Idaho State Board
Examiners of Residential Care Facility Administrators
Bureau of Occupational Licenses
State of Idaho
Minutes of December 5, 2007
The Idaho State Board of Examiners of Residential Care Facility Administrators meeting was called to order at 9:00 a.m., on Wednesday December 5, 2007, at the Bureau of Occupational Licenses, Owyhee Plaza, 1109 Main Street, Suite 220, Boise, Idaho.
Roll Call: Ione Springer, Board Chair
Vicky Goettsche, Board Member
Shirlie Meyer, Board Member
Sharon Ashcraft, Board Member (via telephone)
Linda Simon, Board Member
Bureau Staff: Tana Cory, Bureau Chief
Roger Hales, Administrative Attorney (via telephone)
Dave Hotchkiss, Investigations Coordinator
Marcie McGinty, Investigations Coordinator
Carrie Gilstrap, Board Secretary
Others Present: Emily MacMaster, Deputy Attorney General,
Robert VandeMerwe, Idaho Health Care Association
Kris Ellis, Idaho Health Care Association
Randy May, Medicaid Division, Health and Welfare
Jim Shadduck, Ashley Manor
Kathi Brink, Ashley Manor
9:00 a.m. Roll Call established attendance
MINUTES of AUGUST 7, 2007 and OCTOBER 31, 2007
A motion was made by Shirlie Meyer to approve both sets of minutes from August 7, 2007 and October 31, 2007. Seconded by Vicky Goettsche, motion carried.
Emily MacMaster, Deputy Attorney General, presented a stipulation and consent order case no. RCA-2006-2 to the members of the board. A motion was made by Vicky Goettsche to accept the order and authorize the chair to sign on behalf of the board. Seconded Linda Simon, motion carried.
Emily MacMaster, Deputy Attorney General, presented a memorandum to the members of the board. The board gave Ms. MacMaster direction on how to proceed.
Tana Cory presented the legislative report to the members of the board. Tana Cory introduced Dave Hotchkiss as a new member of the investigative unit.
Tana Cory presented the financial report to the members of the board stating the board is right on track with their expenses.
Dave Hotchkiss presented the investigative report to the members of the board.
RCA-S5B-4-2006-1 A motion was made by Shirlie Meyer to accept the bureauís recommendation to authorize closure with an advisory letter to the respondent. Seconded by Sharon Ashcraft, motion carried.
RCA-B1-2-2006-4 A motion was made by Vicky Goettsche to accept the bureauís recommendation to authorize closure with a cease and desist letter to the unlicensed individual, with a copy to the administrator. Seconded by Shirlie Meyer, motion carried.
RCA-L2A-1-2007-2 A motion was made by Shirlie Meyer to accept the bureauís recommendation to authorize closure and to flag respondents license in case he tries to obtain licensure. Seconded by Linda Simon, motion carried.
RCAĖS5B-1-2007-3 A motion was made by Shirlie Meyer to accept the bureauís recommendation to authorize closure and to flag respondents license in case he applies for licensure. Seconded by Sharon Ashcraft, motion carried.
RCA-P4B-2-2007-6 A motion was made by Sharon Ashcraft to accept the bureauís recommendation and authorize closure. Seconded by Shirlie Meyer, motion carried.
Robert VandeMerwe, Idaho Health Care Association, approached the members of the board to discuss the National Association of Boards (NAB) licensure examination. Mr. VandeMerwe recited NABís requirements for taking the examination. Robert VandeMerwe stated he feels there is a big problem in Idaho with the testing. He stated he feels that either the qualifications need to be increased or another test needs to be developed which is Idaho specific.
Vicky Goettsche stated that NAB recognizes that the test is a general examination on the standards of residential care facility administration. Ione Springer gave an overview of the development and purpose of NAB. Ms. Springer also added that the people who develop the examination questions are licensed administrators.
Robert VandeMerwe recited Idaho Code 54-4207 on the subject matter of examination restating that he believes Idaho should develop a state specific examination.
Randy May, Health and Welfare Medicaid Division, approached the board. Ione Springer stated there was a meeting held with Health and Welfare and from that meeting it was agreed that the standard should not be lowered and that perhaps a state test on rules and regulations can be added in addition to taking the national exam to better prepare administrators. Randy May stated most of the issues are from the smaller facilities. Robert VandeMerwe presented a new test that could be administered by a testing company called ďHeadmastersĒ. Shirlie Meyer asked Robert VandeMerwe who would be the one to develop the study guide for this new test? Mr. VandeMerwe stated it would be his association.
Roger Hales stated that the proposal Robert VandeMerwe is presenting is going to take some time and would include law and/or rule changes.
Jim Shadduck, Ashley Manor, approached the members of the board. He stated his concerns are with the smaller facilities and the low passing rate of the NAB examination for the people who are running these facilities. Randy May asked if you are a certified nursing assistant in a facility how would you be able to gain leadership abilities as NAB requires an individual to have prior to taking their exam.
Kathi Brink, Ashley Manor, stated she feels it is not only the people taking the test. The problem is with the test itself. She states these people already have the basic background, but are unable to pass the current test. Ms. Brink stated she feels it is not fair and there is a problem.
Sharon Ashcraft stated the board has a responsibility to look at this issue down the road and to address the concerns from the industry. Robert VandeMerwe stated he would like the board to go with him to the legislature to propose rule changes regarding a solution to the examination.
Jim Shadduck asked if it were possible to have an individual use a calculator for the test. Carrie Gilstrap, board secretary, stated she contacted NAB and they confirmed that calculators are not allowed.
Ione Springer stated she feels the board would like to have Roger Hales, Administrative Attorney, provide advice before proceeding and she is in favor of creating a sub-committee to address the issue of the examination.
Ione Springer also added that there is now a practice exam that NAB is providing for individuals to help prepare them prior to taking the actual test.
Kris Ellis stated the IDALA administrator course has not changed since the merger with the Idaho Health Care Association.
Ione Springer stated that the board should schedule a meeting in the near future to discuss the exam issue with Roger Hales. She stated she also agrees with implementing a test on state rules and regulations. Ms. Springer added she feels the board should adopt the same guidelines that NAB requires for the amount of time of experience in management.
The board stated they will need to look at their current rule regarding the approved administrators course to follow along with the IDALA/IHCA merger.
A meeting is going to be scheduled with two members of the board and Roger Hales to discuss the issues surrounding the licensure examination. This meeting is tentatively scheduled for the second week in December 2007.
COMPUTER BASED TESTING AGREEMENT
A motion was made by Vicky Goettsche to accept the NAB computer based testing agreement and authorize the chair to sign on behalf of the board. Seconded by Linda Simon, motion carried.
2007 NAB MID-YEAR MEETING
Vicky Goettsche attended the NAB mid-year meeting in Las Vegas, Nevada. She stated the focus was on residential care. Each state participant discussed their experiences with the NAB examination. Ms. Goettsche stated there are more states who plan on implementing the NAB exam for licensure.
CONTINUING EDUCATION APPROVAL REQUEST
A motion was made by Linda Simon to approve the continuing education request submitted for Donna Lant for four (4) hours. Seconded by Sharon Ashcraft, motion carried.
The next meeting is scheduled for Monday, January 14, 2008 at 9:00 a.m.
A motion was made by Linda Simon to enter into executive session to discuss applications exempt from disclosure Idaho Code 67-2345.1.d. Seconded by Shirlie Meyer, motion carried.
A motion was made by Linda Simon to come out of executive session. Seconded by Shirlie Meyer, motion carried.
RCAA-1359 A motion was made by Shirlie Meyer to direct the secretary to send a letter quoting the statute regarding education and have her submit evidence of experience to meet the requirement. Seconded by Vicky Goettsche, motion carried.
RCAA-1362 A motion was made by Linda Simon to request additional information on her work experience from 2002-2007 and to require the applicant complete a background check. Seconded by Shirlie Meyer, motion carried.
RCAA-1355 A motion was made by Linda Simon to approve him to take the national examination for licensure. Seconded by Vicky Goettsche, motion carried.
RCAA-1389 A motion was made by Shirlie Meyer to require the applicant complete the licensure process as he does not hold a current nursing home administrator license. Seconded by Linda Simon, motion carried.
The board reviewed continuing education and renewal audits, signed wall certificates, and signed meeting minutes.
The meeting adjourned at 1:15 p.m.