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HCBS Final Rule


Course Summary

The Home and Community-Based Services (HCBS) Final Rule ensures individuals have full access to the benefits of community living and the opportunity to receive services in the most integrated setting appropriate. The purpose of the rules is to ensure that individuals receive services in settings that are integrated with and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services to the same degree as individuals who do not receive regional center services.

The Home and Community-Based Services (HCBS) rules enacted in 2013 ensure that people with disabilities have full access to and enjoy the benefits of community living through long-term services and support in the most integrated settings of their choosing. The thrust of this online course is for providers to understand what HCBS looks like in everyday life. The course does not cover the many deadlines and compliance mandates. The written and video content are as timely now as when this course was first created.

Course Objectives

Gain knowledge of the HCBS requirements and best practices

Steps to becoming HCBS compliant

Gain knowledge of the special HCBS rules as the rules apply to residential settings.


Criminal Record Clearance: Laws and Regs

Following each lesson, there is a quiz.  You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

Course Description
This five-hour online course covers Title 22 regulations for criminal background clearance for employees and live-in residents at CCL facilities. Each step is examined, from live-scan fingerprinting, to the declaration form, to the often misunderstood requirement for exemptions. Lessons also cover in detail how clearance and exemptions can be transferred from one licensed facility to another.

The purpose of criminal clearance is to prevent the exploitation, criminal abuse, and neglect of clients who live in residential care. The criminal background check process comes alive for the student through a look at real cases from the administrative law section of DSS. Administrative hearings adjudicate decisions on exemptions and the revocation of licenses. Finally, a course on criminal record clearance would not be complete without a survey of crimes committed in CCL facilities.

LGBT Cultural Competency

Following each lesson, there is a quiz.  You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

LGBT Competency Training Is Required
If you did not receive LGBT Cultural Competency training as part of your Initial Certification Training, you must complete at least one hour of LGBT Cultural Competency training to renew your ARF, RCFE, GH or STRTP administrator certificate.

LGBT Competency Training
This five-hour course looks at how discrimination and bias in our culture affects LGBT individuals across the life span. The course begins with the history of the gay rights movement in the 1960s and how key figures such as Harvey Milk energized the movement.

A close look at both homophobia and hate crimes reveals the virulent nature of cultural taboos against homosexuality. The course covers how psychiatry viewed homosexuality as a mental disorder and endorsed conversion therapy. Over time, cultural attitudes toward LGBT individuals have shifted away from prejudice to more tolerance. In 2015 the Supreme Court legalized same sex marriage. Despite these gains, LGBT individuals continue to suffer from economic inequity, housing discrimination, and barriers to accessing health care.

Elder and Youth LGBT
The effects of a lifetime of stigma and discrimination can put many LGBT older adults at a greater risk for physical and mental distress, social isolation, depression and anxiety, poverty, chronic illness, delayed care-seeking, poor nutrition, and premature mortality. The course takes a close look at how LGBT seniors who struggled to come out of the closet as youth must now in their senior years face scorn and discrimination in assisted living environments. The course also examines how bullying of LGBT youth leads to depression, isolation, and higher rates of attempted suicide in LGBT youth. Lastly, the course reveals how family rejection and stigma are responsible for high rates of homelessness, drug abuse, and prostitution among LGBT youth.

COVID-19: History, Spread and Mitigation

The story of COVID-19 begins in a live animal and seafood market in Wuhan, China, where scientists believe the virus jumped species from a snake to a human. The virus quickly spread across the globe crippling the world economy and testing public health systems.  Largely unprepared, the U.S. health system did its best to respond to an overwhelming rise in cases and deaths.  Complicating prevention efforts, many individuals refused to wear masks and practice social distancing—a point of view shared by President Trump.    Students will learn how the elderly, disabled, and residents of long-term care are the most vulnerable to severe symptoms and have the highest mortality rates.  Finally, the course looks at treatment options, vaccination development, and mitigation protocols for residential care.

Course Objectives:
Understand the difference between typical coronavirus and the current novel COIVD-19 coronavirus
Trace the history and statistics of COVID-19 and its global spread.
Learn the limited treatment options, testing, and use of ventilators for the most ill.
Learn specific mitigation protocols for COVID-19 in long-term care settings
Learn how social distancing and wearing masks are vital to minimizing community spread.
Learn how COVID-19 disproportionally impacts the elderly, disabled, and mentally ill.
Learn the remarkable speed at which pharmaceutical companies such as Pfizer  and Moderna developed successful vaccines.

Medication Assistance Rights, Storage and PRN: Laws and Reg Course

Many clients require medication as part of their health care plan. There are many risks associated with medication such as harmful interactions, receiving the wrong medication or the wrong dosage, or taking medications at the wrong time or via the wrong route. Community Care licensing regulations are specific in how medications are stored and staff assist clients in taking their medication. Administrators are responsible for ensuring that staff under their charge are properly training in the self-administration, rights, and protocols associated with the medication.

Course Objectives:
Knowledge of rules regarding administration of medication; awareness of the right to refuse; ability to foster compliance and deter non-compliance
Understanding refills and dosage changes; avoidance of medication errors and adverse drug interactions
Familiarity with medication labels, packaging, and proper storage and disposal practices
Awareness of PRN and over-the-counter medication requirements
Have knowledge of record-keeping and communication
Comprehension of the “Seven Rights,” common ailments of the developmentally disabled, and chemical restraint restrictions

Sexual Harassment


Course Summary

Sexual Harassment in the workplace is a sensitive issue that can marginalize employees and be costly to employers. The Me Too movement has ignited a sea change in cultural attitudes re what is acceptable behavior at the workplace. Many high-profile legal cases such as Harvey Weinstein and Bill Cosby have focused attention on how employers have used their power to harass and exploit mostly female employees. Students will learn what behaviors constitute harassment and the importance of developing policies and ongoing training to prevent it. Course content focuses on definitions, harassment policies, scenarios, legal consequences, and best practices for responding to complaints.

This online course satisfies the California law that employees and supervisors receive sexual harassment training.
California employers with five or more employees must provide harassment prevention training to all employees by the end of 2020. Two hours of training is required for supervisors and one hour for non-supervisory employees. Training must take place within six months of hire or promotion and every two years thereafter (SB 1343).

Course Objectives:

Know what constitutes sexual harassment and abusive conduct

Understand the legal definition of sexual harassment

Become familiar with laws regarding sexual harassment

Study sample harassment and abuse policies and scenarios

Know how to safely and effectively report sexual harassment and abusive conduct

Learn techniques for preventing sexual harassment and abusive conduct

Gain an understanding of current events involving sexual harassment

Following each lesson, there is a quiz. You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

Measles Outbreak

Measles is a serious disease that can lead to devastating medical complications and suffering. Measles Outbreak covers the course and symptoms of measles and how medical science successfully eradicated the disease in 2002.  Within the last decade measles has come back due to declining vaccinations rates.  California legislation has eliminated personal exemptions and instituted  increased oversight of medical exemptions. Administrators should be familiar with measles and ensure that all clients and staff are vaccinated.

Course Objectives:
Become familiar with the course symptoms, cause, and treatment of measles.

Understand how measles is transmitted.

Learn the history of measles and the public health effort to eradicate the disease.
Become familiar with recent outbreaks across the country in the last five years and in particular 2019.

Gain knowledge of  the science behind the development of the measles vaccine and the importance of maintaining high rates in all communities.

Gain knowledge of why infants must wait until one year prior to being vaccinated.

Gain a deeper understanding of the success of the  anti-vaccination movement  in convincing parents to not vaccinate their children.

Get up to date on California’s vaccination laws.

Complaints Deficiencies and Corrections: Laws and Reg Course

Title 22 regulations from water temperature, TB tests, and personal rights are in place to protect the health and safety of clients.  The last thing an administrator wants to contend with is an inspection by a Licensed Progam Analyst.   By studying real-life inspections drawn from the   CCL website, the administrator will learn just how facilities are evaluated and the consequences that follow.  Each lesson details actual facility reports organized by the allegation, deficiency, along with the correction pan, and how to maintain compliance.  By viewing deficiencies and complaints across both Adult Residential and Elderly facilities the administrator is in a better position to catch and remedy deficiencies quickly before an LPA does.

Course Objectives:

Understand how the LPA evaluates a facility.

Use facility reports identifying areas of concern in their own facility.

Ensure their own facility is ready for any unannounced or complaint inspection.

Develop a more hands-on working knowledge of how the regulations are enforced.

Students are encouraged to use the Self Assessment Guides below as course companions.

Assessment Guides
Students may want to use the Assessment Tools published by Community Care Licensing to evaluate their own facility.

Adult Residential Self Assessment Guide

RCFE Self Assessment Guide

ARF Key Indicator Tool

ARF Key Indicator Tool 2

Abuse Reporting: Regulation Course

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This course is not approved for ARF, GH, or STRTP.

Following each lesson, there is a quiz. You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

The objectives of the course are:
Learn who is a mandated reporter.
Learn what are your legal responsibilities as a mandated reporter.
Learn what are the reporting exemptions.
Learn to identify the different types of abuse:
Learn how reports of abuse are investigated.
Learn how to report and 2013 guidelines for physical abuse.
Learn the penalties for not reporting and protections for reporters.

Source Material
“Article 3. Mandatory and Nonmandatory Reports of Abuse [15630 – 15632].” California Legislative Information, 1 Jan. 1995,

“Regional Center Contract Language Fiscal Year 2022-2023.” State of California Department of Development Services, Dec. 2022,

“Your Legal Duty: Reporting Elder and Adult Dependent Abuse.” California Attorney General’s Crime Office  and State of California Department of Justice-Office of the Attorney General, 2024,

Sex and Dementia

Following each lesson, there is a quiz.  You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

Sex and Dementia
This course focuses on dementia and sexuality, intimacy, and sexual behavior in care homes—a subject which remains one of the last taboos of long-term care. The onset of old age or a cognitive impairment does not erase the need for affection, intimacy, and/or relationships, and yet this aspect of aging has often been ignored and sidelined in policy and practice.

While the issues involved can be complex, controversial, and sensitive, and may challenge our own beliefs and value system, it is essential that we understand more about them to foster a more person-centered approach to dementia care. Care home residents with dementia often have complex care needs and trying to understand and respond to the more intimate and sexual aspects of a resident’s personality can be challenging.
This course will also aim to challenge negative attitudes and misconceptions about older people with dementia and their sexuality.

There is a common belief that older people do not engage in or enjoy sexual activity. This belief ignores the fact that all human beings have the capacity and need to express their sexuality no matter their age or disability. Sexual expression is more than a physical sex act; it is the essence of what makes us male and female. The course objective is to provide care providers with the knowledge to enable sexual expression in people suffering from dementia in a meaningful way without loss of dignity or self-esteem.

How do we provide care to individuals with dementia that encompasses the need for sexual expression without putting our own values, feelings, and constraints on the person? Care providers are often in a difficult position of having to judge what is acceptable behavior. These decisions may cause distress to either the person with dementia or their families. It is hoped that this course will shed light on this difficult topic by a deeper look at the meaning and expression of sexuality in dementia.

Alzheimers Dementia: History, Intervention and Research

This course is not approved for GH or STRTP.

Following each lesson, there is a quiz. You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

This course meets 5 of the 8 hour RCFE requirement for Dementia.


Course Summary

Alzheimer’s is a devastating disease that destroys memory and personality and ultimately leads to death. The story begins with the discovery of Alzheimer’s disease by Alois Alzheimer in 1901 and concludes with how music and storytelling help victims reclaim their identity and self-worth. Students will learn to identify the characteristics of Alzheimer’s and the stages of the disease.

Students will also learn about  how a virus and cholesterol may be  risk factors  for Alzheimer’s.  A fascinating lesson on the use of marijuana and its possible role in prevention is included.  Administrators will learn the importance of empathy, and the basics of how to intervene with clients who display delusions, agitation, hallucinations, and aggression.

The objectives of the course are:
Learn the history of Alois Alzheimer and Alzheimer’s disease
Learn the difference between dementia and Alzheimer’s
Learn the causes, prevalence, and risk factors
Learn about Alzheimer’s research and viral links

Learn about treatment methods

Learn to assess dementia behavior
Learn techniques and strategies for handling difficult behaviors
Learn about beneficial activities and environment
Learn about music and storytelling therapies

Natural Supports

Following each lesson, there is a quiz.  You must achieve a score of 70% to move on to the next lesson. The use of quizzes satisfies the CCL regulation that online courses be interactive.

Natural Supports
Natural supports can come from family, friends, work, community, or other areas. These supports can be instrumental in helping a person to assimilate into the community or workforce and can improve chances for success and fulfillment. This course will look at the benefits that natural supports can bring to individuals on the job and at home. Case studies will illustrate examples of natural supports in action in the community and the workplace.

The objectives of the course are:
To define and explain the concept of natural supports.
To explore different ways of generating and developing support.
To consider factors such as natural cues, circles of support, and optimal communities
To provide working examples of natural supports and their results.
To understand the issue of stigma and the need for acceptance.
To provide effective methods for creating and cultivating natural supports at work.
To discuss natural supports in the realms of friendship and sexuality.