When to Apply
Before applying for a Delaware Nursing Home Administrator (NHA) license, you must complete an Administrator-In-Training (AIT) program approved by the Delaware Board of Examiners of Nursing Home Administrators when either of the following conditions applies:
- You do not hold a current NHA license in another jurisdiction, or
- You hold a current NHA license in another jurisdiction but the Board has determined that you do not qualify for licensure by reciprocity.
For information about programs approved by the Delaware Board, click Courses of Study Approved for Licensure.
To apply for approval of an AIT program, you must meet one of the following requirements:
- You must have a post-secondary degree in any field, or
- You must hold a current Delaware Registered Nurse (RN) license.
Requirements for All Applicants
- Submit completed, signed and notarized Application for Approval of Administrator-in-Training Program.
- Enclose the non-refundable processing fee by check or money order made payable to the “State of Delaware.”
- Arrange for the Board office to receive an official transcript showing your associates, baccalaureate or graduate degree, sent directly from the college/university to the Board office.
- If you have ever held a NHA license in another jurisdiction (state, U.S. territory or District of Columbia) , arrange for the Board office to receive license verifications from each jurisdiction where you now hold, or have ever held, an NHA license, sent directly from the jurisdiction to the Board office,
- Complete the Criminal History Record Check Authorization form to request State of Delaware and Federal Bureau of Investigation criminal background checks. Follow the instructions on the authorization form to arrange to be fingerprinted. You must meet this requirement even if you previously had a criminal background check done for some other reason.
- If you have never been issued a U.S. Social Security Number (SSN), submit a Request for Exemption from Social Security Number Requirement .
- Enclose a resume or separate page with your application thoroughly describing your
occupational background. The document must list all post-degree positions you have held, starting with your current position. All time must be accounted for. If you have been involved in an academic residency or internship or in a Board-approved AIT program, include the following information:
- dates of employment
- title of position
- name and address of employer or organization
- employer/organization telephone number and email
- Enclose a resume or separate page with your application thoroughly describing all past
that you acquired in a residential facility providing protective, preventive and personal care services performed by qualified personnel. (Personal care refers to the general supervision of and direct assistance to individuals in their activities of daily living.)
- Your experience must include:
- administration of services to more than one person,
- administrative services which have (or had) as a major component the supervision of more than one profession or discipline,
- administrative positions in which you have (or had) direct responsibility for and are (were) held accountable for your own acts.
- Describe your duties and responsibilities for the time periods when you supervised more than one profession or discipline. Include the dates and number of hours as well as the kinds of employees. Also, list the dates and hours for which you have served as acting administrator in the absence of the duly appointed administrator.
- Your experience must include:
You may request approval of your preceptor(s) and program at the same time as you submit your application or later. However, the Board must approve both preceptor(s) and your program outline before you begin the AIT program.
Requesting Approval of AIT Preceptor
The Board must approve your preceptor(s). You may have one preceptor for both the Assisted Living (AL) and Skilled Nursing Facility (SNF) portions of your program or two preceptors, a separate one for AL and SNF.
Each preceptor must:
- hold a current Delaware NHA license, and
- have been licensed as an NHA in Delaware or other jurisdiction for the preceding two-year period.
For information about their responsibilities, preceptors should refer to Preceptor Responsibilities.
Arrange for each person seeking to become your preceptor to submit a letter to the Board requesting approval. The letter must:
- be on letterhead of the facility/organization
- provide the preceptor’s NHA license number
- request approval to serve as preceptor for the AIT applicant
- specify whether the preceptor will be serving as an Assisted Living ( AL) preceptor, Skilled Nursing Facility (SNF) preceptor, or both.
- state in which facility the training will occur
- outline the specific functions and responsibilities that you will perform.
Requesting Approval of AIT Outline
Either you, as the AIT applicant, or your preceptor must submit an outline listing the training to be covered in the AIT program. See Addendum A to the Rules and Regulations. Note that the Board will not accept a photocopy of Addendum A as a substitute for an outline. Follow these guidelines when submitting the outline:
- The outline must state whether it is for the AL or SNF portion of the program or for both portions.
- The outline should be broken down week by week, e.g., Week 1, Week 2, Week 3, etc. Do not include dates on the outline submitted for Board approval because you cannot begin an AIT program until the Board has approved both preceptor(s) and outline.
- The length of your AIT program depends on your education. This table shows how the Board determines the timeframe of your AIT outline:
IF you have a(n)…
THEN the Board may approve you for a…
AND you should submit a…
baccalaureate or graduate degree in Health and Human Services, Hospital Administration, Nursing or Business Administration
baccalaureate or graduate degree in any field other than Health & Human Services, Hospital Administration, Nursing or Business Administration
associates degree in any field or a current Delaware Registered Nurse license
Filing Progress and Final Reports
Beginning with the date the Board approves your preceptor(s) and outline, you and your preceptor are responsible for filing an Administrator-in-Training Progress Report form every three months until the end of the program. For example, if the Board approves you for a 36-week program on April 15th, you must submit a progress report for the following periods:
- April 15 – July 14
- July 15 – October 14
- October 15 – January 14
Each progress report must include a full three-month period. Do not submit reports before the end of the reporting period, regardless of when the next Board meeting is scheduled. Preceptors must initial and date each item on your progress report as it is completed. The use of arrows or “ditto marks” are not acceptable. Progress reports must be signed and dated by the AIT, preceptors (as applicable) and supervisors (as applicable).
At the conclusion of your approved program period, your preceptor(s) must submit a letter to the Board stating that you have successfully completed your AIT program.
Requests for Extensions and/or Change in Preceptor
It is strongly advised that your training outline continue uninterrupted if at all possible. However, if an unforeseen extenuating circumstance (such as hospitalization or family death) occurs during your AIT program, you may submit a written request to extend your training period and/or change your preceptor to the Board. The Board may require you to submit supporting documentation. If there is a substantial loss of time during your training, regardless of the reason, the Board may require you to repeat your AIT program in its entirety. (Note that personal vacations are not extenuating circumstances.)
What Happens When You Successfully Complete the AIT
When all of your preceptors confirm that you have successfully completed your Delaware AIT Program, the Board will approve you to sit for the NAB Examination. The Board office will notify you when you have been approved and explain how to register. When you register to take the exam, make sure that you request NAB to send your results to the Board office.
You must file an Application for Nursing Home Administrator Licensure in order to be considered for permanent licensure. You may file the application before or after you pass the examination, but your application will not be considered until you have passed the examination.