A0078: Staff files

AHCA cited A0078 349 times at 312 of Florida’s 1,171 small ALFs between July 2023 and July 2026. It’s the second most cited tag.

What a surveyor looks at

59A-36.010(2), F.A.C.

A0078 asks whether everyone working in your home was checked before they started. For each of them, rule 59A-36.010(2) wants a TB test, a level 2 background screening, and a health care provider’s statement that they’re free of communicable disease. Anyone whose job needs a license or certificate needs a copy of that too. A surveyor reads staff files the same way as resident files, one person at a time.

Two of those dates run out on their own. The TB test is yearly and the screening lasts five years. So a file that was complete on somebody’s first day can go out of date while it sits in the drawer. The same papers answer A0161, staff records, too, and a surveyor can cite either tag for the same missing page.

The paper this tag asks for

There are 5 documents under this tag. You need 3 of them in every case, and the other 2 only when something is true of your home or a resident. Having every one of them is not the same as passing a survey, because a surveyor also reads what’s in them and watches your home run.

Documents every small Florida ALF needs under A0078, the rule that asks for each, and how often each renews.
Every home	Renews
Health care provider statement on communicable disease59A-36.010(2)(a)	No date in the rule
Tuberculosis examination59A-36.010(2)(a)1.	Every year
Level 2 background screening59A-36.010(2)(f)	Every 5 years

Documents a small Florida ALF needs under A0078 only when a condition is true.
Only when it applies	Renews
Professional license or certification59A-36.010(2)(b)The staff member provides services that require a license or certification, for example a nurse.	Date printed on it
Staffing agency or contractor agreement59A-36.010(2)(d)The home uses a staffing agency, or contracts with an entity to provide services to residents.	Date printed on it

The rule’s own words

Health care provider statement on communicable disease, 59A-36.010(2)(a), F.A.C.: Within 30 days after beginning employment, newly hired staff must submit a written statement from a health care provider documenting that the individual does not have any signs or symptoms of communicable disease. The examination performed by the health care provider must have been conducted no earlier than 6 months before submission of the statement.
Tuberculosis examination, 59A-36.010(2)(a)1., F.A.C.: Evidence of a negative tuberculosis examination must be documented on an annual basis.
Level 2 background screening, 59A-36.010(2)(f), F.A.C.: Level 2 background screening must be conducted for staff, including staff contracted by the facility to provide services to residents, pursuant to sections 408.809 and 429.174, F.S.
Professional license or certification, 59A-36.010(2)(b), F.A.C.: Staff providing services requiring licensing or certification must be appropriately licensed or certified.
Staffing agency or contractor agreement, 59A-36.010(2)(d), F.A.C.: The contract between the facility and the staffing agency or contractor must specifically describe the services the staffing agency or contractor will provide to residents.

What Alfie does here

Each staff member gets a file in Alfie with their hire date, and every date that counts from it is worked out for you. Once a month we email you how many papers are due and when. The email doesn’t name anybody.

The rule also asks that staff be qualified for their job by education and experience. No single document proves that, so Alfie doesn’t pretend to check it.

If you’ve just been cited for A0078, the plan of correction is yours to write, and Alfie won’t write it for you. Where Alfie helps is the next survey, so the same paper isn’t missing again.

How Alfie works$149 a month for the whole home. Setup done for you.

The other nine

All 25 tags, and how we counted them, are on the citations page. Every document in one list, sorted by file, is on the documents page.