Proposed comprehensive curriculum

139 professional topics. Three complete pilots.

This map shows the broadest validated scope reached so far and the practical outcome for every topic. It remains subject to facility-, role-, county- and policy-level validation. A topic is not an available course until its evidence, lesson, assessment and review status pass the publication gate.

15domains

139topics

3pilot courses

14topics in pilots

Jump to a domain

A. ALW and the care system12
B. Professional care coordination12
C. Rights safeguarding and reporting14
D. Dementia and cognitive support10
E. Everyday support and physical safety10
F. Medication and health condition boundaries9
G. Infection prevention12
H. Emergency readiness and workplace safety11
I. Facility administration and operations10
J. Communication inclusion and partnership9
K. Privacy security and digital work7
L. Workforce and career development8
M. Hospice and serious illness partnership7
N. Training leadership and improvement4
O. Behavioral health and crisis support4

Domain A

ALW and the care system

12 topics

A01In pilot

ALW essentials

Explain the program, participant choice and the difference between eligibility, available capacity and placement; use a one-page process map.

A02In pilot

Program and role boundaries

Distinguish ALW, residential licensing, nursing facilities, home care, home health, hospice and palliative care; route a sample request.

A03Planned

CCA and facility responsibilities

Identify the owner of assessment, care coordination, residential support and follow-up; use a responsibility chart.

A04In pilot

Eligibility conversations

Explain general criteria and uncertainty without promising acceptance or performing an automated determination; practice a referral script.

A05Planned

Costs and room and board

Separate program-covered services, room and board and questions for benefits specialists; use a cost-conversation checklist.

A06In pilot

Waitlists and enrollment stages

Distinguish inquiry, waitlist request, confirmation, slot, enrollment and move-in; identify who can verify each stage.

A07In pilot

Facility participation and availability

Distinguish licensure, ALW participation, licensed capacity, current opening and individual fit; use a verification worksheet.

A08Planned

Referral readiness

Assemble a minimum-necessary, role-appropriate referral handoff and spot missing ownership or consent using synthetic examples.

A09Planned

Transition and move-in readiness

Rehearse medication, equipment, transport, service-plan and contact handoffs; use a closed-loop transition checklist.

A10Planned

Adjacent supports

Orient learners to ECM, Community Supports, IHSS, PACE, HCBA and community resources; verify program-specific access rather than promise substitutability.

A11Planned

Benefits changes and renewal

Find current Medi-Cal changes, identify questions for qualified eligibility staff, and maintain a dated referral resource.

A12In pilot

Temporary program exceptions

Read the scope, effective dates and end date of an Appendix K; use the Orange County amendment as a bounded example.

Domain B

Professional care coordination

12 topics

B01Planned

Person-centered service plans

Translate a person’s preferences into a concrete goal, action, responsible person and review point; critique a synthetic plan.

B02Planned

Assessment and RN judgment

Distinguish collecting information from clinical assessment and final determination; practice escalation of uncertainty.

B03Planned

Reassessment and tier changes

Recognize when a change needs qualified review and use the approved reassessment or tier-change workflow.

B04In pilot

Change in condition

Describe a change from baseline, urgency, who was contacted and the next action without diagnosing; use a handoff card.

B05Planned

Contact and monitoring standards

Use the approved contact schedule, unsuccessful-contact process and escalation path; record an auditable follow-up.

B06Planned

Transfer and reenrollment

Distinguish CCA transfer, facility transfer, hospital absence and reenrollment; work through an exception case.

B07Planned

Grievances and service concerns

Route a complaint to the appropriate program owner or independent channel and track response without discouraging reporting.

B08In pilot

Documentation quality

Write factual, timely notes with source attribution, corrections and next-action ownership; repair a flawed sample.

B09Planned

Approved case-management system and submission control

Practice approved manual entry, attachment/version review, submission evidence and reconciliation in the organization’s authorized case-management system using a synthetic environment.

B10Planned

Interdisciplinary follow-through

Run a short case conference with clear decisions, unresolved questions, owners and closed-loop handoffs.

B11Planned

CCA independence and conflicts of interest

Recognize prohibited or concerning service relationships, preserve participant choice and route conflicts for approved review.

B12Planned

CCA annual in-service requirements

Map the current DHCS annual in-service subjects to role-specific learning and retain evidence without calling attendance competence.

Domain C

Rights safeguarding and reporting

14 topics

C01Planned

Resident rights in daily work

Apply privacy, choice, dignity and participation to ordinary care interactions; use a rights-at-work checklist.

C02In pilot

Recognizing abuse and neglect

Identify physical, sexual, financial and emotional harm, neglect, isolation and coercion indicators without investigating beyond role.

C03In pilot

Mandated reporting in California

Select the correct setting-specific reporting branch, urgency and recipients in reviewed scenarios; use a dated reporting guide.

C04In pilot

ALW incidents and licensing reports

Distinguish program incident reports from mandated-abuse reports and employer escalation; map parallel obligations.

C05Planned

Financial exploitation and boundaries

Recognize concerning gifts, loans, account access, pressure and conflicts; use a safe escalation script.

C06Planned

HCBS rights and restrictions

Identify blanket restrictions and the need for individualized, justified review; examine access, schedules and privacy scenarios.

C07Planned

Consent and supported decisions

Identify whose choice is at issue and when authority must be checked; use a supported-decision conversation guide.

C08Planned

Conservators and representatives

Distinguish family involvement, powers of attorney, conservatorship and scope-specific authority; refer disputed cases for qualified review.

C09Planned

Complaints and nonretaliation

Receive a concern calmly, preserve independent complaint access and document next steps without pressure.

C10Planned

Respecting refusal and dignity of risk

Respond to a declined service with respectful alternatives and appropriate escalation; avoid coercion or invented authority.

C11Planned

Transfer discharge and eviction safeguards

Recognize notice, rights, documentation and independent-help questions that require facility-type-specific review before action.

C12Planned

Record access councils and participation

Support applicable access, resident or client council participation and complaint channels without retaliation or obstruction.

C13Planned

Property protection theft and loss

Prevent, document and report property concerns through the current facility-type process while preserving the person’s rights.

C14Planned

Reasonable accommodation and service animals

Recognize access and accommodation requests, avoid informal denial, and route the individualized decision to the responsible reviewer.

Domain D

Dementia and cognitive support

10 topics

D01Planned

Dementia foundations

Distinguish common cognitive changes and support needs from assumptions about a person’s abilities; practice respectful language.

D02In pilot

Communication during distress

Identify possible unmet needs, adapt communication and seek help appropriately; rehearse a branching interaction.

D03In pilot

Acute confusion and delirium awareness

Recognize a sudden change as a reason for timely clinical escalation rather than label it routine dementia progression.

D04Planned

Personal care and dementia

Offer choice, privacy, pacing and an appropriate pause during bathing, dressing or toileting; practice with a trainer.

D05Planned

Walking and exit seeking

Identify individualized support needs, missing-person procedures and rights-sensitive environment questions.

D06Planned

Distress and de-escalation

Use supportive observation, environmental adjustment and approved nonpharmacologic responses; document what happened.

D07Planned

Meaningful activities

Build a preference-based activity menu, including music, movement and social connection, without infantilizing adults.

D08Planned

Eating sleep and daily rhythms

Observe changes in meals, rest and routines and use individualized support and escalation.

D09Planned

Psychotropics and role boundaries

Recognize concerns and adverse-change signals; escalate for licensed review instead of adjusting medication or using it for convenience.

D10Planned

Family partnership and grief

Explain support approaches, hear family knowledge and respond to distress while maintaining the resident’s voice.

Domain E

Everyday support and physical safety

10 topics

E01Planned

ADLs and independence

Match assistance to an approved plan while supporting what the person can and wants to do.

E02Planned

Bathing grooming and oral care

Demonstrate privacy, infection precautions, equipment checks and respectful assistance under supervision.

E03Planned

Toileting and continence

Practice dignity-preserving support, observation and reporting according to the care plan.

E04Planned

Transfers and mobility equipment

Identify when trained help and specified equipment are required; demonstrate approved techniques with an evaluator.

E05Planned

Falls and safer environments

Spot modifiable hazards and communicate changes; use a facility walk-through and escalation checklist.

E06Planned

Positioning and skin awareness

Observe skin concerns, follow approved support plans and escalate; separate awareness from wound treatment.

E07Planned

Nutrition and hydration support

Notice intake concerns, respect preferences and follow individualized diet/fluid instructions; use a meal-support checklist.

E08Planned

Swallowing and choking awareness

Recognize warning signs, follow prescribed texture/support instructions and access qualified training and emergency response.

E09Planned

Hearing vision and assistive devices

Reduce communication barriers and assist with devices within training and policy; practice an accessible interaction.

E10Planned

Transportation and appointments

Rehearse safe pickup, authority, equipment, documents and return handoffs; distinguish driving skills from coordination.

Domain F

Medication and health condition boundaries

9 topics

F01Planned

Medication assistance boundaries

Distinguish permitted assistance, administration, clinical judgment and tasks needing escalation in the learner’s exact role.

F02Planned

Medication records and discrepancies

Recognize inconsistent orders, labels or records and escalate; practice on synthetic examples.

F03Planned

Storage and disposal

Apply employer-approved access, storage, inventory and disposal procedures with observed verification.

F04Planned

Refusals omissions and errors

Document and escalate accurately without concealing an error, improvising doses or deciding treatment.

F05Planned

PRN and adverse-effect awareness

Know when a licensed professional must decide and what observations to communicate.

F06Planned

Chronic-condition awareness

Recognize changes associated with common conditions and follow approved escalation plans; avoid diagnosis or treatment algorithms for unlicensed staff.

F07Planned

Restricted and prohibited conditions

Identify questions about admission, retention, exceptions and care capability for qualified review.

F08Planned

Devices and specialized care

Recognize role-specific boundaries for oxygen, catheters, diabetes devices and other equipment; use authorized specialist instruction.

F09Planned

Restricted conditions postural supports and exceptions

Distinguish restricted or prohibited conditions, postural supports and waiver or exception questions; obtain qualified review before admission, retention or use.

Domain G

Infection prevention

12 topics

G01Planned

Infection prevention essentials

Recognize transmission opportunities, choose appropriate precautions and explain why they matter.

G02Planned

Hand hygiene and PPE

Demonstrate task-appropriate hygiene and protective-equipment use with observed feedback.

G03Planned

Cleaning laundry and waste

Follow the facility’s products, contact-time instructions and clean/dirty workflow; perform a supervised check.

G04Planned

Bloodborne pathogens

Complete employer-specific exposure training, questions and response instruction through an appropriate provider.

G05Planned

Respiratory infections

Use current setting-specific guidance for symptoms, precautions, staff responsibilities and communication.

G06Planned

Outbreak recognition

Identify clustering or unusual patterns and contact the designated owner; rehearse a reporting handoff.

G07Planned

Food safety and illness

Apply approved food-handling procedures and escalate suspected food-related illness.

G08Planned

Exposure and staff illness response

Locate post-exposure, occupational-health and work-restriction procedures without disclosing medical information broadly.

G09Planned

Tuberculosis assessment and clearance

Use the current role- and setting-specific assessment or clearance process and keep medical information within approved channels.

G10Planned

Outbreak reporting and public-health coordination

Recognize a possible cluster and follow licensing, local public-health and employer notification procedures without diagnosing an outbreak.

G11Planned

Vaccination information and occupational boundaries

Find current recommendations and employer requirements, communicate respectfully and protect confidential health information.

G12Planned

Respiratory-protection applicability

Determine whether a respiratory-protection or aerosol-transmissible-disease framework applies before assigning fit testing or training.

Domain H

Emergency readiness and workplace safety

11 topics

H01Planned

Emergency recognition and 911

Recognize an emergency, call for appropriate help and follow site procedures; clarify that a lesson is not emergency support.

H02Planned

First aid CPR and AED pathways

Choose the right instructor-led or blended course for role and employer requirements; retain the original certificate.

H03Planned

Fire and evacuation

Practice routes, resident assistance, accountability and communication in the actual building.

H04Planned

Earthquake and shelter in place

Apply site-specific responsibilities for shelter, supplies, mobility and reconciliation.

H05Planned

Heat smoke and power outages

Plan continuity for residents, equipment and staff; use reviewed California emergency resources.

H06Planned

Missing person response

Rehearse immediate site-specific actions, notifications, search coordination and handover without delaying emergency help.

H07Planned

Workplace violence prevention

Understand the applicable framework, warning signs, reporting and the employer’s response plan.

H08Planned

Injury and illness prevention

Identify hazards and reporting channels and participate in the employer’s IIPP training.

H09Planned

Chemical sharps and equipment safety

Locate approved safety information and demonstrate safe handling within assigned duties.

H10Planned

Disaster continuity and recovery

Run a tabletop covering transport, alternative accommodation, medication continuity, communications and post-event reconciliation.

H11Planned

Parallel-obligations decision lab

Work through one event that may trigger emergency, abuse, licensing, ALW, workplace, privacy and internal actions without assuming one report completes all duties.

Domain I

Facility administration and operations

10 topics

I01Planned

Administrator credential pathways

Find the correct initial, renewal and approved-course pathway for the facility type; use a personal checklist.

I02Planned

Staff training evidence

Distinguish attendance, knowledge checks, competence, required hours and issuer authority; build an evidence index.

I03Planned

Background checks and Guardian

Follow the current official process for clearance, association and transfers; avoid interpreting a training badge as employment clearance.

I04Planned

Admission appraisal and retention

Identify missing information, support capability and questions for licensed or legal review; use a synthetic file review.

I05Planned

Agreements fees and disclosures

Spot unclear charges, responsibilities and resident-choice issues; route contract interpretation to qualified reviewers.

I06Planned

Staffing and supervision

Build a role/competency coverage plan and escalation process; do not infer adequate staffing from completion counts.

I07Planned

Recordkeeping and inspection readiness

Organize current policies, training evidence and corrective actions without fabricating or backdating records.

I08Planned

Corrective action and quality

Convert a recurring problem into an owned action, measure, follow-up date and effectiveness check.

I09Planned

Facility profiles and availability

Keep public participation, licensure, capacity, photos and current availability distinct; practice a factual profile update.

I10Planned

ALW billing integrity orientation

Understand approved services, documentation, rate dates and escalation of suspected duplicate or unsupported billing.

Domain J

Communication inclusion and partnership

9 topics

J01In pilot

Clear handoffs and teach-back

Deliver a concise handoff, confirm receipt and ask for explanation in the listener’s own words; practice with a rubric.

J02Planned

Language access

Recognize when interpretation is needed, use an approved interpreter and verify understanding.

J03Planned

Cultural humility

Ask about preferences, routines and beliefs without stereotyping; adapt a support conversation.

J04Planned

LGBTQ inclusion and privacy

Use respectful language, protect disclosure choices and recognize exclusion or harassment.

J05Planned

Disability and communication access

Adapt interaction for sensory, cognitive or physical access needs while preserving adult autonomy.

J06Planned

Trauma-informed interaction

Offer choice and predictability, avoid unnecessary coercion, and recognize when specialist support is needed.

J07Planned

Conflict and difficult conversations

Handle frustration, service concerns and disagreements using a structured, respectful conversation.

J08Planned

Professional boundaries

Manage gifts, personal contact, social media, confidentiality and conflicts with a clear escalation route.

J09Planned

Accessible service and reasonable modification

Respond to disability-access and service-animal questions through an individualized, respectful process and qualified review.

Domain K

Privacy security and digital work

7 topics

K01Planned

Safe information sharing

Recognize sensitive information and choose an approved channel and recipient; correct a synthetic unsafe handoff.

K02Planned

Privacy applicability and policies

Distinguish general education from entity-specific HIPAA and other confidentiality duties; locate the employer’s policy.

K03Planned

Phishing accounts and devices

Recognize suspicious requests, protect sign-in and report lost access or devices through approved channels.

K04Planned

Documents photos and messaging

Use authorized upload, access and disclosure processes; avoid personal-device photos and unapproved messaging.

K05Planned

Security incidents

Report a wrong-recipient disclosure or suspected breach promptly, preserve facts and leave formal determinations to responsible staff.

K06Planned

AI literacy and limits

Distinguish drafting assistance from clinical or eligibility judgment; use synthetic inputs and verify claims and sources.

K07Planned

California confidentiality beyond HIPAA

Recognize that HIPAA applicability does not settle every California confidentiality, employment-record or consumer-data question.

Domain L

Workforce and career development

8 topics

L01Planned

Care role and credential map

Distinguish caregiver, registered HCA, CNA, HHA, DSP and hospice aide pathways; select an official next step.

L02Planned

Starting a care role

Use a first-week checklist covering supervision, scope, reporting, training and how to ask for help.

L03Planned

Career preparation

Describe experience truthfully, prepare for interviews and identify questions about supervision and working conditions.

L04Planned

Safer job searches

Check the original employer/application destination, spot fee or credential scams, and protect personal information.

L05Planned

Worker rights and training time

Locate official guidance on pay, training time, breaks, discrimination and accommodations; route specific disputes appropriately.

L06Planned

Harassment prevention

Complete the appropriate official supervisory or nonsupervisory course; preserve its original completion record.

L07Planned

Wellbeing and peer support

Recognize strain, use support resources and prepare a personal recovery plan without treating structural staffing problems as individual failure.

L08Planned

Advancement and mentoring

Set a realistic development plan toward lead, trainer or credentialed roles; identify education and supervised experience gaps.

Domain M

Hospice and serious illness partnership

7 topics

M01Planned

Hospice palliative care and ALW

Explain the distinct programs and coordination questions without implying automatic eligibility or bundled enrollment.

M02Planned

Facility and hospice coordination

Clarify responsibilities, contact routes and handoffs under approved agreements and resident plans.

M03Planned

Comfort and symptom observations

Communicate observed pain or distress to the appropriate clinician and follow the authorized plan; do not teach unlicensed prescribing.

M04Planned

Goals of care and documents

Recognize advance-care documents and when qualified clarification is required; avoid interpreting a document beyond role.

M05Planned

Dying grief and bereavement

Respond respectfully, recognize cultural preferences and locate professional and family support.

M06Planned

Hospice aide development

Route hospice staff to RN-supervised education, competency evaluation and documented ongoing development.

M07Planned

California hospice licensing and regulatory updates

Track CDPH All Facilities Letters and emergency regulations, separate hospice-agency obligations from facility collaboration, and update affected training.

Domain N

Training leadership and improvement

4 topics

N01Planned

Facilitation and teach-back

Lead a short huddle and check understanding without shaming learners or reading slides aloud.

N02Planned

Observed competency

Use a task-specific rubric and record what was actually observed, by whom and under what conditions.

N03Planned

Sources updates and translations

Review a claim, detect supersession, maintain version parity and route a correction.

N04Planned

Learning effectiveness

Compare scenario performance, delayed recall and supervised application; decide whether the problem needs training or an operational fix.

Domain O

Behavioral health and crisis support

4 topics

O01Planned

Behavioral-health change recognition

Observe concerning changes, preserve dignity and use the approved escalation path without diagnosing.

O02Planned

Suicide and self-harm response

Recognize warning signs, maintain immediate safety and access emergency or crisis support through the site procedure.

O03Planned

Substance use overdose and naloxone awareness

Recognize possible overdose, activate emergency response and obtain role-appropriate naloxone training where authorized.

O04Planned

Crisis handoff and follow-through

Communicate observed risk, actions, contacts and unresolved needs through an approved closed-loop handoff.

Build rule

Every published course must earn the word "training"

Confirmed learner need and role-specific objective
Current primary sources with scope and effective dates
Qualified review and visible limitations
Decision practice with explanatory feedback
Assessment matched to the objective
Job aid, workplace transfer or observed practice where needed
Version, next review and correction path