Okla. Stat. tit. 63, § 63-1-836

A. The State Board of Health shall promulgate rules to enforce

the provisions of the Residential Care Act. Such rules shall

regulate:

1. Location and construction of the home, including plumbing,

heating, lighting, ventilation, and other physical conditions which

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shall ensure the health, safety, and comfort of residents and

protection from fire hazards;

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 of

care per resident 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;

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;

4. Diet-related needs of each resident based on sound

nutritional practice and on recommendations which may be made by the

physicians attending the resident;

5. Equipment essential to the health and welfare of the

residents; and

6. Rehabilitation programs for those residents who would

benefit from such programs.

B. 1. In order to further ensure minimum standards for homes,

a certificate of training as specified shall be required of all:

a. administrators, who shall obtain a residential care

administrator certificate of training, and

b. direct care staff responsible for administration of

medication to residents, who shall obtain a

residential care certificate of training.

2. The certificate will be developed and administered by an

institution of higher learning with the advice of the State

Commissioner of Health and of the Long-Term Care Facility Advisory

Board.

a. (1) For residential care home administrators the

training shall consist of a minimum of fifty (50)

hours which shall include at least fifteen (15)

hours of training in the administration of

medication and shall also include, but not be

limited to, training in:

(a) administration,

(b) supervision,

(c) reporting,

(d) record keeping,

(e) independent or daily living skills,

(f) leisure skills and recreation, and

(g) public relations concerning the issues

associated with the operation of residential

care homes and programs.

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(2) An individual applying for certification as an

administrator may at any time present the

institution of higher education with

documentation of prior education and work

experience for consideration for possible credit

toward certification.

(3) Any person employed as an administrator after

July 1, 1988, shall have completed the training

specified by this division.

(4) Thereafter, annually, at least sixteen (16) hours

of training in the subjects specified by this

division shall be required for such

administrator.
documentation of prior education and work

experience for consideration for possible credit

toward certification.

(3) Any person employed as an administrator after

July 1, 1988, shall have completed the training

specified by this division.

(4) Thereafter, annually, at least sixteen (16) hours

of training in the subjects specified by this

division shall be required for such

administrator.

(5) A certified administrator may make a written

request to the Commissioner to be placed in an

inactive status for up to five (5) subsequent

calendar years. Such inactive status shall allow

the administrator to waive the educational

requirements for the period of the request. Such

certified administrator shall not work in a

residential care administrator capacity in

Oklahoma until such time as the certificate is

reactivated. The request to reactivate the

certificate shall be made in writing to the

Commissioner. Such administrator shall then be

required to complete sixteen (16) hours of

training in the subjects specified in this

division.

b. All direct care staff who are responsible for

administration of medication to residents shall be

required to begin training in the administration of

medication within ninety (90) days of employment with

the home and to satisfactorily complete at least

fifteen (15) hours of training in the administration

of medication, within the first year of employment

with the home.

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, to be administered by the administrator of the home or

other person designated by the administrator of the home and

completed within twelve (12) months from such person's date of

employment, and annually thereafter. Thereafter such direct care

staff and the direct care staff responsible for administering

medication to residents shall, annually, be required to receive at

least eight (8) hours of training by the administrator of the home

in:

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a. patient reporting and observation,

b. record keeping,

c. independent or daily living skills,

d. leisure skills and recreation,

e. human relations, and

f. 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 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.