A0081: Staff training

AHCA cited A0081 210 times at 191 of Florida’s 1,171 small ALFs between July 2023 and July 2026. That ties it with A0052 as the fifth most cited tag.

What a surveyor looks at

59A-36.011(2), (3), (4), (11), (12), F.A.C.

A0081 is the training every caregiver needs, and the certificate that proves they had it. Rule 59A-36.011 sets out the orientation, the in-service courses, the HIV and AIDS course and do not resuscitate training, each with a deadline that counts from the hire date.

Paragraph (12) says what a certificate has to show, down to the trainer’s signature and license number. So a certificate can be sitting in the file and still not count.

The paper this tag asks for

There are 9 documents under this tag. You need 2 of them in every case, and the other 7 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 A0081, the rule that asks for each, and how often each renews.
Every home	Renews
Elopement response in-service record59A-36.011(3)(f)	No date in the rule
HIV and AIDS education record59A-36.011(4)	No date in the rule

Documents a small Florida ALF needs under A0081 only when a condition is true.
Only when it applies	Renews
Preservice orientation record59A-36.011(2)(c)The staff member had not already completed the assisted living facility core training when hired.	No date in the rule
Infection control in-service record59A-36.011(3)(a)The staff member gives direct care and is not a nurse, a certified nursing assistant, or a home health aide trained under 59A-8.0095. In a small home that is usually everyone who works a shift.	No date in the rule
Adverse incidents and emergency procedures in-service record59A-36.011(3)(b)The staff member gives direct care to residents. No exemption in this paragraph, unlike the infection control and daily living hours.	No date in the rule
Resident rights and abuse reporting in-service record59A-36.011(3)(c)The staff member gives direct care and has not taken the core training programme.	No date in the rule
Resident behaviour and daily living in-service record59A-36.011(3)(d)The staff member gives direct care and is not a nurse, a certified nursing assistant, or a home health aide trained under 59A-8.0095.	No date in the rule
Safe food handling in-service record59A-36.011(3)(e)The staff member prepares or serves food and has not taken the core training.	No date in the rule
Do not resuscitate order training record59A-36.011(11)(b)The staff member is an administrator, a manager, gives direct care, or takes part in admissions.	No date in the rule

The rule’s own words

Preservice orientation record, 59A-36.011(2)(c), F.A.C.: Once complete, the employee and the facility administrator must sign a statement that the employee completed the preservice orientation which must be kept in the employee’s personnel record.
Infection control in-service record, 59A-36.011(3)(a), F.A.C.: Staff who provide direct care to residents, other than nurses, certified nursing assistants, or home health aides trained in accordance with Rule 59A-8.0095, F.A.C., must receive a minimum of 1 hour in-service training in infection control, including universal precautions and facility sanitation procedures, before providing personal care to residents.
Adverse incidents and emergency procedures in-service record, 59A-36.011(3)(b), F.A.C.: Staff who provide direct care to residents must receive a minimum of 1 hour in-service training within 30 days of employment that covers the following subjects:
Resident rights and abuse reporting in-service record, 59A-36.011(3)(c), F.A.C.: Staff who provide direct care to residents, who have not taken the core training program, shall receive a minimum of 1 hour in-service training within 30 days of employment that covers the following subjects:
Resident behaviour and daily living in-service record, 59A-36.011(3)(d), F.A.C.: Staff who provide direct care to residents, other than nurses, CNAs, or home health aides trained in accordance with Rule 59A-8.0095, F.A.C., must receive 3 hours of in-service training within 30 days of employment that covers the following subjects:
Safe food handling in-service record, 59A-36.011(3)(e), F.A.C.: Staff who prepare or serve food, who have not taken the assisted living facility core training must receive a minimum of 1-hour-in-service training within 30 days of employment in safe food handling practices.
Elopement response in-service record, 59A-36.011(3)(f), F.A.C.: All facility staff shall receive in-service training regarding the facility’s resident elopement response policies and procedures within thirty (30) days of employment.
HIV and AIDS education record, 59A-36.011(4), F.A.C.: all facility employees, with the exception of employees subject to the requirements of Section 456.033, F.S., must complete a one-time education course on HIV and AIDS, including the topics prescribed in the Section 381.0035, F.S. New facility staff must obtain the training within 30 days of employment.
Do not resuscitate order training record, 59A-36.011(11)(b), F.A.C.: Newly hired facility administrators, managers, direct care staff and staff involved in resident admissions must receive at least one hour of training in the facility’s policy and procedures regarding DNROs within 30 days after employment.

What Alfie does here

Alfie works each deadline out from the hire date you give us, so a caregiver hired in March shows what’s due and by when. None of these certificates expires once it’s done, which is exactly why a missing one is easy to forget.

What no document can show is whether somebody learned it. The rule only asks for that once, for elopement, where staff have to show they know your policy.

If you’ve just been cited for A0081, 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.