owned or operated by an agency of any city, county, or the Commonwealth or of the United States government; or

4. A certified nursing home unit that is located in and operated by a licensed hospital as defined in § 32.1-123 of the Code of Virginia, a state-operated hospital, or a hospital licensed in another jurisdiction.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 6.4, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; Volume 19, Issue 19, eff. July 2, 2003; Volume 22, Issue 26, eff. October 4, 2006; Volume 28, Issue 24, eff. August 29, 2012.

18VAC95-20-340. Supervision of trainees.

A. Training shall be under the supervision of a preceptor who is registered or recognized by a licensing board.

B. A preceptor may supervise no more than two AIT's at any one time.

C. A preceptor shall:

1. Provide direct instruction, planning, and evaluation in the training facility;

2. Shall be routinely present with the trainee in the training facility as appropriate to the experience and training of the AIT and the needs of the residents in the facility; and

3. Shall continually evaluate the development and experience of the AIT to determine specific areas in the Domains of Practice that need to be addressed.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 6.5, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; Volume 19, Issue 19, eff. July 2, 2003; Volume 22, Issue 26, eff. October 4, 2006; Volume 35, Issue 12, eff. March 6, 2019.

18VAC95-20-350. (Repealed.)

Historical Notes

Derived from VR500-01-2:1 §§ 6.6 to 6.8, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; repealed, Virginia Register Volume 15, Issue 4, eff. December 9, 1998.

18VAC95-20-380. Qualifications of preceptors.

A. To be registered by the board as a preceptor, a person shall:

1. Hold a current, unrestricted Virginia nursing home administrator license and be employed full time as an administrator of record in a training facility for a minimum of two of the past three years immediately prior to registration;

2. Provide evidence that he has completed the online preceptor training course offered by NAB; and

3. Meet the application requirements in 18VAC95-20-230.

B. To renew registration as a preceptor, a person shall:

1. Hold a current, unrestricted Virginia nursing home administrator license and be employed by or have an agreement with a training facility for a preceptorship; and

2. Meet the renewal requirements of 18VAC95-20-170.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 6.9, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; Volume 19, Issue 19, eff. July 2, 2003; Volume 22, Issue 26, eff. October 4, 2006; Volume 35, Issue 12, eff. March 6, 2019.

18VAC95-20-390. Training plan.

Prior to the beginning of the AIT program, the preceptor shall develop and submit for board approval a training plan that shall include and be designed around the specific training needs of the administrator-in-training. The training plan shall address the Domains of Practice approved by NAB that is in effect at the time the training program is submitted for approval. An AIT program shall include training in each of the learning areas in the Domains of Practice.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 6.10, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; Volume 19, Issue 19, eff. July 2, 2003; Volume 22, Issue 26, eff. October 4, 2006; Volume 25, Issue 19, eff. June 24, 2009; Volume 35, Issue 12, eff. March 6, 2019.

18VAC95-20-400. Reporting requirements.

A. The preceptor shall maintain progress reports on forms prescribed by the board for each month of training.

B. The AIT's certificate of completion plus the accumulated original monthly reports shall be submitted by the preceptor to the board within 30 days following the completion of the AIT program.

Statutory Authority

§ 54.1-2400 and Chapter 31 (§ 54.1-3100 et seq.) of Title 54.1 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 6.11, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998.

18VAC95-20-410. (Repealed.)

Historical Notes

Derived from VR500-01-2:1 §§ 6.12 and 6.13, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; repealed, Virginia Register Volume 15, Issue 4, eff. December 9, 1998.

18VAC95-20-430. Termination of program.

A. If the AIT program is terminated prior to completion, the trainee and the preceptor shall each submit a written explanation of the causes of program termination to the board within 10 business days.

B. The preceptor shall also submit all required monthly progress reports completed prior to termination.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 6.14, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; Volume 35, Issue 12, eff. March 6, 2019.

18VAC95-20-440. Interruption of program.

A. If the program is interrupted because the registered preceptor is unable to serve, the AIT shall notify the board within five working days and shall obtain a new preceptor who is registered with the board within 60 days.

B. Credit for training shall resume when a new preceptor is obtained and approved by the board.

C. If an alternate training plan is developed, it shall be submitted to the board for approval before the AIT resumes training.

Statutory Authority

§ 54.1-2400 and Chapter 31 (§ 54.1-3100 et seq.) of Title 54.1 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 6.15, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998.

18VAC95-20-450. (Repealed.)

Historical Notes

Derived from VR500-01-2:1 §§ 6.16 and 6.17, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; repealed, Virginia Register Volume 15, Issue 4, eff. December 9, 1998.

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