1. location and construction of the home, including plumbing, heating, lighting, ventilation, and other physical conditions which shall ensure the health, safety, and comfort of residents and protection from fire hazards; and

2. number of all personnel, including management and supervisory personnel, having responsibility for any part of the care given to residents. The Department shall establish staffing ratios for homes which shall specify the number of staff hours per resident of care that are needed for care for various types of homes or areas within homes. Minimum personnel ratio requirements for all homes shall be based only on average daily census; and

3. all sanitary conditions within the home and its surroundings, including water supply, sewage disposal, food handling, and general hygiene, which shall ensure the health and comfort of residents; and

4. diet related to the needs of each resident based on sound nutritional practice and on recommendations which may be made by the physicians attending the resident; and

5. equipment essential to the health and welfare of the residents; and

6. a program of rehabilitation for those residents who would benefit from such programs.

1. In order to further ensure minimum standards for homes, a certificate of training as specified shall be required of all:

2. The certificate will be developed and administered by an institution of higher learning with advice of the Commissioner of Health and of the Long Term Care Advisory Board.

3. All other direct care staff who are employed by a residential care home within ninety (90) days of employment with the home shall be required to begin eight (8) hours of in-service training by the administrator of the home or other person designated by the administrator of the home and completed within twelve (12) months from date of employment and annually thereafter. Thereafter such direct care staff and the direct care staff who have the responsibility for administrating medication to residents shall, annually, be required to receive at least eight (8) hours of training by the administrator of the home in patient reporting and observation, record keeping, independent or daily living skills, leisure skills and recreation, human relations and such other training relevant to residential care programs and operations.

4. The requirement of certification and the training specified pursuant to the provisions of this subsection shall be included in the rules and regulations promulgated by the Board.

5. Failure of the owner or administrator to ensure the training required pursuant to this subsection is received shall constitute a violation of the Residential Care Act and shall be grounds for revocation of licensure. Proof of successful completion of such training for the residential care home administrator and direct care staff shall be required prior to issuance or renewal of a license issued pursuant to the provisions of the Residential Care Act. The Department shall not renew any license for any residential care home, if the training required by this subsection has not been completed.