Frequently Asked Questions

What is CBRF training?

CBRF (Community-Based Residential Facility) training is a specialized program required for caregivers, staff, and administrators working in Wisconsin’s assisted living facilities. It ensures they have the knowledge and skills to provide safe, effective care while complying with state regulations. This training promotes the health and well-being of residents by focusing on essential areas such as:

• Infection Control: Preventing the spread of diseases through standard precautions.
• Emergency Response: Preparing staff to handle fires, choking incidents, and other emergencies.
• Medication Administration: Teaching safe practices for administering and documenting medications.

CBRF training is designed to address the unique needs of assisted living environments, including supporting residents with varying levels of independence and medical needs. Whether you're a direct caregiver, a healthcare professional, or part of the support staff, the training provides role-specific skills to enhance overall facility safety and compliance.

It also opens up opportunities for career advancement in the growing field of assisted living care, ensuring all staff contribute to a supportive and secure environment.

Who Needs CBRF Training?

CBRF training is required for anyone working in or seeking employment at a Community-Based Residential Facility (CBRF), group home, adult family home, or other assisted living facility in Wisconsin. This includes Direct Support Professionals (DSPs), caregivers, healthcare professionals, support staff, and management. The training ensures that all roles are equipped with the skills needed to maintain a safe, compliant, and supportive environment for residents.

Requirements for Different Roles

Training requirements vary depending on the role, with specific courses tailored to meet the responsibilities of DSPs, caregivers, healthcare professionals, support staff, and management. Each role plays a crucial part in ensuring resident safety and regulatory compliance.

1. Directors, Facility Owners, Administrators, and Supervisors

   These roles are responsible for overseeing facility operations and ensuring compliance with state regulations. They are typically required to complete:

   • Fire Safety
   • Standard Precautions
   • First Aid and Choking

   If they oversee medication administration, they must also complete the Medication Administration training to ensure proper delegation and effective oversight.

2. Certified Nursing Assistants (CNAs) may already have training in areas such as infection control and basic caregiving skills, but they are still required to complete CBRF-specific training for:

   • Fire Safety
   • Medication Administration

   CNAs are exempt from Standard Precautions and First Aid and Choking because their CNA training covers these topics.

3. Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) are generally exempt from certain CBRF training requirements due to their professional licensure and prior training.

   Required Training for RNs and LPNs:

   • Fire Safety: Understanding fire prevention and emergency response specific to community-based residential facilities.
   • First Aid and Choking: While RNs and LPNs are trained in emergency response, they may still be required to complete this training to address scenarios unique to CBRF settings.

   Exemptions:

   • Medication Administration and Management: RNs and LPNs are typically exempt from this training, as their licensure includes comprehensive education in medication administration.
   • Standard Precautions: Their professional training covers infection control practices, making this additional training unnecessary.

   These exemptions are outlined in the Wisconsin Administrative Code DHS 83.24(2), which states that practitioners, licensed pharmacists, registered nurses, or licensed practical nurses are exempt from certain training requirements specified in DHS 83.20(2)(a), (c), and (d), 83.21, and 83.22.

   It's important to note that while RNs and LPNs have extensive medical training, completing the Fire Safety and First Aid and Choking courses ensures they are familiar with the specific protocols and procedures unique to community-based residential facilities.

   For the most accurate and up-to-date information, it's advisable to consult the Wisconsin Department of Health Services or the Wisconsin Community-Based Care and Treatment Training Registry.

4. Support Staff (Cooks, Janitors, Drivers, etc.)

   Even if their roles do not involve direct resident care, support staff working in a CBRF are still required to complete:

   • Fire Safety
   • Standard Precautions

   This ensures that they can respond appropriately in emergencies and help prevent the spread of infection within the facility.

Why Everyone in a CBRF Needs Training

• Caregivers: Must be fully trained to provide direct care safely and effectively.
• Healthcare Professionals: Need to meet CBRF-specific requirements even if they have prior certifications.
• Support Staff: Play a vital role in maintaining a safe and compliant environment for residents.

By tailoring the training to each role, CBRFs can ensure all staff contribute to the safety and well-being of residents while complying with Wisconsin regulations.

What Are the Four Required CBRF Classes?

In Wisconsin, individuals working in Community-Based Residential Facilities (CBRFs) are required to complete training tailored to their roles. Most staff must complete the foundational courses: Standard Precautions, Fire Safety, Medication Administration, and First Aid and Choking, within specific timeframes to comply with state regulations.

Additionally, Wisconsin law mandates that administrators and direct care staff complete 15 hours of continuing education annually. This ensures that staff stay informed on best practices, regulatory updates, and advancements in resident care, helping facilities maintain a safe and compliant environment.

1. Standard Precautions
   • Description: This class focuses on infection control practices to prevent the spread of illnesses and protect both residents and staff. Topics include proper hand hygiene, use of personal protective equipment (PPE), and safe handling of infectious materials.
   • Completion Requirement: Must be completed before working with residents to ensure safety from day one.
2. Fire Safety
   • Description: Fire Safety training prepares staff to recognize fire hazards, follow evacuation plans, and use fire extinguishers effectively. It ensures staff can respond quickly and appropriately during a fire emergency.
   • Completion Requirement: Must be completed within 90 days of hire, but it is highly recommended before working the floor.
3. Medication Administration
   • Description: This course covers safe handling, documentation, and administration of medications, including recognizing medication errors and understanding different drug forms.
   • Completion Requirement: Must be completed before administering medications to residents.
4. First Aid and Choking
   • Description: First Aid and Choking training provides essential skills to respond to common injuries and choking incidents. Participants learn how to recognize and address these emergencies quickly and effectively.
   • Completion Requirement: Must be completed within 90 days of hire, though earlier completion is encouraged for direct caregivers.

Why Are These Classes Important?

The four required CBRF classes ensure that all staff, regardless of their role, have the essential skills and knowledge to protect residents and maintain a safe, compliant environment. Completing these courses within the required timeframes is critical for meeting Wisconsin’s regulatory standards and fostering a culture of safety in assisted living facilities.

These classes are mandated by the Wisconsin Department of Health Services under DHS 83.20 and 83.21. For more information, refer to the Wisconsin Administrative Code Chapter DHS 83 or visit the Wisconsin DHS website.

Is CBRF training required by law?

Yes, Wisconsin law mandates that all Community-Based Residential Facility (CBRF) employees complete specific training to ensure the safety and well-being of residents. These requirements, outlined in the Wisconsin Administrative Code DHS 83, equip staff with the necessary skills to handle emergencies, prevent infection, and provide proper care in assisted living environments.

Facility administrators and supervisors are responsible for conducting regular audits to ensure all staff have completed the required training and that proper procedures are consistently followed. Additionally, the Wisconsin Department of Health Services (DHS) may conduct unannounced visits to verify that the facility is compliant with state regulations. These inspections ensure that staff training and facility operations meet the required standards, reinforcing a safe and compliant environment for residents.

How and where are CBRF classes conducted?

Cyndee CBRF Training, LLC primarily offers CBRF training exclusively online for Wisconsin residents through live, instructor-led sessions conducted via Zoom. Classes are held in real time, requiring mandatory attendance for all scheduled hours to ensure active engagement and compliance with state regulations.

To participate in our online classes, students must have a device with internet access, a functioning camera (turned on), and a microphone to actively and visibly engage in the sessions, in accordance with University of Wisconsin-Green Bay training standards.

Our online classes are conducted with the same level of interaction and professionalism as traditional in-person sessions. Participants are expected to adhere to our class conduct standards, which include active participation, punctuality, and maintaining a professional learning environment. For detailed information on class expectations and requirements, please refer to our Terms of Use.

We actively participate in career fairs and community outreach events, both in-person and online, to promote caregiver education and training opportunities.

While our primary focus is delivering high-quality online training, we may consider in-person sessions for facilities with large groups under special circumstances. Employers interested in such arrangements can contact us to discuss potential opportunities, keeping in mind that availability is limited due to our commitment to personalized instruction.

How long does CBRF training take?

The duration of CBRF training varies by course:

• Standard Precautions: 2 hours
• First Aid and Choking: 4 hours
• Fire Safety: 3 hours
• Medication Administration: 14 hours, conducted over 2 consecutive days

In total, completing all four courses requires approximately 23 hours of training.

During these sessions, the instructor will announce break times to ensure participants have opportunities to rest and maintain focus. For the Medication Administration course, scheduled over two consecutive days, lunch breaks will be provided each day to accommodate participants.

For detailed schedules and available class times, please visit our CBRF Certification Classes page.

Can I take all four classes in one day?

At Cyndee CBRF Training, LLC, we offer flexible scheduling to accommodate your individual needs and job requirements. You have the option to select class days and times that best fit your schedule. Our courses can be spread out over multiple days, or, depending on availability, you may choose to take multiple classes in a single day. For example, it's possible to enroll in Fire Safety, Standard Precautions, and First Aid and Choking all on the same day, subject to scheduling.

Please note that the Medication Administration course is conducted over two consecutive days to ensure comprehensive coverage of the material. We do not schedule other classes on the same days as the Medication Administration course to maintain focus and quality.

To explore available class times and customize your training schedule, please visit our CBRF Certification Classes page.

How much does CBRF training cost?

At Cyndee CBRF Training, LLC, we offer the following pricing for our CBRF Certification Classes:

• Medication Administration: $250
• Standard Precautions: $100
• Fire Safety: $100
• First Aid and Choking: $100

For added value, you can purchase all four primary courses together for $450, saving $100.

Please note that all classes are instructor-led and held online in real time, so attendance is mandatory for all scheduled hours.

To participate, students must use a device with internet access, a functioning camera (turned on), and a microphone to actively and visibly engage in online classes.

For more information and to register, please visit our CBRF Certification Classes page.

Prices are subject to change without prior notice.

Are there payment plans or financial assistance available?

At Cyndee CBRF Training, LLC, we strive to make our training programs accessible and affordable. While we do not offer internal payment plans or financial assistance, there are several avenues you can explore to help cover the costs of your training:

• Employer Sponsorship: Many healthcare employers are willing to invest in their staff's professional development. We recommend discussing with your current or prospective employer the possibility of them covering all or part of your training expenses.
• Educational Institutions: If you are currently enrolled in a school or educational program, reach out to your guidance counselor or program advisor. Some institutions offer tuition assistance or scholarships for professional certifications.
• Wisconsin Department of Workforce Development - Division of Vocational Rehabilitation (DVR): If you have a disability, you may be eligible for counseling and financial assistance through DVR. We are a recognized provider for this department. You can contact your local DVR office to inquire about eligibility and the types of support available.

We encourage you to explore these resources to find the best financial support for your training needs.

How long is CBRF certification valid?

CBRF (Community-Based Residential Facility) certifications typically do not expire. However, there are important factors to consider regarding ongoing training and continuing education:

Continuing Education and Ongoing Training

While CBRF certifications don’t expire, Wisconsin regulations and most employers require caregivers to complete continuing education or ongoing training. This ensures that caregivers remain informed about updates in care standards, safety protocols, and legal requirements. Examples include:

• Fire Safety training refreshers
• Updates to Medication Administration procedures
• First Aid/CPR/AED certifications, which often have their own expiration timelines

Best Practices

• Keep your training records in a secure and accessible place.
• Regularly verify with your employer what ongoing training or documentation they require.
• If you are unsure about your certification status, you can check the Wisconsin CBRF Training Registry or contact your original training provider.

Why Might I Need to Retake a Class?

1. Employer Requirements

   While the certification itself doesn’t expire, employers may require periodic retraining to ensure staff members are up-to-date with the latest practices, regulations, and safety protocols. For example:

   • Standard Precautions training may need to be renewed annually or biannually to comply with updated infection control guidelines.
   • Employers might mandate retraining if you switch jobs or if your previous training documentation is incomplete or outdated.
   • Medication Errors: If you make medication administration errors, employers may require you to retake the Medication Administration course as part of disciplinary action or to reinforce proper procedures.
2. Lost Records or Documentation

   If your certification records are lost or cannot be verified, you may need to retake the class to provide proof of training.

3. Returning to the Field

   If you've been out of the caregiving or healthcare field for an extended period, employers may require you to retake specific training to refresh your skills.

4. Registry Requirements

   If you completed your CBRF training before April 2010, your records may not be listed in the Wisconsin state registry, as the registry did not exist prior to that time. Employers who rely on the registry for verification may ask you to:

   • Provide any original documentation from your training (e.g., certificates or proof of attendance).
   • Retake the class if no verifiable proof can be provided.

Where Can I Work with a CBRF Certification?

With a CBRF (Community-Based Residential Facility) certification, you can pursue employment in various care settings that serve individuals needing assistance with daily living tasks, medication management, or specialized care. Common workplaces include:

1. Assisted Living Facilities (ALFs)

   Assisted living facilities provide a supportive environment for individuals who can maintain some level of independence but require help with activities such as bathing, dressing, meal preparation, or medication administration. These facilities often cater to seniors, individuals with disabilities, or those recovering from medical procedures.

2. Group Homes (GHs)

   Group homes are residential settings that offer care and supervision for individuals with developmental disabilities, mental health challenges, or physical disabilities. As a caregiver in a group home, you might assist residents with daily living tasks, encourage social engagement, and support them in achieving personal goals.

3. Memory Care Units (MCUs)

   Memory care units specialize in caring for individuals with Alzheimer’s disease or other forms of dementia. Your CBRF certification prepares you to handle specific challenges associated with memory care, such as providing a safe and structured environment, managing challenging behaviors, and fostering a sense of familiarity and comfort for residents.

4. Adult Family Homes (AFHs)

   These smaller, more personalized settings typically house 2-4 residents and provide care tailored to their specific needs. Caregivers in adult family homes often develop close relationships with residents and handle a wide range of responsibilities, from meal preparation to administering medications.

5. Rehabilitation and Respite Care Centers (RRCs)

   These centers provide temporary care for individuals recovering from surgery, illness, or injury, or offer relief to family caregivers. With CBRF certification, you may assist clients with rehabilitation exercises, monitor their recovery progress, and provide general support during their stay.

6. Specialized Residential Care Facilities (SRCFs)

   These facilities cater to individuals with unique medical, behavioral, or developmental needs, offering a structured and therapeutic environment. Examples include facilities for individuals with traumatic brain injuries, behavioral disorders, or chronic illnesses.

7. Hospice Care Settings (HCS)

   In hospice care, you provide comfort and support to individuals in the final stages of life. Your CBRF training equips you to assist with personal care, pain management, and emotional support for both the patient and their family.

Can I Work in a Nursing Home with a CBRF Certification?

While a CBRF certification is highly valuable for roles in assisted living facilities, group homes, and other residential care settings, it does not typically qualify you to work in a nursing home.

Nursing homes (also known as skilled nursing facilities or SNFs) provide a higher level of medical care, often requiring employees to hold a Certified Nursing Assistant (CNA) license. CNAs are trained specifically in providing direct medical care, such as taking vital signs, assisting with medical procedures, and working under the supervision of registered nurses (RNs) or licensed practical nurses (LPNs).

However, your CBRF certification could serve as a foundation if you decide to pursue CNA training, as many skills, such as assisting with personal care and understanding resident rights, overlap between the two roles.

Will my CBRF certification be recognized in other states?

While a CBRF (Community-Based Residential Facility) certification is specific to Wisconsin, other states offer equivalent certifications and roles under different titles and requirements. Some states may recognize comparable certifications, while others may require additional training to meet their specific standards. If you’re considering working outside Wisconsin, be sure to research the state’s requirements to ensure compliance and determine whether further certification or training is needed. Here's an overview of similar positions across different states:

1. Certified Nursing Assistant (CNA):

   • Applicable States: All U.S. states recognize and employ CNAs.
   • Role Overview: CNAs provide basic patient care under the supervision of nursing staff, assisting with activities of daily living and monitoring vital signs.
   • Training Requirements: Each state mandates specific training programs and certification exams for CNAs.

2. Home Health Aide (HHA):

   • Applicable States: All U.S. states employ HHAs, though specific titles and requirements may vary.
   • Role Overview: HHAs assist patients in their homes with daily living activities, including personal hygiene, meal preparation, and light housekeeping.
   • Training Requirements: Certification requirements differ by state; some require formal training programs, while others offer on-the-job training.

3. Personal Care Assistant (PCA):

   • Applicable States: Many states, including Minnesota, New York, and Virginia, employ PCAs.
   • Role Overview: PCAs support individuals with disabilities or chronic illnesses in performing daily activities, promoting independence and quality of life.
   • Training Requirements: Certification and training requirements vary by state; some states require completion of a state-approved training program.

4. Direct Support Professional (DSP):

   • Applicable States: States like California, New York, and Ohio employ DSPs.
   • Role Overview: DSPs work with individuals with developmental or intellectual disabilities, assisting them in leading independent lives and integrating into the community.
   • Training Requirements: Training and certification requirements vary by state; some states offer specialized training programs for DSPs.

5. Assisted Living Caregiver:

   • Applicable States: States such as Arizona, Florida, and Texas have roles for Assisted Living Caregivers.
   • Role Overview: Caregivers in assisted living facilities provide support with daily activities, medication management, and coordinate with healthcare providers.
   • Training Requirements: Specific training and certification requirements differ by state; some states require completion of state-approved caregiver training programs.

Important Considerations:

• State-Specific Requirements: Each state has its own regulations and training requirements for these roles. It's essential to research and comply with the specific standards of the state where you intend to work.
• Licensing Boards: Contact the state's health department or relevant licensing board for detailed information on certification requirements and approved training programs.
• Continuing Education: Many states require ongoing education to maintain certification. Ensure you're aware of and comply with these requirements to keep your certification active.

For more detailed information on equivalent certifications and training programs, you can explore state-specific requirements through local health departments or training providers. If you're considering CBRF training, start by reviewing the options and resources available directly on our website to ensure you meet the necessary standards for your desired role.