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Revised 12/29/18
IBHE PBVS Enrollment Agreement Requirements “Enrollment Agreement” means any agreement or instrument, however named, that creates or evidences an obligation binding a student to purchase a program of study or course offering from a school.
- A copy of the Enrollment Agreement must be provided to the Board. Enrollment Agreements may be
used by schools only if approved by the Board. The Board shall develop a standard Enrollment
Agreement for use by schools approved or seeking approval under this Act. Schools may create an Enrollment Agreement that meets the minimum requirements of this Section, but it must be approved by
the Board prior to implementation and may not be altered at any time. Proposed changes to a school-
created Enrollment Agreement will only be considered by IBHE during the annual and five year review
processes. The IBHE Sample Enrollment Agreement may be adopted at any time. New or changed
Enrollment Agreements may only be used for new students or continuing students enrolling in a new
program; new or changed Enrollment Agreements cannot be retroactively applied to students previously enrolled therefore requiring these students to remain bound to their original Enrollment Agreement.
- The student must be given a copy of the Enrollment Agreement at the time the student signs that
agreement and at the time of the agreement’s acceptance, if those events occur at different times. The
school shall retain a signed copy of the fully executed Enrollment Agreement as a part of the student’s permanent record.
- Enrollment Agreements shall provide consumer information including, but not limited to: an explanation
of all criteria requirements for retention, progress towards credential, and completion by the student; the
institution’s tuition, cancellation and refund policies; and a statement of purpose and amount of any fees assessed.
o More specifically, the Enrollment Agreement shall include, at a minimum: an accurate
description of the program, or course offering, and all program requirements such as prerequisite
courses, program objectives, and length of program; a clear description of all costs, including a
schedule of tuition, fees, and all other charges and expenses necessary for completion of the
course of study such as training and incidentals; the institution’s financial aid policies and practices; policy on refunds; reference to the disclosure information required by the Act and such
other material facts concerning the institution and the program or course of instruction as are
likely to affect the decision of the student to enroll; and the Board’s Internet website, and the
address and phone number of the Board for students to report complaints.
o Although the school may use an Enrollment Agreement that sets forth the total cost of the program, no school may have a tuition policy or Enrollment Agreement that:
a. requires that a student register for more than a single semester, quarter, term, or other
such period of enrollment as a condition of the enrollment, or
b. charges a student for multiple periods of enrollment prior to completion of the single
semester, quarter, term or other period of enrollment.
- Institutional Enrollment Agreements are prohibited from including any clauses that limit or waive
students’ rights to initiate or participate in class action lawsuits against said institution.
o No institution shall enter into any Enrollment Agreement in which the student waives the right to
assert against the school or any assignee any claim or defense he or she may have against the
school arising under the agreement. Any provisions in an Enrollment Agreement wherein the student agrees to such a waiver shall be rendered void.
- All schools receiving HEA Title IV funds from the federal government are also required to include
Gainful Employment disclosures, which can be seen by visiting the following websites:
o http://ifap.ed.gov/GainfulEmploymentInfo/2011GEFAQ.html#D-Q7
o https://www.federalregister.gov/articles/2011/06/13/2011-13905/program-integrity-gainful-employment-debt-measures
Revised 12/29/18
Carepaks Health Services Inc. 209 Susan Dr
Normal, IL 61761 Phone: 309-454-1000
Fax: 309-454-5000 Web Site: Carepakshs.com
E-mail: [email protected]
ENROLLMENT AGREEMENT
STUDENT INFORMATION
STUDENT NAME: _______________________________________________________
ADDRESS: _____________________________________________________________
CITY/STATE/ZIP: _______________________________________________________
PHONE NUMBERS: H) _______________ C) _______________ W) _______________
E-MAIL ADDRESS: ______________________________________________________
SOCIAL SECURITY #: _______________________________ STUDENT ID #: _______________
EMERGENCY CONTACT: _________________________________________________
RELATIONSHIP: _____________________________________ TELEPHONE #: _______________
PROGRAM INFORMATION
DATE OF ADMISSION: _____/_____/_____
PROGRAM / COURSE NAME: Basic Nursing Assistant Training Program
PROGRAM START DATE: ____________ SCHEDULED END DATE: ____________
DAY CLASS EVENING CLASS
DAYS/EVENINGS CLASS MEETS: (circle) M T W Th F
TIME CLASS BEGINS: __________ TIME CLASS ENDS: __________
NUMBER OF WEEKS: 6 TOTAL CLOCK HOURS: 171.5
:
Revised 12/29/18
Course Description This is a six week course in which the student will study the principles and procedures to be used by the nursing assistant in long term care, home health, and hospital settings. The focus is on basic bedside nursing care, teaching 21 basic nursing skills, residents’ rights, ethics, abuse and neglect, infection control, Alzheimer’s training and CPR. The successful student will have a basic knowledge of human
anatomy as well as how to apply this in the clinical setting. Upon successful completion of the program the student will receive a certificate of completion and will have met the requirements to register to take the IDPH (Illinois Department of Public Health) state competency exam. The state approved Certified Nursing Assistant Training Program: The program is intended to meet the
Illinois state requirements for Nursing Assistant certification and to prepare the student to take the Illinois Nurse Aid Competency Exam. This program also meets the requirements of the Nursing programs and other related healthcare fields. Skills include all elements of personal care, body mechanics, safety measures, resident rights, infection
control, communication, and observation. Also includes the care of a person with Alzheimer’s disease or related dementias. The course offers learning experiences in the classroom/lab setting and the long term care clinical setting. The IDPH program model will be utilized as a guide for this course. The student will also receive a signed certificate indicating successful completion of the program.
Philosophy: The expected goal of the Carepaks Health Services Basic Nursing Assistant Program is that the student will be a valued part of the health care team, meeting the needs of the health care consumer with a qualified and informed manner. The learning experience is a step toward continual growth and development of the total person and is
intended to stimulate desire and need for lifelong learning. The teaching process is a shared responsibility of the instructor and the student. The role of the instructor is to provide meaningful learning experiences in a suitable learning environment. The role of the student is to assume responsibility for his/her own learning and to recognize and accept that the level
of achievement is contingent upon individual ability and motivation.
Philosophy of Patient/Resident Care: The patients/residents will have their medical and nursing needs met to the best of the health team’s ability with regards to medical asepsis, patient/residents rights, and safety. The main emphasis is placed
on the quality of life regardless of race, sex, color, or creed. The dignity and worth of each patient/resident is to be preserved in regards to promotion of independence to the best of the patients/residents ability, comfort, and contentment with themselves, their surroundings, and the people with whom they spend their days.
PREREQUISITE & OTHER REQUIREMENTS FOR ADMISSION TO PROGRAM :
Prerequisite: Must be 16 years of age or older, if less than 18 must have parent signature - Provide copy of state ID and Social Security Number - Complete physical and 2-step or T-spot TB skin test prior to first day of clinical (physical must
state:”No Restrictions”)
- English comprehension test (for those students that have English as a second language it is highly recommended that the student has a college level of English comprehension to optimize successful completion of the program)
Revised 12/29/18
- Acceptable fingerprint background check. Students must see instructor before or during
orientation if student has ever been arreste d for anything! The instructor will have a list of
unacceptable convictions that will prevent students from being able to work in healthcare or related fields. The ‘Health Care Worker Background Check Act’ requires an acceptable criminal background check before being added to nurse Aide Registry in Illinois. The host clinical site also requires a clean background check before allowing students to perform clinical in their facility.
- A student missing a scheduled appointment for the Fingerprint Criminal Background check is
responsible for immediately informing the instructor so that a rescheduled appointment may be
made as soon as possible. Time must be allowed for the Background check to come back without
any infractions before start of clinical. Students who do not complete this requirement are not
allowed to attend clinical.
C.P.R. Certification: in compliance with IDPH guidelines and Carepaks requirements for CPR certification, each student will attend a scheduled CPR class regardless of current CPR certification.
Each student must pass a written exam and performance evaluation. Failure to attend a scheduled CPR class will constitute an absence from the theory portion of the class. The student MUST make up the CPR class by the end of the course. If a student is unable to attend the scheduled CPR class during the course it will be the students responsibility to successfully complete a privately offered CPR class and
submit proof to the instructor by the last day of class. This option must be approved by the CNA instructor.
Supplies Used or Required for Class/Clinical Textbook with corresponding workbook will be issued to each student at orientation. The fee for all
textbook materials is included in the program fees.. (Textbook materials will be ordered and updated according to need and availability) The student must dress with regards to medical asepsis, safety, and use all guidelines pertaining to safety, infection control, and resident/patient rights in the clinical setting.
Students are required to purchase a scrub uniform consisting of brown top, white scrub pants and white shoes , gait belt, watch with second hand, and note pad for clinical.
PROGRAM / COURSE OBJECTIVES:
Learning Objectives Upon completion of the course, the student will be able to: - Identify the role of the Certified Nursing Assistant as a member of the health care team - Recognize the legal and ethical responsibilities of the Certified Nursing Assistant. - Apply principles of infection control in the healthcare setting.
- Demonstrate the ability to perform nursing assistant skills in a safe manner according to IDPH established criteria. - Demonstrate the ability to meet patient/resident’s basic needs with empathy and caring.
Course Requirements - Theory: The theory portion of Carepaks program is 94 hours total. The student must pass the theory portion with a score of 80% or above to satisfy the requirements of IDPH and the program. - Lab: Successful completion of certain lab skills are necessary prior to performing on the clinical floor.
Revised 12/29/18
- Clinical: A minimum of 40 hours are required by IDPH to satisfy this portion of the program. The clinical portion of Carepaks program is 42 hours total. The clinical experience utilizes the classroom
concepts and the lab skills. These skills will be performed under the supervision of the clinical instructor. The clinical portion is Pass/Fail and is graded separately from the theory portion. Any missed time from on-site clinical must be made up hour for hour with the clinical instructor at a designated clinical site at a later date. This may result in additional fees.
A 2-step or T-spot TB test and Physical exam are required to be done and on file prior to the start of clinical. The student must complete the minimum required hours of this program to satisfy the IDPH requirement to take the State Exam. If, due to unforeseen circumstances, the student is not able to complete the
required hours of this program in the six week time allotment, the student has, according to IDPH Administrative rules, 120 days from the first day of class to make up the required time and sit for the State Exam. This 120 days will also include a 30 day lag time from the registration date, to the date of actual test. Postmark dates and testing dates, along with more information may be found by going to the
Illinois Nurse Aide Testing website:
www.nurseaidetesting.com
Theory Class Requirements Each student enrolled in the CNA program is accountable for their individual behavior and is expected
to respect each other and the instructor by acting in a mature manner that reflects honesty, integrity,
courtesy, and responsibility. Any behavior on the student’s part that makes learning difficult for
themselves or other classmates will not be allowed. Such behaviors include but are not limited to the
following:
- Talking while the instructor is presenting educational material
- Sleeping in class
- Using cell phones during class
- Engaging in inappropriate or argumentative behavior
- Excessive tardiness or absenteeism
- Falsification of any document required by IDPH
- Attending any class while under the influence of any substance.
- Acts of lying or theft
- A student exhibiting behavior that hinders the learning process may be asked to leave the
classroom and the situation will be brought to the attention of the CNA program coordinator
- Pets are not allowed on CarePaks premises or clinical premises at any time for any reason. Do
not bring pets and leave them in the car.
- Students are not allowed to bring children with them to class
- No solicitation allowed during class or clinical time.
- Instructors will take reasonable measures to facilitate student success in the Certified Nursing Assistant course. Each student will be evaluated on classroom and lab performance weekly, and after each clinical session. The student is to abide by the Professional Conduct Policy, all
objectives, all requirements, and all stated policies specific to the clinical facility. When delivering cares the student must act with regard to safety, medical asepsis, and resident/patient rights.
- Whenever a student’s performance has been deemed unsatisfactory or unacceptable, the
instructor will promptly discuss the identified deficiencies with the student. The warning about
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poor performance will be documented in the students evaluation form and the Performance Counseling process may be initiated.
- If the student’s performance warrants, the instructor will initiate the Performance Counseling process. The instructor will discuss the infractions that have occurred with the student, a
Performance Counseling form will be completed, and specific information will be given to the student to improve and correct behavior. The student may make comments to the form and must sign the form stating that it has been read.
-
Clinical Requirements - The clinical portion of the Basic Nurse Assistant course will be evaluated on a Pass/Fail basis
- Each student will be required to completely perform and pass the twenty-one (21)
Skills mandated by the Illinois Department of public Health (IDPH). The list of skills and guidelines are detailed further in the text materials.
- At each clinical session, the student will be evaluated on the ability to perform competently in
the clinical setting with regards to Safety, Medical Asepsis, and Patient/Residents Rights, and
the ability to apply theory knowledge.
- The student must abide by the objectives for the clinical setting and follow Carepaks Program
Policies and professional Conduct Policies at clinical sites.
- Whenever a student’s performance in the lab or clinical setting is deemed unsatisfactory or
unacceptable, the instructor will promptly discuss the deficiencies with the student and initiate
the Performance Counseling process.
- Failure to PASS this portion of the course will result in a failing grade for the entire course
regardless of the theory grade.
Professional Conduct Policy for Classroom and Clinical Socialization of students to appropriate professional conduct is a significant component of Carepaks CNA program. Students in the program are expected to be reliable and competent, exercise sound judgment, act with a high degree of personal integrity, represent Carepaks in a respectful manner, and
observe the rules and regulations of the clinical sites to which they are assigned. Students also have the responsibility to protect the welfare and safety of the residents/patients for whom services are being provided. In accordance with these expectations, when assigned to clinical sites, students in the program must
adhere to the following Policy for Professional Conduct; the policy includes but is not limited to the following: 1) Providing competent and reliable services and care to the Residents/Patients using sound judgment and discretion. Students are expected to:
a. be on time b. refrains from excessive absenteeism c. remain in assigned work areas, leaving only with permission d. not leaving patients unattended
2) Demonstrating respect and courtesy to patients and their families 3) Demonstrating respect and courtesy to instructors, supervisors, and all other members of the healthcare provider team at the site and in the classroom setting 4) Cooperating with faculty, staff and peers without insubordination
5) Providing care and/or services on a non-discriminatory basis
Revised 12/29/18
6) Performing only procedures and/or services authorized by instructors in accordance with accepted professional standards and scope of practice
7) Observing all rules and regulations of all clinical sites 8) Complying with the ethical/professional standards of the profession and the program including: a. proper use of equipment and other property b. not removing property of classroom or clinical facilities
c. not distributing or possessing or under the influence of illegal drugs or controlled substances d. not possessing or being under the influence of alcohol e. never taking prescription pads or writing prescriptions e. never falsifying documents regarding student performance or the care of patients
f. complying with drug testing (if it is suspected that a student may be under the influence, of drugs, Carepaks reserves the right to submit any student to a drug test if it is deemed necessary, and the cost incurred will be the responsibility of the student) 9) Maintaining confidentiality of patient information in accordance with recognized professional and
institutional rules without unauthorized release and /or misuse of patient information or institutional data 10) Maintaining proper dress, appearance, hygiene and decorum in accordance with the standards set by the program, clinical sites, and profession.
The following are examples of unprofessional behavior and misconduct at clinical sites and the classroom, which will result in disciplinary action, up to, and including dismissal from the Program; 1. Incompetence, neglect of duty, or poor performance of assigned duties 2. Excessive absenteeism
3. Failure to be at assigned clinical location or leaving an assigned clinical location without authorization 4. Theft or misuse of property 5. Verbal and /or physical altercations on site
6. Insubordination 7. Breach of Patient confidentiality 8. Harassment of a patient, instructor, staff, peers, or others while at the clinical site or in the classroom 9. Any other conduct or behavior detrimental to the program or clinical site
A Performance Counseling process will be initiated upon any violation. The penalty for violating the Professional Conduct Policy will be discipline up to and including dismissal from the Program. If the disciplinary action is dismissal from the Program, the student may appeal that disciplinary action
to the Carepaks Professional Review Board within 10 days of the discipline imposed. This appeal must be submitted in writing. The student will NOT be allowed to participate in the Program during the appeal process. The appeal will result in a conference before the Carepaks Professional Review Board within 10 days of the date the
appeal is filed. Both student and faculty involved in the disciplinary action may make an oral presentation to the Board in addition to written comments.
Confidentiality Policy The student must understand and agree to comply with the matters set forth by the HIPPA law and agree
that any breech thereof will result in disciplinary action up to and including termination from the program. The student has the responsibility to keep all information pertaining to Patients/residents that is learned as a Carepaks Student in the strictest confidence. It is agreed not to discuss/release any information obtained within the agency regarding any Carepaks
Health Service client, their medical record, or any patient/client’s condition with any individual not
Revised 12/29/18
directly associated with the clinical care or Carepaks Health Services nor with Carepaks students who are not directly associated with that patient/client. In addition, upon completing this program, The
student must agree to immediately return to the instructor all such confidential information, including, but not limited to:
Financial information
Patient/resident files or records
Test/exam materials
It is the policy of Carepaks Health Services that the internal and external business of this organization,
particularly confidential information, patient information and trade secrets, represent CarePaks assets and each student has a continuing obligation to protect.
Understanding Health Information Privacy
The HIPAA Privacy Rule provides federal protections for individually identifiable health
information held by covered entities and their business associates and gives patients an array of rights with respect to that information. At the same time, the Privacy Rule is
balanced so that it permits the disclosure of health information needed for patient care
and other important purposes.
The Security Rule specifies a series of administrative, physical, and technical
safeguards for covered entities and their business associates to use to assure the confidentiality, integrity, and availability of electronic protected health information.
More information may be found by going to the official Government website:
http://www.hhs.gov/ocr/privacy/index.html
Chemically Impaired CNA Student Policy/Procedures The Personnel at Carepaks Health Services have an ethical and professional responsibility to provide a safe and effective educational environment for students and patients who are receiving nursing care from students . The students are expected to participate in any learning experience, including classroom,
laboratory, clinical settings, and any other Carepaks sponsored functions free of any chemical impairment including withdrawal symptoms that impair the students functioning. Based on the assumption that addiction is an illness that can be successfully treated, Carepaks is committed to assisting students with recovery from substance abuse. In developing the policy and procedures for
intervening with a student who displays symptoms of substance abuse, Carepaks has adopted the following basic assumptions of the American Association of Colleges of Nursing Policy and Guidelines for Prevention and management of Substance Abuse In the Nursing Education Community (AACN 1992).
Carepaks Health Services, in developing this Policy, takes into consideration, and adheres to the following legal, ethical, professional, financial, and academic issues including:
Confidentiality of records and privacy (42USC Secs 290ee-3 and 290dd-3)
Anti-discrimination laws and agencies (American with Disabilities Act ADA (PL 101-336 ) 42
USC Sec.12101 et seq.
Drug Free Workplace Act of 1988 (41 USC Sec 701 et seq) that requires a drug free workplace
for recipients of federal funds
Revised 12/29/18
Safety laws (Occupational safety and Health Act, 29 USC sec. 651 et seq)
State Requirements:
Drug Free Workplace Act (30 ILCS 580)
IL Controlled Substance Act (720 ILCS 570)
Requirements of accrediting bodies, licensing agencies, and professional organizations
Law enforcement agencies
Policies of Carepaks clinical training and practice sites
Carepaks Classroom setting and individual liability
Carepaks Health Services adheres to the belief that: Substance abuse compromises both the educational process and patient safety and must be
addressed by the program faculty and administration.
Academic programs in nursing have a commitment to and a unique role in identifying abuse,
intervention, referral for treatment, and monitoring of recovering individuals
Addicted individuals need to recognize the consequences of their substance abuse
Addiction is a treatable illness, and rehabilitative and therapeutic approaches are effective in
facilitating recovery
Individuals with addictive illnesses should receive an opportunity for treatment in lieu of, or
before disciplinary action (dismissal)
Definitions Carepaks Health Services define the chemically impaired student as a person who, while in
the academic setting, or clinical setting, is under the influence of, or exhibiting withdrawal symptoms of,
or has abused, either separately or in combination, mind-altering substances including alcohol, over-the-
counter medications, prescribed medications, illegal drugs, inhalants, or synthetic designer drugs.
Chemical abuse is a disease process with physical, social, emotional, and spiritual aspects that can have either episodic or chronic presentations. Chemical abuse is a condition that can be treated successfully and that individuals can return to a productive level of functioning.
A student known to be chemically impaired places a legal and ethical burden on Carepaks faculty and Administration. Legal ramifications of a chemically impaired student are: injury to patients and potential malpractice, implicating the student, faculty, clinical agency, and educational institution. Carepaks has a responsibility to intervene when patient safety and clinical performance are
compromised by a student who is chemically impaired. When chemical impairment is suspected, Carepaks Procedure for Intervention with the Chemically Impaired CNA Student will be implemented.
The policy on the chemically impaired CNA student incorporates the following components: Prevention and education to Carepaks CNA students, faculty, and staff regarding substance
abuse and addiction.
Procedure for drug testing
Identification of suspected chemically impaired student
Intervention whereby the student is confronted with his/her reported behaviors and is asked to
seek evaluation of a possible substance abuse problem
Evaluation and referral for treatment
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Provisions for re-entry to Carepaks upon successful rehabilitation
Disciplinary procedure for a chemically impaired student who is unable or unwilling to be
rehabilitated.
Procedure for drug testing
Drug and breathalyzer testing may be conducted by a qualified laboratory. Cost associated with drug and breathalyzer testing is the responsibility of the student. The procedure for urine collection, as determined by the collection site, will involve a witness to the voiding of the urine sample, securable urine containers, and chain of custody procedures. The urine sample will be screened for drugs as identified.
Available evidence, including health history and witnessed behaviors will be used to determine the presence or absence of drug abuse. Carepaks will ensure the confidentiality of results by making the information available only to the student and appropriate Carepaks staff.
Procedures for Administration/Faculty Intervention with the Chemically Impaired CNA Student Carepaks prohibits the illegal possession, use, or distribution of drugs and/or alcohol by students on campus property, client’s homes, or any affiliated activity, including off-campus learning facilities such as clinical sites. Violators will be prosecuted in accordance with applicable laws and ordinances and will
be subject to disciplinary action by Carepaks.
Identification Identification of impairment possibly due to substance use will be based on a pattern of observable,
objective, quantifiable behaviors (e.g. alcohol on breath, slurred speech, motor incapacities, absenteeism, severe tremors, or other known symptoms identified that suggest impairment of an individual’s ability to meet standards of performance, competency, and safety in clinical sites, classroom, or client homes.
Indicators suggesting chemical impairment of a student’s ability to meet standards of performance, competency, and safety are to be gathered and documented. If impairment is observed, the student must submit to random drug testing as described in the section on Drug Testing Procedure.
Refusal of a student to submit to testing may result in disciplinary action, including dismissal from the CNA program. Carepaks Personnel who suspect a student of impairment are to notify the Program Director and the Nursing Director of the clinical site of their concern.
Faculty/Administration is advised to keep detailed, anecdotal notes that describe the events involving the student. If the student demonstrates impaired behaviors that compromise patient safety and or academic performance, the student is to be removed from the setting to discuss the behaviors observed and allow
the student to provide a verbal explanation. If symptoms or other indicators of impairment are observed, the student will be informed of Carepaks responsibility to dismiss a student who is physically or mentally unable to meet the standards of performance, competency, and safety. The student is to be relieved of further clinical/lab/classroom or
client responsibilities for the day. The student will be informed that she/he is suspected to be in violation of Carepaks Chemically Impaired policies. It will be the student’s responsibility to arrange safe transportation to the testing facility for drug testing at that same time. Refusal of a student to submit to immediate testing or any other requirement of this Chemically Impaired policy may result in disciplinary
action including dismissal. The Medical Professional Panel Drug Screens includes common street drugs, prescription drugs, and those drugs that health care workers have access to and abuse. Drugs monitored may include:
Revised 12/29/18
Alfentanil
Butorphanol (Stadol)
Fentanyl
Ketamine
MDMA (Ecstacy)
Nalbuphine (Nubain)
Sufentanil Tramadol
Alcohol
Amphetamines
Barbiturates
Benzodiazepines
Cannabinoids
Cocain
Methadone
Opiates
Phencycidine
Propoxyphene
Other drugs may also be detected
Evaluation The student will be required to undergo a comprehensive evaluation of chemical abuse status by an approved professional.
A copy of the full report along with the name and contact information of the professional evaluator will be submitted by the student for review by Carepaks Administration and faculty. Refusal to submit to a comprehensive chemical abuse evaluation may result in dismissal.
If the Professional assessment and testing is positive for substance abuse, the student may be denied the opportunity to complete the required classroom and clinical rotations for graduating the current CNA program.
Re-entry The student will be expected to provide written documentation of the course of specialized treatment together with the treatment center, Physician, Substance Abuse Counselor or Mental Health Counselor’s written assessment of the student’s ability to perform the academic/clinical requirements of the CNA
program for students.
Noncompliance/Relapse
If additional or continuing substance impairment occurs subsequent to the implementation of these procedures, Carepaks faculty and administrative personnel will recommend that the student be administratively dismissed from the CNA program.
Revised 12/29/18
The student will be subject to random drug testing while enrolled in the CNA program. A positive drug test/breathalyzer, or refusal to submit to testing may result in dismissal from the CNA program as
outlined in the Chemically Impaired Employee/CNA Student Policy/Procedures
CONSUMER INFORMATION
Disclosure Information
Carepaks Health Services is currently accredited by the Illinois Board of Higher Education and approved through the Illinois Department of Public Health’s Education and Training Section for the Basic Nursing Assistant Training Program (# 0863).
This is a Certificate Program with no transferability to other institutions. This is a prerequisite for most Nursing Programs and depends upon successful completion of this program and passing of the Illinois State exam for Certification.
A new 6 week CNA course is offered every 7 weeks throughout the year. The Illinois Department of public Health allows up to 20 students per course.
Carepaks Health Services is a private company and is not involved in the placement of students in the job market or institutions of higher learning such as colleges.
The number of students who were admitted in this program for the reporting period From July 1st,2016 to July 1st 2017 were 86
There were 7 total courses offered during that same reporting period.
18 students withdrew from the program during the reporting period
68 students completed the program with a passing grade.
68 students took the State examination for Certification with 57 students passing the State certification examination in that same reporting period.
20 students were placed in their field of study.
37 students continued on in a Nursing program or related field of study after satisfying the prerequisite of a CNA certification for that field of study.
Some healthcare employers will hire CNA Certification pending students, prior to the student actually taking and passing the State examination. The average starting wage
for CNA Pending is $9.00 per hour. This amount goes up after the student passes the State exam.
FINANCIAL AID
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Carepaks currently does not have any financial aid available but recognizes the need for some to
have the total cost for the program broken down into manageable payments.
TUITION & FEES
TUITION: $995.00
TEXTBOOKS: $85.00
ADMINISTRATIVE FEES $340.00
BACKGROUND CHECK $ 35.00
CPR CERTIFICATION $40.00 Certificate $5.00 TOTAL COST FOR CNA PROGRAM / COURSE: $ 1500.00 * All above mentioned costs are included in the program tuition and fees.
NON-REFUNDABLE REGISTRATION FEE: $460.00 (includes textbooks, admin fees ($270.00), and background check)
MISC. EXPENSES STUDENTS WILL BE RESPONSIBLE FOR: 2 STEP TB TEST varies
PHYSICAL EXAM varies TRAVEL EXPENSES TO AND FROM CLINICAL SITES varies
UNIFORM REQUIREMENTS varies
State Exam Fees varies
Miscellaneous expenses are required and are to be covered individually by the student. All fees are subject to change without notice.
The current payment schedule for Carepaks CNA program is as follows: INITIAL DEPOSIT DUE AT ENROLLMENT $500.00
(amount will be applied to total program cost)
2nd
t INSTALLMENT DUE 10 BUSINESS DAYS AFTER START OF CLASS $500.00
FINAL INSTALLMENT DUE 20 BUSINESS DAYS AFTER START OF CLASS $500.00
* The student will not be allowed to take the final exam for the course nor will they be registered to take the State exam if any monies or fees are still owed by the end of the course.
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*Regulations for the CNA program states that a student must complete the requirements of the program and take the State exam within 120 days from the beginning of the class. This includes a 30 day period
between the postmarked date of registration materials and the date of the State exam. These dates are set by the Illinois Nurse Aid Testing and can be found on their web- site. MICELLANEOUS FEES:
ADDITIONAL REQUESTED COPIES 0 .25per page FAXES 0 .50 per page
RE-ISSUE LOST NAMETAG $3.00 RE-ISSUE LOST CERTIFICATE $5.00
RESCHEDULED BACKGROUND CHECK $5.00 LATE INSTALLMENT PAYMENTS $29.00 per week past due date
MAKE UP CLINICAL HOURS $42.00 per hour It is the student’s responsibility to reschedule any missed hours with the instructor.
Refund/Cancellation Policy - Refund calculations are based on date of withdrawal/termination from program. Initial deposit is
only refundable before the day of orientation. If a student wishes to withdraw after the 1st day
of class, refunds will be made after all non-refundable expenses listed have been deducted. No
refund of any kind will be issued after the first day of class. If the student is terminated from the
program by Carepaks Health Services Inc. for unsatisfactory progress, or misconduct, NO
REFUND will be issued.
- Any monies due the applicant or student will be refunded within 30 days of date of cancellation,
termination, or determination of withdrawal. If a student received a loan for tuition, a refund
will be made to the lender to reduce the student’s loan debt. If the amount of refund exceeds the
unpaid balance of the loan, the balance of funds will then be applied in the following order:
- 1. To pay authorized charges at Carepaks Health Services
- 2. Returned to student
- In cases of prolonged illness, accident, or death in the family, or other unavoidable
circumstances that make it impractical to complete the program, Carepaks will make a
settlement that is reasonable and fair to both parties.
- Carepaks will make refund determinations for all tuition and fees paid up to cancellation date, in
accordance with the above mentioned schedule, after all expenses have been deducted.
Withdrawal Procedure
Revised 12/29/18
STUDENT’S RIGHT TO CANCEL
The student has the right to cancel the initial enrollment agreement anytime up until the end of
the 1st day of class after the student has been admitted. If the right to cancel is not given to any
prospective student at the time the agreement is signed, then the student has the right to cancel the agreement at any time and receive a refund on all monies paid to date within (14) days of cancellation. Cancellation should be submitted to the authorized official of the school in writing.
Grievance Procedure Policy All student grievances, issues, differences of opinion are to be resolved directly with the instructor. Should a student feel the need to discuss a grievance with the Program Coordinator, the student must make an appointment to discuss the grievance. The appointment will be a joint meeting with the
student, instructor and program coordinator. If the student wishes to make an appeal regarding any disciplinary decision, this appeal must be written and submitted to the Carepaks Professional Review Board within 10 days of initial disciplinary action. If a student should feel that their grievance was not adequately or appropriately addressed, they may
contact the Illinois Board of Higher Education for further assistance.
Address: Illinois Board of Higher Education
1 N Old State Capitol Plaza Suite 333
Springfield, Illinois 62701-1404
Phone: (217) 782-2551 Fax: (217) 782-8548 TTY: (888) 261-2881
Web site:
(www.ibhe.org)
(www.complaints.ibhe.org)
Institutional Complaint Hotline: (217) 557-7359
NOTICE TO STUDENT
1. Do not sign this agreement before you have read it or if it contains any blank spaces.
Revised 12/29/18
2. This agreement is a legally binding instrument and is only binding when the agreement is accepted, signed, and dated by the authorized official of the school or the admissions officer at the school’s
principal place of business. Read all pages of this contract before signing.
3. You are entitled to an exact copy of the agreement and any disclosure pages you sign.
4. This agreement and the school catalog constitute the entire agreement between the student and the school.
5. Any changes in this agreement must be made in writing and shall not be binding on either the
student or the school unless such changes have been approved in writing by the authorized official of the school and by the student or the student’s parent or guardian. All terms and conditions of the agreement are not subject to amendment or modification by oral agreement.
6. The school does not guarantee the transferability of credits to another school, college, or university. Credits or coursework are not likely to transfer; any decision on the comparability, appropriateness and applicability of credit and whether credit should be accepted is the decision of the receiving institution.
STUDENT ACKNOWLEDGMENTS
1. I hereby acknowledge receipt of the school’s catalog, which contains information describing programs offered, and equipment or supplies provided. The school catalog is included as part of this enrollment agreement and I acknowledge that I have received a copy of this catalog.
Student Initials ______
2. I have carefully read and received an exact copy of this enrollment agreement.
Student Initials ______
3. I understand that the school may terminate my enrollment if I fail to comply with attendance, academic, and financial requirements or if I fail to abide by established standards of conduct, as outlined in the school catalog. While enrolled in the school, I understand that I must maintain satisfactory academic progress as described in the school catalog and that my financial obligation to
the school must be paid in full before a certificate or credential may be awarded. Student Initials ______
4. I hereby acknowledge that the school has made available to me all required disclosure information
listed under the Consumer Information section of this Enrollment Agreement. Student Initials ______
Revised 12/29/18
5. I understand that the school does not guarantee transferability of credit and that in most cases, credits or coursework are not likely to transfer to another institution. In cases where transferability is
guaranteed, Carepaks must provide me copies of transfer agreements that name the exact institution(s) and include agreement details and limitations.
Student Initials ______
6. I understand that the school does not guarantee job placement to graduates upon program completion.
Student Initials ______
7. I understand that complaints, which cannot be resolved by direct negotiation with the school in accordance to its written grievance policy, may be filed with the Illinois Board of Higher Education, 431 East Adams Street, 2
nd Floor, Springfield, IL 62701 or at www.ibhe.org.
Student Initials ______
8. I indicate that I have read, I understand, and I agree to Carepaks substance use and drug testing policy. I understand that a negative drug test and no symptoms of impairment are required for
progression in the CNA program.
Student Initials________
9. I understand and agree to comply with the matters set forth by the HIPPA law and agree that any
breech thereof will result in disciplinary action up to and including termination from the program.
Student Initials________
The student acknowledges receiving a copy of this completed agreement, the school catalog, and written confirmation of acceptance prior to signing this contract. The student by signing this contract acknowledges that he/she has read this contract, understands the terms and conditions, and agrees to the conditions outlined in this contract. It is further understood that this agreement supersedes all prior or
contemporaneous verbal or written agreements and may not be modified without the written agreement of the student and the School Official. The student and the school will retain a copy of this agreement.
___________________________ __________ ___________________________ __________ Student’s Signature Date Program Director’s Signature Date
