TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
Titles of Regulations: 18VAC95-20. Regulations Governing the Practice of Nursing Home Administrators.
18VAC95-30. Regulations Governing the Practice of Assisted Living Facility Administrators.
Agency Contact: Elaine J. Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, FAX (804) 524-4434, or email elaine.yeatts@dhp.virginia.gov.
NOTICE: The following forms used in administering the regulations were filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name to access a form. The forms are also available through the agency contact or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.
FORMS (18VAC95-20)
Nursing Home Administrator Application General Information (rev. 7/08).
Nursing Home Administrator Application for Initial Licensure (rev. 7/08).
Endorsement Verification Form (rev. 3/08).
Nursing Home Administrator-in-Training Application (rev. 7/08).
Nursing Home Administrator-in-Training – Notice of Change of Status or Discontinuance (rev. 10/07).
Nursing Home Administrator Preceptor Application (rev. 7/08).
Nursing Home Administrator Application for Reinstatement of License (rev. 7/08).
Nursing Home Administrator Application for Licensure by Endorsement (rev. 7/08).
Nursing Home Administrator-in-Training Monthly Report (rev. 10/07).
Nursing Home Administrator-in-Training – Documentation of Completion Form (rev. 8/08).
Domains of Practice (rev. 10/07).
Nursing Home Administrator Application General Information (rev. 9/08).
Nursing Home Administrator Application for Initial Licensure (rev. 3/10).
License Verification Form (rev. 3/10).
Nursing Home Administrator-in-Training Application (rev. 3/10).
Nursing Home Administrator-in-Training – Notice of Change of Status or Discontinuance (rev. 3/10).
Nursing Home Administrator Preceptor Application (rev. 3/10).
Nursing Home Administrator Application for Reinstatement of License (rev. 3/10).
Nursing Home Administrator Application for Licensure by Endorsement (rev. 3/10).
Nursing Home Administrator-in-Training Monthly Report (rev. 4/10).
Nursing Home Administrator-in-Training Documentation of Completion Form (rev. 3/10).
Domains of Practice (rev. 3/10).
FORMS (18VAC95-30)
Checklist for Endorsement or Credentials Application to Practice as an Assisted Living Facility Administrator (rev. 1/08).
Checklist for Licensure by Experience (For Current Administrators only) to Practice as an Assisted Living Facility Administrator (rev. 1/08).
Checklist for Initial Licensure by Education to Practice as an Assisted Living Facility Administrator (rev. 1/08).
Checklist for Licensure by Examination to Practice as an Assisted Living Administrator (eff. 1/08).
Assisted Living Facility Administrator Application for Licensure (rev. 1/08).
Assisted Living Facility Administrator Administrator-in-Training Application (rev. 1/08).
Monthly Report of Assisted Living Facility Administrator-in-Training (rev. 12/07).
Completion of Assisted Living Facility Administrator-in-Training (rev. 12/07).
Assisted Living Facility Administrator Preceptor Application (rev. 1/08).
Domains of Practice (rev. 2/08).
Checklist for Endorsement or Credentials Application to Practice as an Assisted Living Facility Administrator (rev. 3/10).
Checklist for Initial Licensure by Education to Practice as an Assisted Living Facility Administrator (rev. 3/10).
Assisted Living Facility Administrator Application for Licensure (rev. 3/10).
Assisted Living Facility Administrator Administrator-in-Training Application (rev. 4/10).
Monthly Report of Assisted Living Facility Administrator-in-Training (rev. 3/10).
Completion of Assisted Living Facility Administrator-in-Training (rev. 3/10).
Endorsement Certification Form (rev. 8/07).
Assisted Living Facility Administrator Preceptor Application (rev. 4/10).
Domains of Practice (rev. 11/09).
VA.R. Doc. No. R11-2940; Filed July 25, 2011, 3:51 p.m.