Board Meeting Packet

Supplemental Materials to the Board Meeting

BRN Board Meeting | February 17-18, 2021

1 Table of Contents - BRN Board Meeting, February 17-18, 2021

2.0 General Instructions for Teleconference Call 5

6.0 Report of the Nursing Practice Committee 7 6.1 Discussion and Possible Action: Clinical Practice Experience Required for Nurse Practitioner Students Enrolled in Non-California Based Nurse Practitioner Education Programs. (Cal. Code Regs., tit. 16, § 1486.) 8

7.0 Report of the Education/Licensing Committee 19 7.1 Discussion and Possible Action on Whether to Accept Recommendation for Ratification of Minor Curriculum Revisions and Acknowledgement Receipt of Program Progress Reports (16 CCR § 1426) (Consent) 20

7.2 Discussion and Possible Action on Whether to Accept Recommendation for Ratification of Clinical Facility Approvals or Other Action (16 CCR § 1427) (Consent) 23

7.3 Discussion and Possible Action Regarding Education/Licensing Committee Recommendations 33 7.3.1 Discussion and Possible Action Regarding Whether to Accept Recommendation of Continuing Approval or Other Action for Approved Prelicensure Nursing Programs. (BPC § 2788, 16 CCR §§ 1421, & 1423) (Consent)

 American Career College Associate Degree Nursing Program  Antelope Valley College Associate Degree Nursing Program  College of the Redwoods Associate Degree Nursing Program  Compton College Associate Degree Nursing Program  El Camino College Associate Degree Nursing Program (Formerly Reedley College at Madera Community College Center)  Evergreen Valley College Associate Degree Nursing Program  Hartnell College Associate Degree Nursing Program  Los Angeles Harbor College Associate Degree Nursing Program  Madera Community College Associate Degree Nursing Program (Formerly Reedley College at Madera Community College Center)  Western University of Health Science Entry Level Master’s Degree Nursing Program

7.3.2 Discussion and Possible Action Regarding Whether to Accept Recommendation of Continuing Approval or Other Action for an Advance Practice Program (BPC § 2788, 16 CCR §§ 1421 & 1423) (Consent)

 Western University of Health Science Advanced Practice Degree Nursing Program

2 7.3.3 Discussion and Possible Action Regarding Whether to Accept Recommendation of Approval or Other Action Regarding Prelicensure Nursing Program Unit Adjustment or Other Changes. (16 CCR §§ 1426 & 1432) (Major Curriculum Revision) (No Enrollment Increase) (Consent)

 CNI College Associate Degree Nursing Program  Pasadena City College Associate Degree Nursing Program  California Baptist University Baccalaureate and Entry Level Master’s Degree Nursing Program

7.4 Discussion and Possible Action Regarding Recommendation to Accept Program Progress Report with Discussion and Possible Action to Address Any Performance Gaps Including Actions Described In California Code Of Regulations, title 16, section 1423.2, subdivision (a) 39  East Los Angeles College Associate Degree Nursing Program (Present)

7.5 Discussion and Possible Action Regarding Recommendation to Accept Feasibility Study for a New Prelicensure Nursing Program (16 CCR § 1421) (Present)

7.5.1 Palo Verde College Associate Degree Nursing Program 44 7.5.2 Sri Sai Krish College Associate Degree Nursing Program 53

7.6 Discussion and Possible Action Regarding Recommendation to Accept Initial Self-Study for a New Prelicensure Nursing Program 61

 Chamberlain University College of Nursing Baccalaureate Degree Nursing Program, Irwindale Campus (BPC § 2788, 16 CCR §§ 1421 & 1423) (Present)

7.7 Discussion and Possible Action Regarding Recommendation to Accept Changes to an Approved Program

7.7.1 Charles Drew University Entry Level Degree Nursing Program 111 (Major Curriculum Revision with Enrollment Increase) (16 CCR §§ 1426 & 1432) (Present) 7.7.2 Charles Drew University Entry Level Master’s Degree Nursing Program (Major Curriculum Revision with Enrollment Increase, Addition of a BSN Option) (16 CCR §§ 1426 & 1432) (Present) 118

7.8 NCLEX Updates 133

7.9 Licensing Unit Update 136

3 8.0 Report of The Enforcement/Intervention Committee 139

8.1 Information Only: Enforcement Update 140

8.1.1 Update of DOI/BRN Pilot Project 144

8.2 Discussion and Possible Action Regarding Appointment of Intervention Evaluation Committee (IEC) Members

 Herbert Cruz, MD – IEC 5, Clovis 145  Barrett Levine, MD – IEC 2, Fairfield

9.0 Discussion of Bills of Interest to the Board of Registered Nursing (Board) and 146 Possible Action Regarding Adoption or Modification of Positions on Bills Introduced During the 2020-2021 Legislative Session

4 Agenda Item 2.0

General Instructions for the Format of a Teleconference Call

BRN Board Meeting | February 17-18, 2021

5 Participating During a Public Comment Period If you would like to make a public comment:

1. Click on the ‘Q and A’ button near the bottom, center of your WebEx session.

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2. The ‘Q and A’ chat box will appear.

3. ‘Send’ a request to ‘All Panelists’ stating “Comment Time Requested”. You will be identified by the name or moniker you used to join the WebEx session, your line will be opened, and you will have 2 minutes to provide comment.

NOTE: Please submit a new request for each topic on which you would like to comment. 6 Agenda Item 6.0

Report of the Nursing Practice Committee

Elizabeth Woods, Chairperson | February 17-18, 2021

7 BOARD OF REGISTERED NURSING Nursing Practice Committee Agenda Item Summary

AGENDA ITEM: 6.1 DATE: February 17-18, 2021

ACTION REQUESTED: Discussion and Possible Action: Clinical Practice Experience Required for Nurse Practitioner Students Enrolled in Non- California Based Nurse Practitioner Education Programs. (Cal. Code Regs., tit. 16, § 1486.)

REQUESTED BY: Elizabeth Woods, FNP, RN Chair, Education/Licensing Committee

BACKGROUND: Article 8 Standards for Nurse Practitioners

Order of Adoption January 15, 2019 includes Section 1480-1486.

The following Non-California based Nurse Practitioner education programs have provided evidence of compliance with CCR 1486 and ensure that students have successfully completed prerequisite courses and are enrolled in the Non-California based nurse practitioner education program.

Documents for the schools inquiring about Non-California based Nurse Practitioner programs are available including “Verification of Non-California Based Nurse Practitioner Program: General Information and Instructions”, “Verification of Clinical Practice Experience for Nurse Practitioner (NP) Students Enrolled in Non-California Based NP Education Programs” and “Nurse Practitioner Program Preceptor Form”.

Online out of state schools that have responded to the CCR 1486 Regulations:

➢ Advent Health University- Family Nurse Practitioner ➢ Bradley University – Family Nurse Practitioner ➢ Grand Canyon University -Adult Gerontology: Primary/Acute ➢ University of Pennsylvania- Adult Gerontology: Primary/Acute

NEXT STEP: Place on Board agenda.

PERSON TO CONTACT: Janette Wackerly, MBA, BSN, RN Supervising Nursing Education Consultant Phone: (916) 574-7686 E-mail: [email protected]

8 BOARD OF REGISTERED NURSING Nursing Practice Committee Agenda Item Summary

Directory of Out of State online Nurse Practitioner Programs ACTION REQUESTED: Discussion and Possible Action REQUESTED BY: Elizabeth Woods

1. Name of Institution: Advent Health University Program of Study: Family Street Address 671 Winyah Drive City, State, Zip Orlando, FL 32803 Name of Program Director Arlene .L. Johnson, FNP-BC Coordinator Telephone: 407-303-7893 E-mail Address [email protected]

2. Name of Institution Bradley University Program of Study: DNP-FNP, MSN-FNP Street Address: Westlake Hall 216E Bradley University City, State, Zip: Peoria, IL 61626 Name of Program Director: Robert .M. Bertram, PhD Telephone: 309-657-6352 E-mail Address: [email protected]

3. Name of Institution: Grand Canyon University Program of Study: Adult-Gerontology-Primary/Acute Street Address: 3300 W. Camelback Rd City, State, Zip: Phoenix, AZ 85014 Name of Program Director: Dr. Tamara Wisely Telephone: 602-639-6869 E-mail Address: [email protected]

4. Name of Institution: University of Pennsylvania Program of Study: Adult-Gerontology-Primary/Acute Street Address: 418 Curie Blvd City, State, Zip: Philadelphia, PA 19104 Name of Program Director: Deborah Becker, PhD Telephone: 215-898-0432 E-Mail Address: [email protected]

RESOURCES:

9 NEXT STEPS: Board

FISCAL IMPACT, IF ANY: None

PERSON(S) TO CONTACT: Janette Wackerly, MBA, BSN, RN Supervising Nursing Education Consultant Phone: 916-574-7686 Email: [email protected]

10 •TATa 0F CALlFOQNIA BUSIIIESS. CONSUMER SERVICES. AllO HOUSll!G AGHlCY • GAVIII tlE\VSOM, GOVERNOR BOARD OF REGISTERED NURSING cca PO Box 944210, Sacramento, CA 94244-2100 DEPARTMENT OF CONSUMER AFFAIRS P (916) 322-3350 I www.rn.ca.gov

Advance Practice Regulations 1486. Requirements for Clinical Practice Experience forNurse Practitioner Students Enrolled in Non-Californiabased Nurse Practitioner Education Programs

Date: 12/23/2020 NP Program Name: AdventHealth Uviversity Program Address: 671 Winvah Drive Program Phone #: Orlando FL 32803 Dean or Director: Arlene .L. Johnson, FNP-BC Coordinator

REGULATION REQUIREMENTS MET NOT MET (a) The Non-California based Nurse Practitioner education program requesting clinical placements for students in clinical practice settings in [Z] California shall: □ (1) Obtain prior board approval; I l l✓l (2) Ensure students have successfully completed prerequisite courses and are enrolled in the nurse practitioner education program; [Z] □ (3) Secure clinical preceptors who meet board requirements; r7l Ensure the clinical preceptorship experiences in the program meet all n (4) board requirements and national education standards and competencies forthe nurse practitioner role and population as outlined by the National Organization of Nurse Practitioner Faculties (NONPF) in "Nurse [Z] Practitioner Core Competencies Content" (201 7) or the American □ Association of Colleges of Nursing (AACN) in "Criteria for Evaluation of Nurse Practitioner Programs" (2016); (5) A clinical preceptor in the nurse practitioner education program shall: [Z] □ (a) Hold a valid and active California license to practice his or her respective profession and demonstrate current clinical competence. [Z] □ (b) Pai1icipate in teaching, supervising, and evaluating students, and shall be competent in the content and skills being taught to the students. [Z] □ (c) Be a health care provider qualifiedby education, licensure and clinical competence in the assigned nurse practitioner category to provide direct supervision of the clinical practice experiences for a nurse practitioner [Z] □ student. (d) Be oriented to program and curriculum requirements, including responsibilities related to student supervision and evaluation; [Z] □ Be evaluated by the program faculty at least every two (2) years. Clinical (e) preceptor functions and responsibilities shall be clearly documented in a written agreement between the agency, the preceptor, and the nurse practitioner education program including the clinical preceptor's role to [Z] □ teach, supervise and evaluate students in the nurse practitioner education program. (b) Students shall hold an active, valid California registered nurse license to participate in nurse practitioner education program clinical experiences. [Z] □ 11 (c) The nurse practitioner education program shall demonstrate evidencee that the curriculum includes content related to legal aspects of Californiae certified nurse practitioner laws and regulations.e (I)eThe curricu !um shall include content related to CaliforniaNursinge Practice Act, Business & Professions Code, Division 2, Chapter 6,e [Z] Atiicle 8, "Nurse Practitioners" and CaliforniaCode of Regulations Titlee □ 16, Division 14, Article 7, "Standardized Procedure Guidelines" ande Atiicle 8, "Standards forNurse Practitioners", including, but not limitede to:e (1) The curriculum shall include content related to CaliforniaNursing Practice Act, Business & Professions Code, Division 2, Chapter 6, Article 8, "Nurse Practitioners" and CaliforniaCode of Regulations Title 16, Division 14, Article 7, "Standardized Procedure Guidelines" and [Z] Article 8, "Standards forNurse Practitioners", including, but not limited □ to: (A) Section 2835.7 of Business & Professions Code, "Additional authorized acts; implementation of standardized procedures"; [Z] (B) Section 2836.1 of Business & Professions Code, "Furnishing or ordering □ of drugs or devices". [Z] (d) The nurse practitioner education program shall notify the board of □ pertinent changes within 30 days. [Z] □ (e) The board may withdraw authorization for program clinical placements in California, at any time. [Z] □

Amend Sections 1480, 1481, 1482, 1483, and 1484, and adopt Sections 1483.l, 1483.2- 1486 Division 14 of Title 16 of the Califo nia Code of Regulations:

Note: Authority cited: Section 2715, Business and Professions Code. Reference: Sections 2729, 2835, 2835.5 and 2836, Business and Professions Code. 3

Date of Review:

12 llTATli o,- CALlflORNIA BUSIIIESS. CONSUMER SER\1CES. 411D HOUSIIIG AGEIICY • GAVIII NEWSOM. GOVERIIIJI! BOARD OF REGISTERED NURSING c:lc:a PO Box 944210, Sacramento, CA 94244-2100 DEPARTMENT OF CONSUMER AFFAIRS P (916) 322-3350 I www.rn.ca.gov

Advance Practice Regulations 1486. Requirements forClinical Practice Experience for Nurse Practitioner Students Enrolled in Non-California based Nurse Practitioner Education Programs

Date: 12/23/2020 NP Program Name: Bradley University Program Address: Westlake Hall 216E Bradlev Universitv Peoria IL 61625 Program Phone #: 309-657-6352 Dean or Director: Robert .M. Bertrum, PhD

REGULATION REQUIREMENTS MET NOT MET (a) The Non-California based Nurse Practitioner education program requesting clinical placements for students in clinical practice settings in [l] California shall: □ (1) Obtain prior board approval; I l f7l (2) Ensure students have successfully completed prerequisite courses and are enrolled in the nurse practitioner education program; [l] □ (3) Secure clinical preceptors who meet board requirements; r7l Ensure the clinical preceptorship experiences in the program meet all n (4) board requirements and national education standards and competencies for the nurse practitioner role and population as outlined by the National Organization of Nurse Practitioner Faculties (NONPF) in "Nurse [l] □ Practitioner Core Competencies Content" (2017) or the American Association of Colleges of Nursing (AACN) in "Criteria for Evaluation of Nurse Practitioner Programs" (2016); (5) A clinical preceptor in the nurse practitioner education program shall: [l] □ (a) Hold a valid and active California license to practice his or her respective professionand demonstrate current clinical competence. [l] □ (b) Participate in teaching, supervising, and evaluating students, and shall be competent in the content and skills being taught to the students. [l] □ (c) Be a health care provider qualified by education, licensure and clinical competence in the assigned nurse practitioner category to provide direct supervision of the clinical practice experiences for a nurse practitioner [l] □ student. (d) Be oriented to program and curriculum requirements, including responsibilities related to student supervision and evaluation; [l] □ Be evaluated by the program faculty at least every two (2) years. Clinical (e) preceptor functions and responsibilities shall be clearly documented in a written agreement between the agency, the preceptor, and the nurse practitioner education program including the clinical preceptor's role to [l] □ teach, supervise and evaluate students in the nurse practitioner education program. (b) Students shall hold an active, valid Californiaregistered nurse license to participate in nurse practitioner education program clinical experiences. [l] □ 13 (c) The nurse practitioner education program shall demonstrate evidenceo thatthe curriculum includes content related to legal aspects of Californiao certifiednurse practitioner laws and regulations.o (I)oThe curriculum shall include content related to CaliforniaNursingo Practice Act, Business & Professions Code, Division 2, Chapter 6,o [Z] Article 8, "Nurse Practitioners" and California Code of Regulations Titleo □ 16, Division 14, Article 7, "Standardized Procedure Guidelines" ando Article 8, "Standards forNurse Practitioners", including, but not limitedo to:o (1) The curriculum shall include content related to CaliforniaNursing Practice Act, Business & ProfessionsCode, Division 2, Chapter 6, Article 8, "Nurse Practitioners" and CaliforniaCode of Regulations Title 16, Division 14, Article 7, "Standardized Procedure Guidelines" and [Z] Article 8, "Standards forNurse Practitioners", including, but not limited □ to: (A) Section 2835.7 of Business & ProfessionsCode, "Additional authorized acts; implementation of standardized procedures"; [Z] (B) Section 2836.1 of Business & Professions Code, "Furnishing or ordering □ of drugs or devices". [Z] (d) The nurse practitioner education program shall notify the board of □ pertinent changes within 30 days. [Z] □ (e) The board may withdraw authorization for program clinical placements in California, at any time. [Z] □

Amend Sections 1480, 1481, 1482, 1483, and 1484, and adopt Sections 1483.1, 1483.2- 1486 Division 14 of Title 16 of the Califo nia Code of Regulations:

Note: Authority cited: Section 2715, Business and Professions Code. Reference: Sections 2729, 2835, 2835.5 and 2836, Business and Professions Code. 3

Date of Review:

14 8TATG Ofl CAL.ll'OQNIA BUSINESS. CONSUMER SERIICES. Ml□ H□USIIIG AGEIICY • GAVIN NEWSOM. GDVERN□R BOARD OF REGISTERED NURSING o c:a PO Box 944210, Sacramento, CA 94244-2100 DEPARTMENT OF CONSUMER AFFAIRS P (916) 322-3350 I www.rn.ca.gov

Advance Practice Regulations 1486. Requirements for Clinical Practice Experience for Nurse Practitioner Students Enrolled in Non-California based Nurse Practitioner Education Programs

Date: 12/23/2020 NP Program Name: Grand Canyon University Program Address: 3300 W. Camelback Rd Phoenix AZ 85014 Program Phone #: Telephone: 602-639-6869 Dean or Director: Dr. Tamara Wisely

REGULATION REQUIREMENTS MET NOT MET (a) The Non-Californiabased Nurse Practitioner education program requesting clinical placements for students in clinical practice settings in [Z] Californiashall: □ (1) Obtain prior board approval; r l r7l (2) Ensure students have successfully completed prerequisite courses and are enrolled in the nurse practitioner education program; [Z] □ (3) Secure clinical preceptors who meet board requirements; ill Ensure the clinical preceptorship experiences in the program meet all n (4) board requirements and national education standards and competencies for the nurse practitioner role and population as outlined by the National Organization of Nurse Practitioner Faculties (NONPF) in "Nurse [Z] □ Practitioner Core Competencies Content" (2017) or the American Association of Colleges of Nursing (AACN) in "Criteria for Evaluation of Nurse Practitioner Programs" (2016); (5) A clinical preceptor in the nurse practitioner education program shall: [Z] □ (a) Hold a valid and active Californialicense to practice his or her respective professionand demonstrate current clinical competence. [Z] □ (b) Participate in teaching, supervising, and evaluating students, and shall be competent in the content and skills being taught to the students. [Z] □ (c) Be a health care provider qualified by education, licensure and clinical competence in the assigned nurse practitioner category to provide direct supervision of the clinical practice experiences for a nurse practitioner [Z] □ student. (d) Be oriented to program and curriculum requirements, including responsibilities related to student supervision and evaluation; [Z] □ Be evaluated by the program faculty at least every two (2) years. Clinical (e) preceptor functions and responsibilities shall be clearly documented in a written agreement between the agency, the preceptor, and the nurse practitioner education program including the clinical preceptor's role to [Z] □ teach, supervise and evaluate students in the nurse practitioner education program. (b) Students shall hold an active, valid Californiaregistered nurse license to participate in nurse practitioner education program clinical experiences. [Z] □ 15 (c) The nurse practitioner education program shall demonstrate evidencee that the curriculum includes content related to legal aspects of Californiae certified nurse practitioner laws and regulations.e (I)eThe curriculum shall include content related to CaliforniaNursinge Practice Act, Business & ProfessionsCode, Division 2, Chapter 6,e [l] Article 8, "Nurse Practitioners" and CaliforniaCode of Regulations Titlee □ 16, Division 14, Article 7, "Standardized Procedure Guidelines" ande A1iicle 8, "Standards forNurse Practitioners", including, but not limitede to:e (1) The curriculum shall include content related to CaliforniaNursing Practice Act, Business & Professions Code, Division 2, Chapter 6, Article 8, "Nurse Practitioners" and California Code of Regulations Title 16, Division 14, Article 7, "Standardized Procedure Guidelines" and [l] Article 8, "Standards for Nurse Practitioners", including, but not limited □ to: (A) Section 2835.7 of Business & Professions Code, "Additional authorized acts; implementation of standardized procedures"; [l] (B) Section 2836.1 of Business & ProfessionsCode, "Furnishingor ordering □ of drugs or devices". [Z] (d) The nurse practitioner education program shall notify the board of □ pertinent changes within 30 days. [l] □ (e) The board may withdraw authorization forprogram clinical placements in California, at any time. [l] □

Amend Sections 1480, 1481, 1482, 1483, and 1484, and adopt Sections 1483.1, 1483.2- 1486 Division 14 of Title 16 of the Califo nia Code of Regulations:

Note: Authority cited: Section 2 715, Business and Professions Code. Reference: Sections 2729, 2835, 2835.5 and 2836, Business and Professions Code. 3

Date of Review:

16 ■TAT■ o,- CALIJIIORNIA BUSIIIESS. COIISUMER SERVICES. MID IIOUSltlG AGENCY • GAVIII NEWSOM. GOVERNOR BOARD OF REGISTERED NURSING oc:a PO Box 944210, Sacramento, CA 94244-2100 DEPARTMENT OF CONSUMER AFFAIRS P (916) 322-3350 I www.rn.ca.gov

Advance Practice Regulations 1486. Requirements forClinical Practice Experience for Nurse Practitioner Students Enrolled in Non-California based Nurse Practitioner Education Programs

Date: 12/23/2020 NP Program Name: University of Pennsylvania Program Address: 418 Curie Blvd Philadelphia PA 19104 Program Phone #: 215-898-0432 Dean or Director: Deborah Becker, PhD

REGULATION REQUIREMENTS MET NOT MET (a) The Non-Californiabased Nurse Practitioner education program requesting clinical placements forstudents in clinical practice settings in [l] California shall: □ (1) Obtain prior board approval; r l f✓l (2) Ensure students have successfully completed prerequisite courses and are enrolled in the nurse practitioner education program; [l] □ (3) Secure clinical preceptors who meet board requirements; r7l .- Ensure the clinical preceptorship experiences in the program meet all n (4) board requirements and national education standards and competencies for the nurse practitioner role and population as outlined by the National Organization of Nurse Practitioner Faculties (NONPF) in "Nurse [l] □ Practitioner Core Competencies Content" (2017) or the American Association of Colleges of Nursing (AACN) in "Criteria for Evaluation ofNurse Practitioner Programs" (2016); (5) A clinical preceptor in the nurse practitioner education program shall: [l] □ (a) Hold a valid and active Californialicense to practice his or her respective profession and demonstrate current clinical competence. [l] □ (b) Participate in teaching, supervising, and evaluating students, and shall be competent in the content and skills being taught to the students. [l] □ (c) Be a health care provider qualified by education, licensure and clinical competence in the assigned nurse practitioner category to provide direct supervision of the clinical practice experiences fora nurse practitioner [l] □ student. (d) Be oriented to program and curriculum requirements, including responsibilities related to student supervision and evaluation; [l] □ Be evaluated by the program faculty at least every two (2) years. Clinical (e) preceptor functionsand responsibilities shall be clearly documented in a written agreement between the agency, the preceptor, and the nurse practitioner education program including the clinical preceptor's role to [l] □ teach, supervise and evaluate students in the nurse practitioner education program. (b) Students shall hold an active, valid Californiaregistered nurse license to participate in nurse practitioner education program clinical experiences. [l] □ 17 (c) The nurse practitioner education program shall demonstrate evidencee that the curriculum includes content related to legal aspects of Californiae certified nurse practitioner laws and regulations.e (l)eThe curriculum shall include content related to CaliforniaNursinge Practice Act, Business & Professions Code, Division 2, Chapter 6,e Article 8, "Nurse Practitioners" and California Code of Regulations Titlee [l] □ 16, Division 14, Article 7, "Standardized Procedure Guidelines" ande A1ticle 8, "Standards forNurse Practitioners", including, but not limitede to:e (1) The curriculum shall include content related to California Nursinge Practice Act, Business & Professions Code, Division 2, Chapter 6,e Article 8, "Nurse Practitioners" and CaliforniaCode of Regulations Titlee 16, Division 14, Article 7, "Standardized Procedure Guidelines" ande [l] □ Article 8, "Standards forNurse Practitioners", including, but not limitede to:e (A) Section 2835.7 of Business & Professions Code, "Additional authorized acts; implementation of standardized procedures"; [l] □ (B) Section 2836.1 of Business & ProfessionsCode, "Furnishingor ordering of drugs or devices". [l] □ (d) The nurse practitioner education program shall notifythe board of pertinent changes within 30 days. [l] □ (e) The board may withdraw authorization for program clinical placements in California, at any time. [l] □

Amend Sections 1480, 1481, 1482, 1483, and 1484, and adopt Sections 1483.1, 1483.2- 1486 Division 14 of Title 16 of the Califo nia Code of Regulations:

J:j,QJ£; Authoritycited: Section 2715, Business and Professions Code. Reference: Sections 2729, 2835, 2835.5 and 2836, Business and Professions Code. 3

Date of Review:

18 Agenda Item 7.0

Report of the Education/Licensing Committee

Michael D. Jackson, Chairperson | February 17-18, 2021

19 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.1 DATE: February 17-18, 2021

ACTION REQUESTED: Discussion and Possible Action on Whether to Accept Recommendation for Ratification of Minor Curriculum Revisions and Acknowledgement of Receipt of Program Progress Reports (16 CCR § 1426) (Consent)

REQUESTED BY: Michael D. Jackson, MSN, RN Chair, Education/Licensing Committee

BACKGROUND: According to Board policy, Nursing Education Consultants may approve minor curriculum changes that do not significantly alter philosophy, objectives, or content. Approvals must be reported to the Education/Licensing Committee and to the Board.

Minor Curriculum revisions include the following categories:  Curriculum changes  Work Study programs  Preceptor programs  Public Health Nurse (PHN) certificate programs

A list of schools who have submitted minor curriculum revisions and program progress reports, that have been approved by the Nursing Education Consultants, is in your materials packet as a table named Minor Curriculum Revisions and a table named Program Progress Reports. This is a consent agenda item and concludes this report.

NEXT STEP: Notify Programs of Board Action.

PERSON TO CONTACT: Mary Ann McCarthy, EdD, MSN, RN, PHN Nursing Education Consultant

20 MINOR CURRICULUM REVISIONS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE SUMMARY OF CHANGES BY NEC APPROVED Name and Degree First Initial. XX/YY/ZZZZ Brief Summary Last Name ELM (alpha A-Z) Loma Linda University Entry B. Caraway 11/17/2020 Permanent: The program made the name/title change for NRSG 231, Level Master’s Degree Foundations of Professional Nursing to NRSG 231 Foundation of Nursing Program Nursing. This change does not alter the course philosophy, content, and/ or objectives. The Total Curriculum Plan (EDP-P05) and the Required Curriculum (EDP-P06) forms were revised to reflect the course name changes.

University of California D. Schutte 12/03/2020 Permanent-Minor Curriculum Revision to correct a calculation error on Irvine Entry Level Master’s the EDP-P-06 Content Required for Licensure. Total Units For Program Licensure continue at 105-106 units with Total Units For Graduation126-127 units. BSN (alpha A-Z) California State University K.Daugherty 11/23/2020 Permanent-Move the N311 Informatics course from second semester Chico Baccalaureate to first semester and reduce the course from 2 units to a 1 unit course. Degree Nursing Program In first semester, modify N303 by reducing the course from 4 units to 3 units, changing the course title to M/S I rather than M/S I /Pharmacology. In second semester, add a new standalone separate pharmacology course, N 319 Pharm for Nursing 2 units. Combine the separate N 255 Evidence Based Practice with the existing 2 units N312 Research course making the combined course 3 units. This change makes the N 312 course eligible to fulfill University upper division writing course requirements plus aligning it with the Research course taught in the RN to BSN degree option. California State University K. Daugherty 10/27/2020 Permanent-Effective Spring 2021 change the course title for the pre- Sacramento Baccalaureate requisite nutrition course from FACS 10 to NUFD 10. Decrease the Degree Nursing Program total units of nursing from 41 to 39 units by moving 1 unit of N136 and 1 unit of N139 Childbearing skills courses from CRL to be counted as other degree units. This change increases the other degree units from

21 MINOR CURRICULUM REVISIONS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE SUMMARY OF CHANGES BY NEC APPROVED Name and Degree First Initial. XX/YY/ZZZZ Brief Summary Last Name a total of 44 units to 46 units. Redistribute N145 units by decreasing the 6 units of clinical to 5 units of clinical and adding 1 unit of theory to N145; course content unchanged. These changes result in total CRL units decreasing from 76 to 74 units. Total units for graduation remain unchanged at 120 units. These program changes/ adjustments are based on faculty and clinical agency evaluative feedback San Diego State University 12/06/2020 Permanent. Minor Curriculum Revision to align Total Curriculum Plans Baccalaureate Degree (EDP-P-05) with other program materials. Track 1 plan now identifies Nursing Program Nurs 202 – Client Assessment to include MS content, Nurs 206 – Fundamentals to include MS and Gero content. Track 2 now identifies Nurs 400 Lab to include MS and Gero content. This revision does not affect hours or units. ADN (alpha A-Z) Carrington College LVN to K. Daugherty 11/19/2020 Temporary-Deliver RN 210/215 over ten weeks of the Winter 2020/2021 RN Associate Degree semester instead of over five weeks. No other content or unit changes. Nursing Program CNI College Associate B. Caraway 11/25/2020 Temporary- “Due to the effects of COVID-19, the nursing program has Degree Nursing Program offered theory instructions using 100% online synchronous teaching modality with Zoom meeting application and Canvas platform and the program used DCA waiver for offering 50% Non-Direct Patient Care clinical learning experience via online synchronous instruction using ATI clinical products, Swift River v Clinical applications, clinical skills demonstrations, and case studies since August 7, 2020. Compton College Associate D. Schutte 10/20/2020 Permanent - A Minor Curriculum Revision Request to update the Degree Nursing Program program’s EDP-P- 05a TCP and EDP-P-06 CRL to reflect new course numbers and names and the addition of general education course requirements. Nursing theory and clinical units remain the same at 18 units each with communication units decreasing from 10 to 7 units. Total units for licensure decrease from 68 to 65 units with total units for graduation increasing from 68 to 84 units.

22 MINOR CURRICULUM REVISIONS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE SUMMARY OF CHANGES BY NEC APPROVED Name and Degree First Initial. XX/YY/ZZZZ Brief Summary Last Name El Camino College Associate D. Schutte 10/20/2020 Permanent - A Minor Curriculum Revision Request to implement N248 Degree Nursing Program Advance d Medical Surgical Nursing II -Preceptorship as a regular clinical rotation when preceptors are not available. This will be available to all students in a per semester format. This change will allow students the ability to complete the last four (4) weeks of their clinical experience without interrupting their scheduled course requirements and it has been incorporated into the N248 Course Outline. In addition, the EDP-P- 05a TCP and EDP-P-06 CRL were updated to reflect new course numbers and names and the addition of general education course requirements. Nursing theory and clinical units remain the same at 18 units each with Communication Units decreasing from 10 to 7 units. Total units for licensure decrease from 68 to 65 units with total units for graduation increasing from 68 to 84 units. Glendale Career College W. Boyer 11/19/2020 Permanent: The course “Bridging Nursing Care” (ADN98) has been Associate Degree Nursing removed from the LVN-RN 30-unit option because Microbiology was Program made 4 units up from 3 units. The 30-unit option then would have had 31 units. Management/Leadership content will be incorporated into Nursing 108 Intermediate Medical Surgical Nursing: Care of Gerontological Patients and Nursing 106 Advanced Medical Surgical Nursing: Care of the Critically Ill Hospitalized Adult. This is for all students. EDP-P-06 Updated. Los Angeles City College D. Schutte 12/10/2020 Permanent. Three Skills (Practice) Lab Courses (REGNRSG 115, 116, Associate Degree Nursing and 117- Nursing Skills Competency I, II, and III) have been removed Program from the curriculum to decrease program clinical hours from 39 to 36. In addition, REGNRSG 103 Introduction to Nursing Pharmacology has been moved from first to second semester. Total Units for Licensure decrease from 66 to 63. Due to changes in College degree requirements, PE 1 unit and Math 5 units have been removed. Total Units for Graduation decrease from 78 to 69 units. The Total Curriculum Plan (EDP-P-05a) and the Required Curriculum (EDP-P-06)

23 MINOR CURRICULUM REVISIONS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE SUMMARY OF CHANGES BY NEC APPROVED Name and Degree First Initial. XX/YY/ZZZZ Brief Summary Last Name have been revised to reflect the changes. Santa Barbara City College D. Schutte 12/02/2020 Temporary. SBCC to enter a Semester 1 Cohort Summer 2021. Associate Degree Nursing Students will complete NURS 161 Pharmacology & NURS 162 Program Introduction to Medical Surgical Nursing I. Semester 2 students will also progress during Summer 2021 by taking NURS163 Beginning Medical Surgical Nursing II & NURS 165 Psychiatric Mental Health Nursing resulting in no duplication of courses Fall 2021. Faculty assignments and clinical placements have been secured for Summer 202. An EDP-P-11 Nursing Curriculum and Clinical Facilities also submitted. Summer 2021 courses will be offered over 13 weeks with theory and clinical requirements remaining the same. Synchronous remote instruction will continue during Summer 2021 for the delivery of theory content.

24 PROGRESS REPORTS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE PROGRESS REPORT BY NEC APPROVED ELM (alpha A-Z) BSN (alpha A-Z) Simpson University K. Daugherty 12/10/2020 A regularly scheduled progress report submitted as required. Baccalaureate Degree According to SU’s PD and President…”SU at institutional and program Nursing Program levels has maintained financial sustainability with no decrease/change in available resources and funding for the nursing program. Program funding is about 20% ahead of budget for the Spring 2021 term according to SU President Hall. Nursing program enrollment remains stable with 117 students enrolled across the five semesters of the nursing major.” President Hall also reports… SU is trending above goal in applications, admits, and deposits for traditional undergraduate, adult degree-completion and all other of the graduate programs. The DOE cut score is at 1.8 (1.5 is required); official written notice for DOE expected by May 2021 if not sooner. The SU BSN degree option received ten years CCNE accreditation effective through December 31, 2030. NCLEX quarterly and annual pass rates remain excellent. In Fall 2020 nursing program continued a combination of in person- remote/hybrid delivery of didactic and finished the December term with sufficient direct care clinical experiences for all students to progress in the program. ADN (alpha A-Z) Career Care Institute D. Schutte 12/04/2020 The program approved for the DCA 50% Waiver for medical-surgical Associate Degree Nursing and geriatric nursing. Cohort 2 students’ graduation postponed from Program October 18 to December 21, 2020 to complete remaining NS 260 Med- Surg Nursing II and NS 262 Nursing Role and Leadership direct patient care clinical hours. There is also delay in Cohort 3 students completing NS 230 Med-Surg I direct patient care hours. These students have begun their Term 4 courses - NS 240 Obstetrics, Neonates, & Women’s Health in Nursing and NS 244 Nursing Care of Children. Fresno City College S. Ward 10/02/2020 The program informed the NEC by a letter dated October 2, 2020, of Associate Degree Nursing plans to continue the use of DCA Waiver DCA 20-03 to implement the

25 PROGRESS REPORTS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE PROGRESS REPORT BY NEC APPROVED Program remainder of RN 42 Nursing Care of the Adult with Common Health Problems Clinical course (2 units Medical/Surgical and Geriatrics) to complete 2nd semester students Fall 2020 coursework due to a 6-week delay in starting of students at clinical facilities related to impacts of the COVID-19 pandemic. This would allow the program to use up to 50% of non-direct patient care through simulation or lab training for clinical practice. Madera Community College S. Ward 10/19/2020 The program submitted an approval request in a letter dated October LVN to RN Associate 16, 2020, to continue providing theory coursework via a synchronous Degree Nursing Program Zoom videoconferencing method for the Spring 2021 semester. The campus closure until May 21, 2021 due to the coronavirus pandemic, is stated as the reason for the approval request. This is the former Reedley College at Madera Community College Center program. Mission College Associate S. Ward 12/07/2020 The program submitted a progress report to address the NCLEX-RN Degree Nursing Program Examination pass rate of 70.00% for first time candidates from July 2019-June 2020. This is an LVN-ADN program type. The plan for improvement includes but is not limited to; fully implementing use of ATI resources, acquiring program specific NCLEX test data from the NCSBN, and establishing faculty meetings to specifically focus on improvements. The progress report did identify that the COVID-19 pandemic is considered to have influenced the time frame in which the most recent graduation cohort tested. A subsequent progress report is expected in April 2021, which will provide the program with additional testing data for evaluation and action as needed. Mount Saint Mary’s H. Sands 12/10/2020 Program on Warning Status. First quarterly progress note accepted. University Associate Degree Dean/Program Director has incorporated additional enrichment Nursing Program activities to improve student engagement, additional remediation, instituted learning contracts with students and have hired additional faculty. Loma Linda University B. Caraway 12/03/2020 For the 2019-2020 academic year. The BSN program had a Baccalaureate Degree completion rate of 90% with an 88% on-time completion rate. Nursing Program Based on the evidence presented the program has made

26 PROGRESS REPORTS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE PROGRESS REPORT BY NEC APPROVED progress in resolving all recommended areas of improvement and no further progress report will be required,

27 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.2 DATE: February 17-18, 2021

ACTION REQUESTED: Discussion and Possible Action on Whether to Accept Recommendation for Ratification of Clinical Facility Approvals or Other Action (16 CCR § 1427) (Consent)

REQUESTED BY: Michael D. Jackson, MSN, RN Chair, Education/Licensing Committee

BACKGROUND: According to Board policy, Nursing Education Consultants may approve clinical facilities that are in compliance with regulation. Approvals must be reported to the Education/Licensing Committee and to the Board.

A list of schools who have submitted clinical site documentation and have been approved by the NECs is in your materials packet as table Clinical Agency or Facility Approval. This is a consent agenda item and concludes this report.

NEXT STEP: Notify Programs of Board Action

PERSON TO CONTACT: Mary Ann McCarthy, EdD, MSN, RN, PHN Nursing Education Consultant

28 CLINICAL AGENCY OR FACILITY APPROVALS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE CLINICAL SETTING BY NEC APPROVED Name of Facility, Type of Facility  de tails if not obvious (Acute/Non- Acute), Average Daily Census (ADC), Content Areas (MS/O/C/PMH/G) ELM (alpha a-z) BSN (alpha a-z) Brandman University D. Schutte 11/02/2020 Magnolia Post-Acute Care – Long Term Care – ADC-24 - G Baccalaureate Degree Nursing Program California State University K. Daugherty 09/25/2020 Skyway Surgery Center-Ambulatory Care-Average Daily Census-20- Chico Baccalaureate Degree Beginning/Intermed. M/S/G. Nursing Program 10/05/2020 CSUC WellCat Student Health Center-Fund. Begin. Intermed. M/S clinical students Flu clinics for ~350 clients/campus students. San Diego State University W. Boyer 08/25/2020 University of California San Diego Medical Center. Acute Care. Baccalaureate Degree Average Daily Census = 610. M/S/G/O. Nursing Program San Diego State University W. Boyer 08/25/2020 Scripps Memorial Hospital Encinitas. Acute Care. Average Daily Baccalaureate Degree Census = 138. MS/Preceptor Nursing Program San Diego State University W. Boyer 08/11/2020 Scripps Green Hospital. Acute Care. Average Daily Census = 114. Baccalaureate Degree MS/Preceptor Nursing Program San Diego State University W. Boyer 08/11/2020 Scripps Memorial Hospital La Jolla. Acute Care. Average Daily Baccalaureate Degree Census = 178. MS/Preceptor/OB Nursing Program San Diego State University W. Boyer 08/11/2020 Scripps Mercy Hospital Chula Vista. Acute Care. Average Daily Baccalaureate Degree Census = 121. MS/G Nursing Program San Diego State University W. Boyer 08/11/2020 Scripps Mercy Hospital San Diego. Acute Care. Average Daily Baccalaureate Degree Census = 278. MS/PMH Nursing Program University of California Irvine D. Schutte 10/28/2020 Samueli Academy Charter School- Non-Healthcare– ADC-250 - C Baccalaureate Degree Nursing Program

29 CLINICAL AGENCY OR FACILITY APPROVALS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE CLINICAL SETTING BY NEC APPROVED Name of Facility, Type of Facility  de tails if not obvious (Acute/Non- Acute), Average Daily Census (ADC), Content Areas (MS/O/C/PMH/G) University of California Irvine D. Schutte 11/2/2020 Growing Healthy Together-Long Beach – Clinic – ADC-35 - G Baccalaureate Degree Nursing Program University of California Irvine D. Schutte 11/6/2020 Ocean View School District – Non-Healthcare – ADC-24 - C Baccalaureate Degree Nursing Program West Coast University W. Boyer 10/18/2020 Gateways Hospital Wellness Center. Acute Behavioral Care. Average Baccalaureate Degree Daily Census = 35. PMH Nursing Program 11/17/2020 Cal Med Ambulatory Surgery Center. MS/G. ADC 5 ADN (alpha a-z) Cabrillo College Associate S. Ward 11/25/2020 Valley Health Associates, Ambulatory Care, Avg. Daily Census 100, Degree Nursing Program PMH preceptorship Career Care Institute D. Schutte 12/08/2020 Kaiser Permanente-Antelope Valley Service Area, Clinic, ADC-100- Associate Degree Nursing 300, 1-10, 200, MS/G, O, C Program Carrington College K. Daugherty 10/01/2020 Orchard Hospital :acute care hospital/SNF/ambulatory care clinic: ADC: LVN to RN Advanced 32/65/85 M/S/Gero/Peds and preceptorship rotations. Placement Associate Degree Nursing Program 10/20/2020 Saratoga Sub-acute Pediatric Hospital. M/S/preceptorship and Peds. ADC: 81 medically fragile pediatrics. 10/22/2020 Asian Health Services Chenming & Margaret Hu Medical Center Clinic-Oakland. ADC 20; 16,000 pt. visits annually. M/S-Preceptorship; services family practice, behavioral health, internal medicine/peds-teen care/urgent care services/advice nurse/triage.

10/27/2020 Highland Hospital-Oakland Acute Care, ADC:each of three units: 28; Adv. M/S/Preceptorship.

11/13/2020 Fulton Gardens-LTC/SNF; ADC E1-24; E2-28, W1 & W2-32 each. M/S/Gero.

30 CLINICAL AGENCY OR FACILITY APPROVALS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE CLINICAL SETTING BY NEC APPROVED Name of Facility, Type of Facility  de tails if not obvious (Acute/Non- Acute), Average Daily Census (ADC), Content Areas (MS/O/C/PMH/G) 11/16/2020 Interim Healthcare Hospice; ADC: 125; Adv. M/S/Preceptorship. Chabot College Associate J. Wackerly 10/30/2020 Tiburcio Vasquez Health Center Inc, Clinic ADC=36 Ms-O-C-PMH-G Degree Program City College of San S. Ward 09/24/2020 Kentfield Hospital of San Francisco, Long Term Acute Care, Average Francisco Associate Degree Daily Census = 40-45, MS/G Nursing Program El Camino College Associate D. Schutte 10/11/2020 LA Downtown Medical Center - Acute Care; ADC – 91/100, MS, PMH Degree Nursing Program Fresno City College S. Ward 12/07/2020 American Red Cross, Ambulatory Care, Average Daily Census is Associate Degree Nursing variable 0-2, MS/C/MH-P Program 12/08/2020 Central Star Youth Psychiatric Health Facility, Average Daily Census – 16, MH/P Gurnick Academy of Medical J. Wackerly 10/27/2020 Willow Creek Post-Acute, ADC=-35-45, Fundamental & Beginning MS Arts Associate Degree Nursing Program Los Angeles City College D. Schutte 11/19/2020 Los Angeles Children’s Hospital, Acute, ADC-13-32, C Associate Degree Nursing Program Los Angeles City College D. Schutte 12/2/2020 California Hospital Medical Center, Acute, ADC 20-100, 8-18, MS/G, O Associate Degree Nursing Program Los Angeles Southwest W. Boyer 10/13/2020 Leading Public Health Clinic (Community Health Clinic). ADC 300 MS, College Associate Degree OB, P, G, PMH. Nursing Program Mendocino College S. Ward 10/19/2020 Adventist Health Mendocino Coast Hospital, Acute, Average Daily Associate Degree Nursing Census 15-20, MS/PMH/G Program Monterey Peninsula College S. Ward 12/08/2020 Hospice of the Central Coast, Non-Acute, Average Daily Census 115, Associate Degree Nursing MS/ MHP/G Program

31 CLINICAL AGENCY OR FACILITY APPROVALS Education/Licensing Committee February 17-18, 2021 SCHOOL NAME APPROVED DATE CLINICAL SETTING BY NEC APPROVED Name of Facility, Type of Facility  de tails if not obvious (Acute/Non- Acute), Average Daily Census (ADC), Content Areas (MS/O/C/PMH/G) 12/09/2020 Westland House, Non-Acute- short term skilled nursing, Average Daily Census 14, MS/ MHP/G Santa Ana College D. Schutte 11/23/2020 HumanGood SoCal, Long Term Care, ADC 8-288, G Associate Degree Nursing Program

32 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.3 DATE: February 17-18, 2021

ACTION REQUESTED: Discussion and Possible Action Regarding Education/Licensing Committee Recommendations

REQUESTED BY: Michael D. Jackson, MSN, RN Chair, Education/Licensing Committee

BACKGROUND: The Education/Licensing Committee met on January 7, 2021 and makes the following recommendations:

7.3.1 Discussion and Possible Action Regarding Whether to Accept Recommendation of Continuing Approval or Other Action for Approved Prelicensure Nursing Programs. (BPC § 2788, 16 CCR §§ 1421, & 1423) (Consent)

BACKGROUND: The BRN staff have conducted a regularly scheduled continuing approval visit. This process begins with a self-study written by the nursing program and analyzed by the assigned Nursing Education Consultant. It is followed by a 2-3-day site visit including visits to clinical sites, verification of resources (skills and simulation lab), and meetings with students, faculty, and administrators. The following programs have met all Board rules and regulations for Continuing Approval of a Prelicensure Nursing Program and are consent agenda items.

o American Career College Associate Degree Nursing Program o Antelope Valley College Associate Degree Nursing Program o College of the Redwoods Associate Degree Nursing Program o Compton College Associate Degree Nursing Program o El Camino College Associate Degree Nursing Program o Evergreen Valley College Associate Degree Nursing Program o Hartnell College Associate Degree Nursing Program o Los Angeles Harbor College Associate Degree Nursing Program o Madera Community College Associate Degree Nursing Program (Formerly Reedley College at Madera Community College Center) o Western University of Health Sciences Baccalaureate Degree Nursing Program 7.3.2 Discussion and Possible Action Regarding Whether to Accept Recommendation of Continuing Approval or Other Action for an Advance Practice Program, Western University of Health Sciences (BPC § 2788, 16 CCR §§ 1421 & 1423) (Consent)

BACKGROUND: The BRN staff have conducted a regularly scheduled continuing approval visit for an Advanced Practice Degree Nursing Program. This process began with a self-study written by the nursing program and analyzed by the assigned Nursing Education Consultant. It is followed by a 2-3-day site visit including visits to practicum sites, verifying recourses, and meetings with students, faculty, and administrators. Western University of Health Science Advanced Practice Nurse Practitioner Program has met all Board rules and regulations for Continuation of Approval of an Advanced Practice Nursing Program. This is a consent agenda item.

33 7.3.3 Discussion and Possible Action Regarding Whether to Accept Recommendation of Approval or Other Action Regarding Prelicensure Nursing Program Unit Adjustment or Other Changes. (16 CCR §§ 1426 & 1432) (Major Curriculum Revision) (No Enrollment Increase) (Consent)

BACKGROUND: The BRN staff have evaluated the major curriculum revision requests. The following Nursing Programs have met all Board rules and regulations for a major curriculum revision without enrollment increase for a Prelicensure Nursing Program and are consent agenda items. o CNI College Associate Degree Nursing Program o Pasadena City College Associate Degree Nursing Program o California Baptist University Baccalaureate and Entry Level Master’s Degree Nursing Program

NEXT STEP: Notify Programs of Board Action

PERSON TO CONTACT: Mary Ann McCarthy, EdD, MSN, RN, PHN Nursing Education Consultant Education and Licensing Committee Liaison

34 The Education/Licensing Committee met on January 7, 2021 and makes the following recommendations: ______7.3.1 Discussion and Possible Action Regarding Whether to Accept Recommendation of Continuing Approval or Other Action for Approved Prelicensure Nursing Programs. (BPC § 2788, 16 CCR §§ 1421, & 1423) (Consent) • American Career College Associate Degree Nursing Program American Career College Associate Degree Nursing Program received initial program approval on November 20, 2014. At the time of the continuing approval visit the program admitted 33 students twice a year in February and September. In the November 2020 Board meeting the Board approved an enrollment increase. Program cost is $74,000.00. NCLEX-RN pass rates meet BRN regulation; 2018-2019 = 93.20% 2019-2020 = 92.65%, and 2020-2021 first quarter 100%. Program retention for 2018-2019 is 86% and attrition is 8%. A regularly scheduled continuing approval visit was conducted virtually, September 29-30, 2020 by Dr. Wayne Boyer, NEC and Dr. Donna Schutte, NEC. The program was found to be in full compliance with all BRN rules and regulations. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, American Career College Associate Degree Nursing Program • Antelope Valley College Associate Degree Nursing Program A regularly scheduled continuing approval visit was conducted November 4 and 5, 2020 by Dr. Wayne Boyer, NEC. The program was found to be in non- compliance with two BRN regulations: The program has provided documentation of rectifying the areas of non- compliance and addressing the recommendation for: 1424(e) The director and the assistant director shall dedicate sufficient time for the administration of the program. Neither the Program Director or Assistant director have sufficient time to administer the program and 1427(c) Each such program shall maintain written agreements with such facilities and such agreements shall include the following Affiliation Agreements were found to be not current or not signed. One recommendation was given regarding 1425.1(a) Each faculty member shall assume responsibility and accountability for instruction, evaluation of students, and planning and implementing curriculum content. Consider assuring faculty/curriculum meetings occur with regularity. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, Antelope Valley College Associate Degree Nursing Program • College of the Redwoods Associate Degree Nursing Program A regularly scheduled virtual school visit took place on September 14 and 15, 2020. The Registered Nursing and Paramedic/LVN Career Mobility Nursing Program submitted a comprehensive report demonstrating meeting all the rules and regulations in California Code of Regulations, title 16, sections 1420-1432. The Self-Study Report covers the program for a five-year period Fall 2016-Spring 2020. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, College of the Redwoods Associate Degree Nursing Program • Compton College Associate Degree Nursing Program A regularly scheduled CAV was conducted on November 9 &10, 2020 by Dr. Donna Schutte, NEC and Badrieh Caraway, SNEC. The program was in compliance with all BRN rules and regulations. Two recommendations were made: 16 CCR § 1425.1 (a)

35 Faculty Responsibilities – effective communication between full-time and part-time faculty and between full-time faculty and Program Director along with documentation of actions taken in all committee meetings; and 16 CCR § 1428 (c) Student Participation- documentation of student participation in committee meetings. Action Plan outcomes have also been met. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, Compton College Associate Degree Nursing Program • El Camino College Associate Degree Nursing Program A regularly scheduled Continuing Approval Visit was conducted on October 19 & 20, 2020, by Dr. Donna Schutte and Dr. Heather Sands. The program was found in compliance with BRN rules and regulations. Three recommendations were made. Two were related to CCR, title 16, section 1424(d) Sufficient Resources with two vacant full- time faculty positions unfilled, one in psych/mental health and one medical-surgical nursing, and insufficient clerical support to maintain departmental functions. The third recommendation was related to CCR, title 16, section 1424(e) Sufficient Release Time for Assistant Director for administrative functions. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, El Camino College Associate Degree Nursing Program • Evergreen Valley College Associate Degree Nursing Program A regularly scheduled virtual school visit took place on November 16 and 17, 2020. The Nursing Program submitted a comprehensive report demonstrating meeting all the rules and regulations in California Code of Regulations, title 16, sections 1420-1432. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, Evergreen Valley College Associate Degree Nursing Program • Hartnell College Associate Degree Nursing Program A regular scheduled continuing approval visit for Hartnell College Associate Degree Nursing Program was completed by Dr. Mary Ann McCarthy, October 26, 27, and 29, 2020. Hartnell College Associate Degree Nursing Program was found to be in compliance with all BRN regulations. There are two recommendations related to: 1. 16 CCR § 1424(d) The program shall have sufficient resources, including faculty, library, staff and support services, physical space and equipment, including technology, to achieve the program's objectives. Recommendation: Fill open sim tech position and evaluate expanding allied health programs offered and need for additional support staff dedicated to the associate degree nursing program. 2. 16 CCR § 1424(e) The director and the assistant director shall dedicate sufficient time for the administration of the program. Recommendation: Succession planning for long- term sustainability of the associate degree nursing program with regards to the role of the Dean of all Allied Health (including the ADN program) as well as the BRN Director for the ADN Program. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, Hartnell College Associate Degree Nursing Program • Los Angeles Harbor College Associate Degree Nursing Program A regular scheduled continuing approval visit for Los Angeles Harbor College Associate Degree Nursing Program was completed by Dr. Mary Ann McCarthy, November 2, 3, and

36 4, 2020. Los Angeles Harbor College Associate Degree Nursing Program was found to be in compliance with all BRN regulations. There is one recommendation related to: 1. 16 CCR § 1424((b)(1) The nursing program shall have a written plan for evaluation of the total program, including admission and selection procedures, attrition and retention of students, and performance of graduates in meeting community needs. Recommendation: Add BRN 100% completion data to post evaluations each semester and to the ADN Total Program Evaluation with systematic review addressing attrition rates > 25%. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, Los Angeles Harbor College Associate Degree Nursing Program • Madera Community College Associate Degree Nursing Program (Formerly Reedley College at Madera Community College Center) A regularly scheduled continuing approval visit was conducted on September 29-30, 2020 virtually. The program was found to be in compliance with required statutes and regulations for prelicensure nursing education programs. Two recommendations were rendered for 16 CCR § 1424 (b)(1) – Plan For Evaluation, and 16 CCR § 1426 (a) – Curriculum. The program submitted notification to the BRN to communicate that as of July 20, 2020 Reedley College at Madera Community College Center was approved as Madera Community College, the 116th California Community College. The program also “request to apply for a formal name change to Madera Community College LVN to RN ADN program.” The Board acknowledged receipt of this progress report at the November 18, 2020 Board meeting. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, Madera Community College Associate Degree Nursing Program (Formerly Reedley College at Madera Community College Center) • Western University of Health Science Entry Level Master’s Degree Nursing Program A regularly scheduled Continuing Approval Visit (CAV) was conducted on November 16 and 17, 2020 for the WUHS Entry Level Master Nursing Program by Badrieh Caraway, SNEC and Dr. Heather Sands, NEC. The program was found to be in compliance with the Board of Registered Nursing (BRN) rules and regulations. There was no area of noncompliance. Three recommendations were given regarding: 16 CCR § 1424(g) - Administration and Organization of the Nursing Program; 16 CCR § 1425(f) Faculty Qualifications and Changes; and 16 CCR § 1428 Student Participation. ACTION: Recommend Ratification of Application for Prelicensure Program Continuing Approval, Western University of Health Science Entry Level Master’s Degree Nursing Program 7.3.2 Discussion and Possible Action Regarding Whether to Accept Recommendation of Continuing Approval or Other Action for an Advance Practice Program (BPC § 2788, 16 CCR §§ 1421 & 1423) (Consent) Western University of Health Science Advanced Practice Degree Nursing Program A regularly scheduled Continuing Approval Visit was conducted on November 19 and 20, 2020 for the WUHS MSN-FNP Program by Dr. Heather Sands, NEC and Badrieh Caraway, SNEC. The program was found to be in compliance with the Board of Registered Nursing rules and regulations. There was no area of noncompliance. One recommendation: 16 CCR § 1484 (h) (11)- Program shall arrange clinical instruction and supervision of the student.

37 ACTION: Recommend Ratification of Application for Advanced Practice Program Continuing Approval, Western University of Health Science Advanced Practice Degree Nursing Program 7.3.3 Discussion and Possible Action Regarding Whether to Accept Recommendation of Approval or Other Action Regarding Prelicensure Nursing Program Unit Adjustment or Other Changes. (16 CCR §§ 1426 & 1432) (Major Curriculum Revision) (No Enrollment Increase) (Consent) • CNI College Associate Degree Nursing Program CNI College submitted a proposal for a Major Curriculum Revision. The proposal is to offer a Bachelor of Science in Nursing (BSN) degree. This degree will replace the Associate Degree Nursing (ADN) program. There will be no changes to the enrollment pattern and total number of students enrolled per year of 200 students which includes advanced placement students as approved by the Board. ACTION: Recommend Ratification of Application for Prelicensure Program Major Curriculum Revision, No Enrollment Increase, CNI College Associate Degree Nursing Program • Pasadena City College Associate Degree Nursing Program PCC nursing submitted a major curriculum change proposal for Board approval to be implemented for all students in the fall 2021. The PCC ADN Program currently has 39 program units, 18 theory units and 21 clinical units and seeks Board approval to decrease required nursing units from 39 units to 37 units. ACTION: Recommend Ratification of Application for Prelicensure Program Major Curriculum Revision, No Enrollment Increase, Pasadena City College Associate Degree Nursing Program • California Baptist University Baccalaureate and Entry Level Master’s Degree Nursing Program The College of Nursing recognized the need to revise the nursing curriculum. Faculty and student feedback were evaluated, meaningful changes in the curriculum were developed including the elimination of unnecessary and/or redundant content. No change in enrollment. ACTION: Recommend Ratification of Application for Prelicensure Program Major Curriculum Revision, No Enrollment Increase, California Baptist University Baccalaureate and Entry Level Master’s Degree

38 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.4 DATE: February 17-18, 2021 ACTION REQUESTED: Discussion And Possible Action Regarding Recommendation to Accept Program Progress Report With Discussion And Possible Action To Address Any Performance Gaps Including Actions Described In California Code Of Regulations, title 16, section 1423.2, subdivision (a) East Los Angeles College Associate Degree Nursing Program (Present) REQUESTED BY: Michael D. Jackson, MSN, RN Chair, Education/Licensing Committee BACKGROUND: At the November 2019 Board Meeting the BRN changed Continue Approval Status of East Los Angeles College Associate Degree Nursing Program to Warning Status with Intent to Close the Program and required Monthly Progress Reports to be submitted to the Nursing Education Consultant, and the school to be present at all ELC meetings during the period of warning status beginning October 2020. College shall conduct a comprehensive program assessment to identify variables contributing to the substandard pass rate and shall submit a written report to the Board. The report shall include the findings of the assessment and a plan for increasing the pass rate including specific corrective measures to be taken, resources, and timeframe.

Following significant concerns that have developed since the January 2020 ELC meeting, the following information was sent to the ELAC Program Director, President, Vice President and Dean by email on 01-20-2021 from the NEC and an updated report was requested from the Program Director and is in the materials packet. “Due to the current situation of ELAC nursing, the concerns I need to address are related to the amount of time (Fall 2020) spent on who the assistant directors should be, instead of focus on ELAC student success and sustainability. This parallels the period of time (Spring 2020) when the nursing program spent months resisting implementation of the new curriculum instead of moving forward with the required regulation for ELAC faculty to write and implement a new curriculum for full student implementation in the Fall 2020. This also took the focus off student success and sustainability of ELAC nursing. This is a reoccurring pattern. The internal issues between the nursing program and the College Administration must be addresses and resolved as there is no nursing program without a College. Nursing education is not an independent entity and the College has been required by the Board to be involved at a high level. The first year of warning status was the College re-engaging as well as adding support and resources to the nursing program. As of Fall 2020 it was time for the nursing program to step up and do their part in moving forward.”

39 Reports for this meeting were submitted from the College Administration and Nursing program. These reports are included in the packet.

The program was found to be in non-compliance in six (6) areas at the time of this visit: Three (3) areas of non-compliance are remaining. Remaining Non-Compliances 1. 16 CCR section 1424(b)(1) – Administration and Organization – Program Evaluation. This noncompliance is continuing with steady progress. Program evaluation report from Fall 2020 to be submitted April 2021. 2. 16 CCR section 1426(b) Required Curriculum This noncompliance is continuing with slow progress. Curriculum continues to be implemented for all students in Spring 2021. 3. 16 CCR section 1431–Licensing and Examination Pass rate Standard ATI is the new prep-plan beginning with the Spring 2021 cohort. Hurst will provide review for current seniors. Second, third, and fourth semesters will continue with Kaplan until graduation. Remaining Recommendations: 1. 16 CCR section 1425.1(a) Faculty Responsibility – Planning and implementing curriculum content This recommendation is continuing with progress.

NEXT STEP: Notify Program of Board Action

PERSON TO CONTACT: Mary Ann McCarthy, EdD, MSN, RN, PHN Nursing Education Consultant

40 East Los Angeles College Christine C. Chandler BRN report February 2021

CCR Section 142(b) (1) - Administration and Organization. Dr. Christine Chandler will continue as Program Director for East Los Angeles College and will have four Assistant Directors. As of January 1, 2021, Valmonte and Figueroa are assistant directors in the nursing program, joining continuing assistant directors, Garcia and Knight, will work in the following roles: Valmonte: Will coordinate onboarding for all faculty and students to county facilities throughout all semesters. Figueroa: Will update the programs website to reflect new admission criteria, application process, and coordination of required medical data for all semesters. Garcia: Will continue chairing the total program evaluation committee and collect data on equity issues that affect student success, e.g. housing, food, tuition, etc. Knight: Will continue her work on multi-criteria for admission and move forward for approval. She will also continue updating and coordinating the skills lab. CCR Section 1424(h) Faculty type. Request to hire one faculty member and one administrative assistant have been submitted. Five adjunct faculty have been hired. Faculty: Jade Valmonte, Carolyn Du, and Christine Chandler, continue to participate as members of the Regional Nursing Curriculum Consortium (RNCC). Working on committees to create a common core curriculum, general admission criteria, and accreditation that will result in BSNs resulting in terminal degrees for students in ADN programs. Faculty and students have participated in vaccine clinics, administering vaccines. CCR Section 1425.1(a) Faculty Responsibility – Planning and implementing curriculum. Curriculum has been fully implemented. ATI has been purchased and first semester faculty attended a faculty development workshop where they reviewed product and fully implement ATI into their syllabi. Skills lab schedule has been developed to allow dedicated skills lab hours for each semester. First semester will conduct skills in the lab for the first three weeks. The continued goal remains for expanding hours that skills lab is open for students to include evening and weekend hours. Hurst NCLEX review was confirmed as a prep resource for alumni. Dates are scheduled for current graduates and former graduates, who did not pass their NCLEX and will be invited to participate. Student Support rep and Student Success Advisor continue to assist students who earn 78% or less on any quiz/exam. ATI and Hurst will provide information related to probability of passage on NCLEX. Prioritization will be given to graduates who have failed and or have never taken NCLEX.

41 East Los Angeles College -Administration Monthly Progress Report Education/Licensing Committee Meeting January 2021 Submitted on December 8, 2020

Below please find the updates for the month of November 2020: 1. The Program Director continues to meet with faculty bi-weekly to review curriculum, identify best practices and address implementation concerns and challenges. Our theory courses will continue to be taught in an online capacity, while the hard to convert (skill-based courses are being held in our on-campus skills lab or in a clinical setting at one our partner hospitals. There is currently discussion happening between our college and our clinical sites around the COVID vaccine requirements and the impact it will have on clinical placements. 2. We are preparing for a new cohort of 30 students to enter the program Spring 21, which begins February 4th. We have held one orientation with prospective students to discuss the adopted new admission criteria and other onboarding requirements. 3. Dr. Christine Chandler continues in her role as Program Director (PD) of the nursing program. Dean Madrid continues to support her in this new position. At minimum, they meet bi-weekly to address ongoing issues, concerns and department goals. The Dean continues to provide support for Dr. Chandler and has connected her with college colleagues for additional mentorship and support. 4. We have continued to review request for new adjunct hires. We are also pending a decision from the President regarding the department’s request for two new full-time faculty hires. As explained last month, the Faculty Guild 1521 recently ratified its collective bargaining agreement. In the new agreement, the Nursing faculty instructional load was reduced from 18 to 15 teaching hours, retroactive to the start of the fall semester. 5. In regard to the total program evaluation, Prof. Martha Garcia (ADN) continues to lead the total program evaluation committee. The faculty and staff continue to work collaboratively to assist Ms. Garcia. Faculty has taken on portions of the plan and are working collectively to address their assigned area. The total program evaluation process is ongoing, and we will continue to address the various areas of concern. 6. Ms. Bianca Martinez continues to work under the leadership of Dean Madrid. She continues to works with our alumni students. She continues to work on an Alumni Incentive program. We are in the process of finalizing contracts with Hurst and ATI with a plan to launch this program in Spring or Summer of 2021. As mentioned previously, the program will consist of the following: • Alumni Success Agreement requesting the students written agreement to participate in the program for the duration of their specific study plan in exchange for funding

42 • Potential incentivized plan that covers test prep expenses and reimburses NCLEX registration costs (We can discuss further. I have mixed feelings) • Timeline Toward Success identifying a projected NCLEX exam date and dates of benchmarks • Student Support Rep bi-weekly check-ins to check student progress and serve as additional support. These can be done on an individual basis and also offered as a group to mirror a cohort model and offer alumni opportunity to support and feel supported by their peers • ELAC Faculty Rep to serve as program point person and can assist with additional remediation and/ or content Additional quantitative information related to testing has been verified and included in the PD’s report. 7. Student Success Advisor, Jacqueline Velasquez continues to offer workshops to students related but not limited to nursing topics, test taking issues and study habits. She also has open office hours to meet with students one-one. The workshops and office hours have been well received by students and faculty. Preliminary feedback from faculty, shows that the workshops have made a difference in test results. Ms. Velasquez will continue to work in collaboration with faculty to address student success. Additional information related to the workshops and office hours has been verified and included in the PD’s report.

43 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.5.1 DATE: February 17-18, 2021 ACTION REQUESTED: Discussion and Possible Action Regarding Recommendation to Accept Feasibility Study for a New Prelicensure Nursing Program, Palo Verde College Associate Degree Nursing Program (16 CCR § 1421) (Present) REQUESTED BY: Michael D. Jackson, MSN, RN Chair, Education/Licensing Committee BACKGROUND: Alice Martanegara, DNP, RN, Interim Director Registered Nursing Program on behalf of Palo Verde College (PVC) submitted a Feasibility Study seeking approval to offer a new Associate Degree Nursing program. Description of the Institution: Palo Verde College (PVC) is a California Community College founded September 15, 1947 on the site of the former Morton Air Academy, Blythe, CA. In 1998, the College District expanded to the eastern end of San Bernardino County (Blythe) and the City of Needles. The students attending Palo Verde College main campus (Blythe) and Needles are mainly from the community of Blythe and the two state prisons near the main campus, as well as Needles, Bullhead, NV, and the Mohave Valley, AZ. The 2019-2020 total student population for both the Blythe and Needles campus is 11,640. Currently, the Licensed Vocational Nursing (LVN) Program at the PVC main campus, Blythe, CA has a total census of 15 students. Accreditation Status Palo Verde College is institutionally accredited by the Accrediting Commission for Community and Junior Colleges of the Western Association of Schools and Colleges (ACCJC). The LVN program is accredited by the California Board of Vocational Nursing and Psychiatric Technicians (BVNPT). PVC has no denials, revocations, or warnings from any accrediting bodies at any of their campus locations – Blythe and Needles. Geographic Description The Inland Empire of Southern California is a region, east of Los Angeles, made up of scores of cities and towns. The Inland Empire is the nation’s 13th most populous metropolitan area and stretches across 27,000 square miles with a population of 4,476,000 (U.S. Census Bureau, 2010). The region has experienced growth in the areas of healthcare, professional scientific and technical services, logistics and construction (Keli, 2019). Application Pool/Enrollment: The Inland Empire is one of the areas that was identified as needing increased RN graduates to meet the current and future demand for nurses by 2026 (Health Impact, 2018). Qualified students and residents of Blythe who are accepted into an RN program must move away to attend school due to the geographical distance of the nearest RN program, which increases the cost of the program for them. More than a quarter of Blythe residents are already impoverished below the US poverty level. Moving away to attend another college may be impossible (Cecelia’s, M. & Tijerina, J. (2019)). Palo Verde College has an extensive institutional, community and student support for the college to pursue an application with the

44 California Board of Registered Nursing for an RN program. There are approximately 4,200 high school students each year in San Bernardino and Riverside Counties. This is supported by the Guided Pathway programs with two local high schools. Thus far a pool of 50 plus qualified applicants is ready to enroll as soon as the RN program is approved by the CA BRN. Enrollment Palo Verde College proposes an Associate Degree Nursing program with a yearly enrollment of 20 students starting the Fall 2022 semester. Enrollment projection for the first 5 years will be 100 students. Budget and Tuition Tuition for ADN students is $46 per unit enrollment fee. The fees for Arizona residents are $138 per unit and fees for non-resident is $265 per unit. The projected RN total program cost for CA residents is $6,410.00 including tuition, fees, uniforms, and supplies. Students are eligible for the California Board of Governors’ tuition waiver, scholarships offered through the PVC Foundation, financial aid, and employer-based tuition reimbursement. The California State Community College School Monies (Chancellor’s Office) and the Federal General Restriction Funds will be main sources of income for the PVC Nursing Program. The California Board of Governors provides fee waivers for RN students; therefore, tuition will not be relied upon by PVC as a source of revenue for the ADN Program. Resources The CA Strong Workforce and the Citizen Bond funds were allocated to hire a consultant to complete the ADN program’s Feasibility Study and the Self-Study Report, the updates and purchases of additional equipment and learning resources for the nursing Skills and high- fidelity Simulation labs, a Nursing Program Director, and faculty for the 1st year of the program. Upon BRN approval, the proposed ADN program will initially hire a Program Director, 2 FTE faculty in year one, then add 2 FTE faculty and 1-2 adjunct faculty in year two who meet the requirements found in the California Code of Regulations, title 16, section 1425(a)-(f). Student resources include a library, skills lab, a high-fidelity simulation lab, classrooms with a 36 maximum room capacity. Building Mall with a student study and resource center, faculty offices and lounge, an auditorium (200 maximum room capacity), 7 additional classrooms, 3 computer labs, a conference room, and student success lab. Existing resources, equipment and supplies will be shared between the LVN and the ADN programs Curriculum The proposed curriculum of the Associate of Science Nursing Degree program (EDP-P-05 and EDP-P-06) consists of 85 total graduation units. 18-week semester credits. The curriculum includes 45 units in the art and science of nursing of which 25 units consist of theory courses and 20 units of clinical practice, 24 units of science, and 6 units of communication. Clinical site Palo Verde College has secured 13 clinical affiliation agreements with a signed EDP-I-01 to support the required clinical hours for the RN curriculum per CCR, title 16, section 1427. All submitted documents have been reviewed and meet the BRN regulatory requirements, and they are available in the program reference file. NEXT STEP: Notify Program of Board Action PERSON TO CONTACT: Badrieh Caraway, RN, MS, MEd, CHES Supervising Nursing Education Consultant

45 Description of the Institution Palo Verde College (PVC) is a California Community College founded September 15, 1947 on the site of the former Morton Air Academy, Blythe, CA. In 1998, the College District expanded to the eastern end of San Bernardino County (Blythe) and the City of Needles. The students attending Palo Verde College main campus (Blythe) and Needles are mainly from the community of Blythe and the two state prisons near the main campus, as well as Needles, Bullhead, NV, and the Mohave Valley, AZ. The 2019-2020 total student population for both the Blythe and Needles campus is11,640. Currently, the Vocational Nursing (VN) Program at the PVC main campus, Blythe, CA with a total census of 15 students.

Accreditation Palo Verde College is institutionally accredited by the Accrediting Commission for Community and Junior Colleges of the Western Association of Schools and Colleges (ACCJC). The VN certificate program is accredited by the California Board of Vocational Nursing and Psychiatric Technicians (BVNPT). PVC has no denials, revocations, or warnings from any accrediting bodies at any of the campus locations – Blythe and Needles.

Geographic Area and Need for the Program in the Inland Empire Region The Inland Empire of Southern California is a region, east of Los Angeles, made up of scores of cities and towns. The Inland Empire is the nation’s 13th most populous metropolitan area and stretches across 27,000 square miles with a population of 4,476,22 million (U.S. Census Bureau, 2010).

Economic Growth In Southern California, the Inland Empire has consistently registered the largest percentage of gains in jobs for the last couple years. The region has experienced growth in the region in areas of healthcare, professional scientific and technical services, logistics and construction (Keli, 2019). The employment growth in the Inland Empire has trended faster than other Southern California regions. The Inland Empire is projected to have an increase regional growth in population and development.

Health Care Needs of the Community The 2019 Regional Community Health Needs Assessment, the Inland Empire is faced with the chronic disease and safety challenges with high degrees of the population in the underserved, low-income and minority groups having access to medical care (Hospital Association of Southern California, 2019). Over the past decade, the Inland Empire region has struggled with a severe health workforce shortage especially physicians and RNs causing a delay in health interventions and access to timely care (Office of Statewide Planning and Development, 2019).

Inland Empire Nursing Workforce Need The Forecast of the Registered Nurse Workforce Report found that the Inland Empire region experienced multiple factors that suggest the RN supply and demand may currently be at a deficit of 8,000 full time RN equivalents (FTEs) and this shortage is projected to continue through 2035 (Spetz, 2019). The shortage may be lessened through the expansion in the RN education programs according to Spetz’s report. The forecast shows that the Inland Empire region is the highest RN labor market demand (Chu & Spetz, 2020).

As the baby boomer RNs retire, the patient population in CA increases and the aging population involves multi-morbidity management of chronic illnesses (Haddad & Toney-Butler, 2019). The

46 elderly will double its numbers by 2050 (Dick & Buttaro, 2020). To care for this older, complex aging population, more RNs will be required. Blythe has many LVNs who have and will graduate from the Palo Verde College LVN Program. Due to the VN’s limited scope of practice, they will require more RNs to supervise those LVNs as more elderly patients fill the area’s skilled nursing and acute care facilities.

Lack of Capacity in Nursing Program The California Board of Registered Nursing 2018-2019 Annual School Report provided evidence that nursing programs receive more applications than can be accommodated. Blash and Spetz (2019) provided data in the 2017-2018 California Board of Registered Nursing Annual School Report that the Inland Empire region is not enrolling adequate numbers of nursing students to meet the current and projected need. The Inland Empire is one of the areas that was identified as needing increased RN graduates to meet the current and future demand for nurses with a predicted shortage of 4,400 RNs by 2026 (Health Impact, 2018).

The need for RNs in Blythe is crucial, utmost and should not be overlooked. Spetz gathered data for the CA BRN (Board of Registered Nursing) to predict the number of RNs CA will need in its workforce from 2017 to 2035 (Blash & Spetz, 2017). Qualified students and residents of Blythe who are accepted into an RN program must move away to attend school due to the geographical distance of nearest RN program, which increases the cost of the program for them. More than a quarter of Blythe residents are already impoverished below the US poverty level. Moving away to attend another college may be impossible (Crecelius, M. & Tijerina, J. (2019). Reasons that affect RN supply and demand do not remain stagnant in this region. As the aging population increases, RNs trained at the Palo Verde College Nursing Program are more likely to stay here if they are Blythe residents and have elderly family to care for.

Palo Verde Healthcare District has a perpetual shortage of RNs to care for patients, manage patient care areas, work in the outpatient clinics, supervise LVNs with patient assignments and obtain advanced education to practice in specialty areas of healthcare in the Palo Verde Healthcare District. Only 10.7% of the employed population in Blythe work in healthcare (Crecelius, M. & Tijerina, J., 2019). Without a presence of an RN Program within 100 miles, the plight of Palo Verde Healthcare District will not change and becomes a more critical need to serve the population of Blythe and its surrounding communities.

A proposal to add an Associate Degree RN Program to the PVC main campus in Blythe, CA was presented to the Board of Trustees as a proposal from the President/Superintendent, Vice President of Business Administration and the California Community College Chancellor’s Office. In April 2019, the Board of Trustees approved PVC’s Vice President and the Dean of Instruction and Student Services to seek approval from the California Board of Registered Nursing (BRN) for an Associate of Science Degree in Nursing. The Board of Nursing’s fees for the pursuit of the RN program is funded through the Strong Workforce Initiative.

Applicant Pool Palo Verde College has an extensive institutional, community and student support for the college to pursue an application with the California Board of Registered Nursing for an RN program. Using the reported 14.50% of California students interested in nursing profession, this yields approximately 8,400 interested high school students, leaving an unmet nursing program interest of approximately 4,200 high school students each year in San Bernardino & Riverside Counties. This is supported by the Guided Pathway programs with two local high schools. Thus

47 far a pool of 50 plus qualified applicants ready to enroll as soon as the RN program is approved by the CA BRN.

Enrollment Palo Verde College proposes an Associate Science Nursing degree with a yearly enrollment of 20 students starting the Fall 2022 semester. Enrollment projection for the first 5 years will be 60 students.

Tuition Tuition for ADN students is $46 per unit enrollment fee. The fees for Arizona resident are $138 per unit and non-resident is $265 per unit. The projected RN total program cost for CA resident is $6410.00 including tuition, fees, uniform, and supplies. Students are eligible for the California Board of Governors’ tuition waiver, scholarships offered through the PVC Foundation, financial aid, and employer-based tuition reimbursement.

Budget Appendix A depicts the proposed budget for the ADN program at Palo Verde College. The California State Community College School Monies (Chancellor’s Office) and the Federal General Restriction Funds will be main sources of income for the PVC Nursing Program. The California Board of Governors provides fee waivers for RN students; therefore, tuition will not be relied upon by Palo Verde College as a source of revenue for the RN Program. Palo Verde Foundation and business office will identify additional fiscal sources of grants and scholarships from the community, state and federal resources, donations and the Citizen Bond. The CA Education Protection Act (Senate Bill 98 Chapter 24. Statutes of 2020 and Senate Bill 820 Chapter 110. Statutes of 2020) will provide funds for faculty salaries.

Resources The CA Strong Workforce and the Citizen Bond funds were allocated to complete hire a consultant to complete the RN program Feasibility and Self-Studies, the updates and purchases of additional equipment and learning resources for the nursing skills and high-fidelity simulation labs, a program director, and MSN faculty for the 1st year of the program.

Upon approval of the RN program, Palo Verde will secure the needed initial faculty, and staff approximately sixteen weeks prior to start of the 1st cohort and hire additional faculty and staff as appropriate. The proposed RN program will initially employ a Program Director, 2 FTE faculty in year one, then add 2 FTE faculty and 1-2 adjunct faculty in year two who meet the requirements found in the California Code of Regulations Section 1425(a-f).

Student resources includes a library, skills lab, a high-fidelity simulation lab, classrooms with a 36 maximum room capacity, a Classroom Building Mall with student study and resource center, faculty offices and lounge, an auditorium (200 maximum room capacity), 7 additional classrooms, 3 computer labs, a conference room, and student success lab. Existing resources, equipment and supplies will be shared between the VN and the RN programs.

Curriculum The proposed curriculum of the Associate of Science Nursing Degree program (EDP-P-05 and EDP-P-06) consist of 85 18-week semester credits. The curriculum includes 45 semester units in the art and science of nursing of which 25 units consist of theory courses and 20 units of clinical practice. See Appendix B for RN Curriculum Standard Path.

48 Clinical Placement Palo Verde College has secured 13 clinical affiliation agreements with a signed EDP-I-01 to support the required clinical hours for the RN curriculum per CCR1427. See Appendix C for list of clinical sites and EDP-I-01.

Conclusion The scarcity of Registered Nurses is pronounced in rural areas, such as Blythe and Needles, CA. Additions of a successful RN graduate to the healthcare workforce in Blythe, Ca will begin to bridge the gap between undergraduate education and the mounting need for more effective and safe RNs to care for the rising number of aging and multiple comorbidity patients in the region. As evidenced by the details of this feasibility study, the California Board of Nursing (BRN) regulations to establish a much needed RN program in Blythe, California, have been met. Palo Verde College respectfully requests that the BRN approve and forward this feasibility study to the Education/Licensing Committee (ELC) for discussion and favorable ELC Board action. The College and the community of Blythe appreciate the BRN’s time and consideration in this matter.

References: Blash, L. & Spetz, J. (2019). 2017-2018 Annual School Report: Data Summary for Pre- Licensure Nursing Programs. Sacramento, CA: California Board of Registered Nursing.

Blash, L. & Spetz, J. (2020) 2018-2019 Annual School Report: Data Summary and Historical Trends Analysis. Sacramento, CA: California Board of Registered Nursing.

Crecelius, M. & Tijerina, J. (2019). City of Blythe and the Palo Verde Valley. California 2019 retail market opportunities. Riverside County, CA.

Haddad, L.M. & Toney-Butler, T.J. (2019, Jan 19). Nursing Shortage. Treasure Island, FL. StatPearls Publishing LLC. Keating, S.B, & Sechrist, K.R. (2001). The nursing shortage in California: The public policy role of the California strategic planning. American Nurses Association Nursing World. US Bureau of Labor Statistics. (2017). US Census Bureau. (2010). 2010 Census Interactive Population Search - Needles City.

49 Appendix A Palo Verde Community College Annual Budget Projections

Academic Year Year 1 Year 2 Year 3 Year 4 Year 5 Revenue Enrollment Fees $ 39,100.00 $ 39,100.00 $ 39,100.00 $ 39,100.00 $ 39,100.00 Arizona Enrollment Fees $ 3,910.00 $ 3,910.00 $ 3,910.00 $ 5,000.00 $ 5,000.00 Grants (Enrollment, Song- Brown, Strong Workforce, $ 325,000.00 $ 325,000.00 $ 425,000.00 $ 485,000.00 $ 485,000.00 Perkins) Net Revenue $ 368,010.00 $ 368,010.00 $ 368,010.00 $ 529,100.00 $ 529,100.00

Expenses Contract Faculty (paid by $ - $ - SB820) $ 93,758.00 $ 93,758.00 $ 95,821.00 Professional Expert $ - $ - $ 80,000.00 $ 80,000.00 $ 80,000.00 Educational Administrator $ 129,252.00 $ 129,252.00 $ 135,714.00 $ 135,714.00 $ 142,500.00 Employee & related costs $ 52,500.00 $ 52,500.00 $ 70,000.00 $ 70,000.00 $ 78,000.00 (benefits) Books, supplies, & other $ 2,860.00 $ 2,860.00 $ 3,000.00 $ 3,000.00 $ 3,200.00 Lab Expenses $ - $ 40,000.00 $ 40,000.00 $ 60,000.00 Total Expenses $ 184,612.00 $ 184,612.00 $ 422,472.00 $ 422,472.00 $ 459,521.00

50 Appendix B Program Prerequisites Prerequisites in this program will be enforced. All program prerequisites must be completed with a grade of “C” or better. In addition, the combined grade-point average for prerequisites must be 2.5 or higher. PREREQUISITES High School diploma, G.E.D., or California Proficiency Exam (Associate or Bachelor's degree accepted) Course Name Credit Units BIO 210 Human Anatomy with Lab 5 BIO 211 Human Physiology with Lab 5 BIO 111 Basic Microbiology with Lab 5 ENG 101 Reading and Composition 3 SPE 102 Public Speaking 3 PSY 201 Life Span Development 3 Associate Science Degree Nursing Curriculum Plan SEMESTER I Course Name Credit Units

NUR 251 Foundations of Nursing 3 NUR 252 Foundations of Nursing Clinical 4 NUR 253 Geriatric Nursing 2 NUR 256 Mental-Behavioral Health Nursing 2 NUR 257 Mental-Behavioral Health Nursing Clinical 2 SEMESTER II Course Title Credit Units

NUR 254 Basic Medical-Surgical Nursing 3 NUR 255 Basic Medical-Surgical Nursing Clinical 4 NUR 258 Maternal-Newborn Nursing 2 NUR 259 Maternal-Newborn Nursing Clinical 1.5 SEMESTER III Course Title Credit Units NUR 260 Family-Child Nursing 2 NUR 261 Family-Child Nursing Clinical 1.5 NUR 262 Intermediate Medical-Surgical Nursing 3 NUR 263 Intermediate Medical-Surgical Nursing Clinical 3 SEMESTER IV Course Name Credit Units NUR 264 Advanced Medical-Surgical Nursing 4 NUR 265 Advanced Medical-Surgical Nursing Clinical 5 NUR 266 Leadership 3

51 Additional Degree & Licensure Requirements by Program Completion Course # Course Title Credit Units SOC 101 Introduction to Sociology 3 MAT 106 Statistics 4 NSC128 Medical terminology 3 PHI100 Introduction to Philosophy 3 POS145 American Political Institutions 3

Total Nursing (Nursing Theory Units = 25 Nursing Clinical Units = 20) 45 Total General Education 40

RN Program Total 89

52 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.5.2 DATE: February 17-18, 2021 ACTION REQUESTED: Discussion and Possible Action Regarding Feasibility Study for a New Prelicensure Nursing Program, Sri Sai Krish College Associate Degree Nursing Program (16 CCR § 1421) (Present) REQUESTED BY: Michael D. Jackson, MSN, RN Chair, Education/Licensing Committee BACKGROUND: Dr. Dianna Scherlin PhD, RN, Interim Director, Registered Nursing Program on behalf of Sri Sai Krish Institute (SSKI) submitted a Feasibility Study seeking approval to offer a new Associate Degree Nursing program. Description of the Institution: The proposed SSKI is located at 12363 Beach Blvd, Suite 14, Stanton, CA., 90680. The campus is situated on Beach Blvd. between Chapman and Lampson Avenues, 10 blocks north of the Garden Grove 22 Freeway. The Institution has approximately 7,000 SF with entrances on both the front and back of the building. Sri Sai Krish Institute exists currently as a school that offers two tracks of a Licensed Vocational Nursing (LVN) program and a Certified Nursing Assistant (CAN) program. Sri Sai Krish Institute, a newer institution of learning, was founded in 2012 by Ms. Vijayakumark Bhaskar as an exempt institution offering nursing assistant and home health aid programs approved by the California Department of Public Health. The Program Director (DoN) is resposible for daily operations and management of the SSKI Nursing Program The campus organizational chart is included in the Feasibility Study. Accreditation Status : The SSKI is approved by the California Department of Consumer Affairs, Bureau for Private Postsecondary Education (BPPE). The vocational nursing program is approved by the California Board of Vocational Nursing and Psychiatric Technicians (BVNPT). Their approval remains in effect until March 5, 2024.

Geographic Description: The city of Stanton, California is located in Northwestern Orange County and is considered a part of the Greater Los Angeles Metropolitan area. Stanton is bounded by the cities of Cypress (west), Anaheim (north) and Garden Grove (south, east). Other close cities include Buena Park, Santa Ana, and Tustin. The estimated population of Stanton is estimated at more than 39,000 giving it a density of about 12,000 population per square mile. Demographic makeup of Stanton is similar with the July 2019 population estimated at 38,139 with primarily white, Hispanic and Asians making up the majority of the populations. The per capita income of individuals was $23,400 with less than 20% having a college education, 44% foreign born and with over 69% of individuals speaking a language in the home other than English. Per: U.S. Census Bureau QuickFacts: Stanton city, California

53 Los Angeles County currently has a total of 36 nursing schools, up from 32 in 2010. In 2019. 13,346 qualified applications were received by these programs and 6,223 (53.4%) were enrolled (BRN Annual Report 2020). ACC reports 252 applications received and 66 new enrolments for 2016-2017 (Major Revision Request Pg. 6). Applications received for 2018-2019 were 188 with 100 (53.2%) being admitted (BRN Annual Report 2020 American Career College) The Regional Nursing Summits Summary Report, pg. 61 (2018) identifies the greater Los Angeles region to face a large surplus of RNs with projected new graduate growth much higher than needed. 2018 Regional Nursing Summit Report

Program Description: The proposed program is a 5-semester Associate of Applied Science (AAS) program that prepares the student for entry level as a registered nurse. SSKI is requesting to admit a maximum of 24 students per cohort and wants to admit 3 cohorts each year, a new cohort at the beginning of each trimester. The program is currently planning its initial start/initial cohort in the fall semester of 2021 and is requesting 3 cohort starts annually beginning 2022. Application Pool/Enrollment: The applicant pool for this program will consist primarily of diverse students from the local areas who have faced difficulty gaining entrance in public programs. Some of these students wait years for admission to a public program and many are not ever afforded the opportunity. LVNs from the local area wanting to complete their associate degree in nursing (future plan when allowed by BRN on a space available basis), and LVNs who want to complete a 30-unit option program (future offering when permitted).

Budget and Tuition: The program has set aside a minimum of $50,000 to be available to cover the start of the program. The program has a group of investors ready to invest and this group has already committed money to enlarge learning space, to support building and equipping additional simulation space and to assist in other ways if necessary. The school also boasts a substantial credit limit from the SBA but currently owes no money and would prefer to not borrow if able to. Money available from the investor group has not been counted in the budget projection document. Tuition for the total program is set at $59,000 (about $907 per credit hour) for a student who completes all courses at SSKI and will be reduced accordingly for students who transfer in credit. The initial capital expenditure estimates to develop and outfit a new campus is approximately $313,850 which would include furniture, fixtures, IT systems/equipment and instruction/clinical equipment. Please see exhibit.

Resources: SSKI will secure the needed initial faculty and staff approximately eight weeks prior to beginning operation and hire additional faculty and staff as appropriate. The proposed ADN program will initially employ 2.5 FTE faculty who meet the requirements found in the California Code of Regulations, title 16, section 1425(a)-(f). SSKI is planning on enlarging current space, creating a dedicated simulation lab, and adding additional equipment when/if approval is

54 provided. Resources are available for these projects. The current floor plans provide approximately 12,000 SF and the additional space will add additional square footage.

Nursing Core Curriculum: The proposed curriculum of the SSKI program contains 65 total credits with credits of didactic coursework assigned to the AAS program; 18 credits of nursing laboratory, simulation and clinical practice; 20 credits of nursing theory; 6 credits of communication; 18 credits allotted for sciences with an additional 3 math credits for a total of 65 total credits. The science courses match the requirements as outlined by the CA BRN. SSKI submitted completed Required Curriculum EDP-P-06 and Total Curriculum Plan EDP-P-05 forms. The Curriculum Plan (EDP-P-06) and the Total Curriculum Plan (EDP-P-05) can be viewed in Attachment 6 of the Feasibility Study. Clinical site: Currently, SSKI has obtained clinicals in each specialty area and will continuously evaluate student placements as clinical time draws nearer. SSKI will only admit students into clinical placements that they are sure will provide a good learning environment. SSKI will seek clinical placements suited to entry level pre-licensure registered nursing and seek to find the best learning experiences for its future students. SSKI will not displace existing program placements. The Facility Verification Forms are included in Attachment 10 and are currently being updated to the new form. Current Programs Success Rates: The passage rate for the NCLEX-PN (LVN) Program is as follows: 2015-2016 88% first time pass rate (22 tested/1 failure/ 2 unknown) 2016-2017 100% first-time pass rate (8 tested) 2017-2018 100% first-time pass rate (16 tested) 2018-2019 100% first-time pass rate (5 tested)

NEXT STEP: Notify Program of Board Action

PERSON TO CONTACT: Badrieh Caraway, RN, MS, MEd, CHES Supervising Nursing Education Consultant

55 Feasibility Study Executive Summary Sri Sai Krish Institute, Stanton, Ca Dr. Dianna Scherlin, RN, for Ms. Ms. Vijayakumark Bhaskar Letter of Intent: A letter of intent was submitted to the CA Board of Nursing in September of 2019. Subsequently, the fee of $40,000.00 was submitted shortly after. The Board acknowledged the Letter of Intent in the fall of 2019 Description of the Institution: Sri Sai Krish Institute, a newer institution of learning, was founded in 2012 by Ms. Vijayakumark Bhaskar as an exempt institution offering nursing assistant and home health aid programs approved by the California Department of Public Health. Sri Sai Krish Institute exists currently as a school that offers two tracks of a practical nursing program and a nursing assistant program. Thus far this institution has been very successful at delivering programs to students and achieving excellent outcomes. SSKI is located at 12363 Beach Blvd, Suite 14, Stanton, CA., 90680. The campus is situated on Beach Blvd. between Chapman and Lampson Avenues, 10 blocks north of the Garden Grove 22 Freeway. The Institution has approximately 7,000 SF with entranced on both the front and back of the building. The space consists of a reception area, two administrative offices, two nursing skills labs and five classrooms. There are well equipped classrooms, auxiliary teaching areas and lecture rooms available for student learning activities. An additional area has been identified in which to build a new simulation laboratory as well as additional offices. The facility boasts adequate lighting and it is climate controlled. Free ample student and faculty parking is available near the building. Students receive instruction utilizing various medical equipment, hardware and software. The nursing skills labs provide beds, EKG machines, low and medium fidelity patient simulators and the multiple nursing related technologies. There has been additional equipment either purchased in waiting or identified to be purchased to support the AAS students as well as fully equip a simulation space for their use. This school currently has a 2-bed simulation lab for students to practice and achieve skills. Additionally, there will be times identified for students to practice in open lab as warranted. SSKI is planning on enlarging current, creating a dedicated simulation lab, and adding additional equipment when/if approval is provided. Resources are available for these projects. The current floor plans provide approximately 12,000 SF and the additional space will add additional square footage. Accreditation Status: The Institute is approved by the California Department of Consumer Affairs, Bureau for Private Postsecondary Education (BPPE). An onsite compliance inspection by BPPE was scheduled on October 30, 2019 at 9:15am. The findings included that the school was in good standing with no concerns. Program Status: Both current programs are in good standing. There have been no denials, revocations or warnings received for any program in the Institution. The vocational nursing program is approved by the California Board of Vocational Nursing and Psychiatric

56 Technicians (BVNPT) located at: 2535 Capital Oaks Drive, Ste 205, Sacramento, CA. 95899. Initial approval was obtained, and the program has remained in good status since then. There are no concerns from the CA BVNPT currently. Their standing remains in effect until March 5, 2024. The nursing assistant program is approved by the California Department of Public Health Licensing and Certification Program Aid and Technical Certification Program located at: PO Box 997416, Sacramento, CA. 95899. Since initial approval there have been no concerns and the program remain in good status. Current Programs Success Rates: The passage rate for the NCLEX-PN Program is as follows: 2015- 2016 88% first time pass rate (22 tested/1 failure/ 2 unknown) 2016 –2017 100% first-time pass rate (8 tested) 2017-2018 100% first-time pass rate (16 tested) 2018-2019 100% first-time pass rate (5 tested)

The passage rate for the NA Program is as follows: 2016----- 91.3% (25 takers/ 2 failed) 2017 --- 92 % (27 takers/2 failed) 2018 --- 95.7% (71 takers/ 3 failed) 2019--- 92.68 % (41 takers/3 failed) At the writing of this document, SSKI does not currently participate in federal financial aid programs but is pursuing the possibility of offering this assistance at some point in the future. SSKI offers a student friendly monthly payment plan for its students. Geographic Area: The city of Stanton, California is located in Northwestern Orange County and is considered a part of the Greater Los Angeles Metropolitan area. Stanton was incorporated in 1956 and operates under the Council-Manager form of government. Stanton provides its citizens with a full range of municipal services. Stanton is bounded by the cities of Cypress (west), Anaheim (north) and Garden Grove (south, east). Other close cities include Buena Park, Santa Ana, and Tustin. A small geographic area, Stanton is located in just 3.25 square miles. Residents enjoy a small-town community feeling yet benefit from a wide variety of retail opportunities, civic events, parks and business friendly organizations. The estimated population of Stanton is estimated at more than 39,000 giving it a density of about 12,000 population per square mile. Orange County has about 3.19 million population (2017) while Los Angeles County to the north has approximately 4 million residents (2017). San Diego County to the far south, has approximately 3.4 million population. Program Description: The proposed program is a 5-semester Associate of Applied Science (AAS) program that prepares the student for entry level as a registered nurse. SSKI is requesting to admit a maximum of 24 students per cohort and wants to admit 3 cohorts each year, a new cohort at the beginning of each trimester. The program is currently planning its initial start /initial cohort

57 in the fall semester of 2021 and is requesting 3 cohort starts annually beginning 2022. The enrollment projection is available in the Feasibility Study in Table 2 located on page 80. Applicant Pool The applicant pool for this program will consist primarily of: 1. Students from the local areas who are unable to gain entrance in a public offered program. (students wait years for admission to a public program and many are not ever afforded the opportunity). The waiting list to attend a public institution in the greater Los Angeles area can take years and many are never admitted, therefore not afforded the opportunity to achieve their career choice. 2. Licensed LVN’s from the local area wanting to complete their associate degree in nursing (future plan when allowed by BRN on a space available basis). 3. LVN’s who want to complete a 30-unit option program (future offering when permitted. 4. And, especially diverse students who have faced difficulty gaining entrance in public programs. Sustainability of Enrollment: It is well known that California as well as the United States has a major shortage of registered nurses now and in the future. With the added pressure of COVID-19, the need for registered nurses has only grown larger. There has been an identified need in the community for this type of program in particular because it will cater to those students who can’t obtain admission into public programs offering disenfranchised groups opportunity. A fifty-mile radius search of Stanton California yielded 30 ADN RN programs; 15 BSN programs; and 6 Entry-Level Masters (ELM) prelicensure programs. Of the ADN pre-licensure programs, only 1 was within 10 miles; 9 were within 20 miles; 11 were within 30 miles; 4 within 40 miles and 1 was about 50 miles from Stanton. Of these associate degree programs, most within a 20-mile radius are public colleges with highly competitive entry resulting on most student’s inability to either enter the program or enter the program timely. Of the BSN pre-licensure programs, 2 were within 10 miles; 6 within 20 miles; 3 within 30 miles; 3 within 40 miles and 2, 50 miles or less. Of the ELM programs, 3 were 16-25 miles away and 3 were 30-43 miles away.

While it is unlikely that students from the Stanton area would travel more than 20 miles or so for school due to the length of time it takes to travel in the very congested Los Angeles and Orange County areas, collectively there were only 3 programs ten miles or less away and 16 pre-entry programs within 20 miles or less. See Attachment 7, Feasibility Study. The proposed program’s desire is to serve its community, therefore there are no current plans for future expansion into other branches in other locations. The program will primarily be promoted by word of mouth, collaboration with local health-care facilities, and an occasional announcement or advertisement.

58 CCR 1426: The proposed program contains 65 total credits with credits of didactic coursework assigned to the AAS program; 18 credits of nursing laboratory, simulation and clinical practice; 20 credits of nursing theory; 6 credits of communication; 18 credits allotted for sciences with an additional 3 math credits for a total of 65 total credits. The science courses match the requirements as outlined by the CA BRN. The Curriculum Plan (EDP-P-06) and the Total Curriculum Plan (EDP-P-05) can be viewed in Attachment 6 of the Feasibility Study. CCR 1426: All required and mandatory academic subject areas specified in CCR 1426 are required components of the curriculum including: the art and science of nursing: communication skills: science courses; behavior and social sciences; core concepts nursing courses (M, S, O, C, P, G), and multiple topics have been woven into the program as threads. The program will be delivered in a semester format. 1 hour didactic/week/semester = 1 credit or unit 2 hours science lab/week/semester – 1 credit or unit 3 hours of nursing experiential (skills, clinical, simulation)/week/semester – 1 semester credit In 8 week, half semesters/ the required hours are doubled from above to equal 1 credit. The support areas include: library; skills lab, computer lab; simulation lab; tutorial and counseling services among additional other service and support areas for students. Additionally, SSKI has already identified a potential program director and assistant program director as well has begun to search for program faculty to assist in program delivery. Subject matter experts in each specialty area will be identified prior to the program start. Budget Projection: The proposed budget for the program can be viewed in Attachment 3. The budget demonstrates how the program will sustain itself in the future and eventually build reserves to sustain the program. The program has set aside a minimum of $50,000 to be available to cover the start of the program. The program has a group of investors ready to invest and this group has already committed money to enlarge learning space, to support a build and equip additional simulation space and will assist in other ways if necessary. The school also boasts a substantial credit limit from the SBA but currently owes no money and would prefer to not borrow if able to. Money available from the investor group has not been counted in the budget projection document. Clinical Placements: The program has identified the need for the following clinical placements: Semester 2- (proposed start- spring 2022) • 24 gerontology focused slots (45 hrs. each) Semester 3 – (proposed start- summer 2022) • 24 Medical-Surgical (simple) slots (135 hrs. each) Semester 4 – (Proposed start – fall 2022) • 24 Medical-Surgical (intermediate) (90 hrs. each) • 12 + 12 Woman’s Health slots (90 hrs. each) (8-week courses) • 12 + 12 Pediatric slots (90 hrs. each) (8-week courses) Semester 5 – (Proposed start- spring 2023) • 12+ 12 Psychiatric/Mental Health slots (90 hrs. each) (8-week courses)

59 • 12 + 12 Complex care (90 hrs. each) (8-week courses) • 12 + 12 Community health/Leadership slots (90 hrs. each) As can be seen above and in the Feasibility Study, some specialty clinicals (pediatrics, women’s health, psychiatric mental health; complex care and community/leadership) have been placed into 8-week terms so that half of the students (2 clinical groups of 8 each) will take a subject in the first part of the semester, then in the second term take another subject. In the meantime, the other half of the class (2 clinical groups of 8) are taking the courses in reverse order thereby lessening the need for difficult to find clinical placements. Currently, SSKI has obtained clinicals in each specialty area and will continuously evaluate student placements as clinical time draws nearer. SSKI will only admit students into clinical placements that they are sure will provide a good learning environment. SSKI will seek clinical placements suited to entry level pre-licensure registered nursing and seek to find the best learning experiences for its future students. SSKI will not displace existing program placements. The current situation in hospitals who are primarily in “lock-down” mode prohibits the finality of several agreements that were in process prior to the COVID-19 pandemic. These health care facilities have promised to reevaluate when COVID-19 pandemic has leveled off and when conditions are under control. Additionally, SSKI has joined the local consortium for clinical placement help and will work collaboratively with other schools in order to not displace existing schools. The Facility Verification Forms are included in Attachment 10 and are currently being updated to the new form. Agreement to obtain clinical placements (consortium)– Attachment 11. Affiliate Agreements: There is no degree granting agreements with higher education as the College had applied to become degree granting through the process outlined by BPPE and ACICS. Transfer and Advanced Standing SSKI will review its transfer policy in the spring of 2021 in order to accommodate potential AAS students. Currently the college is planning on allowing students to transfer in ALL general education and science courses. Students eligible for advanced standing, such as veterans or current military students with prior similar experience will be evaluated per the policy to be created in the spring. The College will follow the recommendations and rules for advanced standing for military when it creates the verbiage for the catalogue revisions.

60 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.6 DATE: February 17-18, 2021 ACTION REQUESTED: Discussion and Possible Action Regarding Recommendation to Accept Initial Self-Study for a New Prelicensure Nursing Program, Chamberlain University College of Nursing Baccalaureate Degree Nursing Program, Irwindale Campus (BPC § 2788, 16 CCR §§ 1421 & 1423) (Present) REQUESTED BY: Michael D. Jackson, MSN, RN Chair, Education/Licensing Committee

BACKGROUND: Dr. Angela Strawn was approved as Program Director on October 4, 2019 for the Chamberlain University College of Nursing BSN Program- Irwindale Campus. On August 31, 2020, Dr. Diane Morey was approved as Program Director with Dr. Strawn serving as Assistant Director until retirement, October 28, 2020.

The original Letter of Intent for a second separate CA Chamberlain Campus and BSN Program was submitted February 14, 2019 with a start date of January 1, 2021. The Feasibility Study was approved by the Board on November 14, 2019 with an enrollment pattern of 40 students three times a year (January, May, and September) and annual enrollment of 120 students. Program start date was moved to May 2021. Chamberlain University, part of Adtalem Global Education, Inc., is accredited by the Higher Learning Commission (HLC). The 3-year program is CCNE accredited through 2024. The program is located at 4910 Rivergrade Road, Irwindale, CA 91706 in the San Gabriel Valley, 21 miles northeast of Los Angeles. This area is designated a RN Shortage Area (OSHPD, 2020) of low severity. The curriculum framework includes AACN Essentials of Baccalaureate Education and QSEN competencies. The graduates will complete theory and clinical requirements for CCR 1491 Public Health Nurse Certification. Total Units for Licensure are 77 and for Graduation 126 units (See att2 EDP-P-06 and EDP-P-05a).

A virtual visit was made on December 1, 2020 by Badrieh Caraway, SNEC, and Donna Schutte, NEC. The program was found to be in-compliance with all Board rules and regulations. Sixteen clinical contracts are in place with EDP-P-18 Clinical Facility Authorization Forms consistent with a 5-year documented EDP-P-11 Nursing Faculty and Clinical Facilities Form that maps faculty hiring and adequate clinical placements. The Program Director, Dr. Morey, is a member of the regional clinical consortiums. She collaborates and provides support to members on clinical issues. The estimated total cost for the126 credit hour program is $97,675-$100,605.

NEXT STEP: Notify Program of Board Action

PERSON TO CONTACT: Donna Schutte, DNSC, RN Nursing Education Consultant

61 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance CALIFORNIA CODE OF REGULATIONS ARTICLE 2. REGISTRATION AND EXAMINATION 1418. Eligibility for Licensure of Applicants Who Have Military Education and Experience. Military policy consistent with 1426(c)(1) to (3) An applicant who presents with relevant military X and available for review in Catalog and will be education and experience, and who presents available on Nursing Website. documentation from a board-approved registered prelicensure nursing program of equivalency credit evaluation that provides evidence of meeting, in whole or in part, the minimum standards for competency set forth in Section 1443.5 and minimum education requirements of licensure listed pursuant to Sections 1426(c)(1) to (3), utilizing challenge examination or other evaluative methods, will be considered to meet, in whole or in part, the education requirements for licensure. CALIFORNIA CODE OF REGULATIONS ARTICLE 3. PRELICENSURE NURSING PROGRAMS 1420. Definitions. (a) - (q) Located at www.rn.ca.gov : Nursing Practice Act/California Code of Regulations/Article 3. Prelicensure Nursing Programs 1421. Application for Approval. 1421(a) An institution of higher education or affiliated Letter of Program Intention submitted 02-14-2019 institution applying for approval of a new prelicensure for BSN Program with original start date of January registered nursing program (program applicant) shall 2021. be in the state and shall comply with the requirements

62 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance specified in the board's document entitled, Feasibility Study completed and approved “Instructions for Institutions Seeking Approval of a November 14, 2019, the addition of a new campus New Prelicensure Registered Nursing Program”, or location for Prelicensure Nursing Program, (EDP-I-01Rev 03/10), ( “Instructions”), which is Chamberlain College of Nursing, Baccalaureate hereby incorporated by reference, including: Degree Nursing Program in Irwindale, CA. (1) Notify the board in writing of its intent to offer a Enrollment Pattern of Forty (40) Students Three new program that complies with board requirements; Times a Year. Annual Enrollment of 120 Students (2) Submit a feasibility study in accordance with the to start January 2021. Start date moved to May requirements specified in the “Instructions”; 2021. (3) Appoint a director who meets the requirements of section 1425(a). Such appointment shall be made Angela Strawn, EdD, MSN, RN, approved as upon board acceptance of the feasibility study for the Program Director October 4, 2019 with retirement proposed program. August 28, 2020. Diane Morey, PhD, MSN, RN, (4) After acceptance of the feasibility study by the NEA-BC, CNE approved as Program Director on board, and no later than six (6) months prior to the August 31, 2020. proposed date for enrollment of students, submit a self-study to the board in accordance with the requirements specified in the “Instructions” demonstrating how the program will meet the requirements of sections 1424 through 1432 of this article and sections 2786.6(a) and (b) of the code. (5) Have a representative at public meetings of the board and board committee pursuant to the “Instructions” when the feasibility study and self-study are considered. 1421(b) The board shall consider the feasibility study and accept, reject, or defer action on the study to

63 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance permit the program applicant time to provide additional information to be considered, based upon the following criteria: (1) Evidence of initial and sustainable budgetary provisions for the proposed program; (2) Institution of higher education's authority to grant an associate of arts, baccalaureate, or higher degree; (3) For an affiliated institution, an agreement with an Dr. Donna Schutte, NEC assigned to program on institution of higher education in the same general October 1, 2019 for review of the Self-Study with location authorized to grant an associate of arts, placement on ELC Meeting Agenda planned baccalaureate, or higher degree to students January 7, 2021. successfully completing the nursing program; (4) Evidence of availability of clinical placements for students of the proposed program; (5) Plans for administrative and faculty recruitment to staff the proposed program. 1421(c) The board's designee shall review the self- study, conduct a site visit of the proposed program, and submit a written report to the board that contains findings as to whether the application and supporting documentation for the proposed program comply with the requirements set forth in (a)(4). 1421(d) The board shall consider the application along with the written report and may thereafter grant or deny approval, or defer action on the application. The board's decision is based on the applicant's

64 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance demonstration that it meets the requirements of sections 1424 through 1432 and sections 2786.6(a) and (b) of the code 1422. Certificate of Approval. Awaiting Board Approval 422(a) A certificate of approval shall be issued to each nursing program when it is initially approved by the board. 1422(b) The board shall revoke a nursing program's approval, and the program shall return the certificate of approval to the board under the following conditions: (1) The institution of higher education cannot grant degrees; or (2) The board determines that the nursing program is in non-compliance with the requirements set forth in this article or sections 2786 through 2788 of the code. 1423. Approval Requirements. Awaiting Board Approval 1423(a) In order for a program to be approved by the board or to retain its approval, it shall comply with all requirements set forth in this article and in sections 2786 through 2788 of the code. 1423(b) A material misrepresentation of fact by a program applicant or an approved nursing program in any information required to be submitted to the board is grounds for denial of approval or revocation of the program's approval.

65 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance 1423.1. Grounds for Denial or Removal of Board Awaiting Board Approval Approval. The board shall deny approval and shall remove approval of a prelicensure nursing program that: 1423.1(a) Fails to provide evidence of granting credit, in the field of nursing, for previous education, Policy and Procedure for previous credit evaluation including military education and experience, through is available in Academic Catalog. Maximum number an established policy and procedure, to evaluate and of units/credits that can be transferred is 42. grant credit. (1) Each prelicensure program shall have a policy and procedures that describe the process to award credits for specific course(s), including the prior military education and experience, through challenge examinations or other methods of evaluation for meeting academic credits and licensure requirements. (2) Each program shall make information regarding evaluation of and granting credit in the field of nursing for previous education, including military education and experience, for purpose of establishing equivalency or granting credit, available to applicants in published documents, such as college catalog or student handbook and online, so that it is available to the public and to the board. (3) Each program shall maintain a record that shows applicants and results of transferred/challenged

66 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance credits, including applicants who applied for transfer of military education and experience. 1423.1(b) Fails to provide opportunity for applicants with military education and experience for equivalent academic credit through challenge examination or other method of evaluation. 1423.2. Denial or Revocation of Approval of a Nursing Program. 1423.2(a) Upon presenting evidence of Awaiting Board Approval noncompliance with Article 3 and lack of demonstrated corrective actions to remove noncompliance, the board may take actions to: (1) Deny approval of a nursing program; or (2) Revoke approval from a nursing program; or (3) Place a nursing program on a warning status with intent to revoke approval; or (4) Revoke approval when a program has been on a warning status for one year and the program fails to show substantive corrective changes. 1423.2(b) The board shall provide specific requirements for correction of noncompliance findings and a return date for review of the program's approval status. 1424. Administration and Organization of the Nursing The program philosophy, conceptual framework, Program. and objectives address all required curriculum 1424(a) There shall be a written statement of X elements. The philosophy is consistent with and philosophy and objectives that serves as a basis for supportive of the mission of the University. The

67 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance curriculum structure. Such statement shall take into Chamberlain Care Model includes core ideals of consideration the individual difference of students, care for self, care for colleagues, and care for including their cultural and ethnic background, students. The curriculum is designed to support learning styles, goals, and support systems. It shall students and provide classroom and faculty- also take into consideration the concepts of nursing directed, student-focused experiential learning and man in terms of nursing activities, the activities that promote safe, high-quality, environment, the health-illness continuum, and competent, and compassionate nursing practice. relevant knowledge from related disciplines Although the curriculum is considered a national curriculum, there is individualization to each program to address and meet community needs. 1424(b) The policies and procedures by which the X Policies and Procedures are communicated to program is administered shall be in writing, shall students in the Academic Catalog and Student reflect the philosophy and objectives of the program, Handbook. and shall be available to all students. The program will use a Systematic Evaluation Plan (SEP) for the assessment and evaluation of all 1424((b)(1) The nursing program shall have a written X aspects of the program including admission and plan for evaluation of the total program, including selection criteria, attrition, retention, and admission and selection procedures, attrition and performances of graduates in meeting community retention of students, and performance of graduates needs. The data driven plan will be revised using in meeting community needs. faculty input on a continuous basis with documentation into and results generated via SPOL, an online strategic management software program.

Grievance policies and procedures are described in the Academic Catalog and Student Handbook.

68 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance Policy for granting of credit for relevant military education and training includes challenge exams and use of other evaluative methods to validate achievement of course objectives and competencies. 1424(b)(2) The program shall have a procedure for X resolving student grievances. Military policy addressed in Academic Catalog and will be available for review on the nursing website.

1424(b) (3) The program shall have policies and X procedures regarding the granting of credit for military education and acquired knowledge by providing opportunity to obtain credit by the following methods, including but not limited to the listed methods: (A) the use of challenge examinations; or (B) the use of evaluative methods to validate X achievement of course objectives and competencies. 1424(b)(4) The program shall make available the policies and procedures, including the acceptance of military coursework and experience, on the school's website.

69 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance 1424(c) There shall be an organizational chart which X Organization Chart describes relationships as identifies the relationships, lines of authority and outlined in 1424(c). channels of communication within the program, between the program and other administrative segments of the institution with which it is affiliated, and between the program, the institution and clinical agencies. 1424(d) The program shall have sufficient resources, X Nursing Department including faculty, library, staff and support services, The two-story leased building (33,933 usable physical space and equipment, including technology, square feet) is located at 4910 Rivergrade Road, to achieve the program's objectives. Irwindale, CA 91706. Parking with pass access. First floor with Administrative Offices and Student Services: Registrar, Admissions, Counseling, Financial Aid, Disabled Student Services, Testing Center, and IT Support. Second floor with Learning Commons and Library, classrooms, laboratories, faculty offices, conference rooms, reception areas, and Student Commons.

Seven classrooms with seminar style seating for 33. Two classrooms with wall divider for maximum seating capacity of 68. Classrooms are technology enhanced with portable Microsoft Surface Hub Whiteboard available.

Eight single and 4 double faculty offices are equipped with desks, file cabinets, bookcases and

70 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance supplies, computers, phones. Individual and larger conference rooms available. Adjunct/Visiting Professors also have office spaces with 8 desk areas and meeting room space.

Administrative and Staffing Plan Hiring plan in place. Additional full-time faculty and Visiting Professors will be hired each semester with total number of faculty planned at 10 full-time faculty and 12-14 Visiting Professors.

Learning Commons (Center for Academic Success) Provides support services such as tutoring including peer tutoring, remediation and learning materials, and support staff. Chamberlain Care Student Success Model includes academic coaching, ongoing assessment, and early identification of student risk areas.

Virtual Library Supported by a regional librarian. Available online 24/7 with database collections and eBooks. Print copies of textbooks and NCLEX success books available. Live and recorded workshops and classes available. Students connect with staff through Ask-A-Librarian live chat service, 1:1 research appointment during business hours with

71 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance text and emails answered within 24 hours. Library is a member of the OCLC WorldShare lending services.

Science Lab One wet science lab for all lab courses with schedules to accommodate all lab classes. Specific equipment and supply lists identified for each lab course.

Student Computer Access Two portable charging stations with 36 laptops in each (total 72) available for testing and student learning.

Learning (Skills) Laboratory Two Learning Lab areas which replicate hospital and clinical settings with state-of-the-art training equipment. Storage areas for supplies and equipment.

SIMCARE CENTER Provides high-tech training equipment, including four high-fidelity human simulators, patient monitoring equipment, and physical assessment exam tables to replicate hospital and clinical settings. Includes two Simbays and two control

72 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance rooms. Learning Space for video patient monitoring and archiving of simulations for debriefings (two debriefing rooms). Access to iHuman Virtual Simulation available for students. Career Services Provides access to career advising and planning, resume and cover letter development, interview skill building, employer connections, and Career Care (profile development).

1424(e) The director and the assistant director shall X The Program Director (Campus President) and the dedicate sufficient time for the administration of the Assistant Program Director (Dean of Academic program. Affairs) administrative positions are full-time without teaching responsibilities. 1424(f) The program shall have a board-approved X Hiring for the Assistant Director position January assistant director who is knowledgeable and current 2021. The Assistant Director is delegated the regarding the program and the policies and authority to perform director duties in Director’s procedures by which it is administered, and who is absence. delegated the authority to perform the director's duties in the director's absence. 1424(g) Faculty members shall have the primary X Faculty are responsible for participating in the responsibility for developing policies and procedures, development, planning and implementation of the planning, organizing, implementing and evaluating all curriculum, implementing learning strategies, aspects of the program. enforcing academic and admission policies, and giving input in the campus budget process. Faculty will participate in Chamberlain’s national committee

73 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance structure to give voice to all aspects of curriculum development, implementation, and evaluation. Faculty to participate in campus-based committees and governance activities and in Systematic Evaluation Plan. 1424(h) The faculty shall be adequate in type and X The program has a plan for faculty recruitment and number to develop and implement the program retention with 10 full time and 24 Visiting Professors approved by the board, and shall include at least one (adjunct faculty) planned. Each nursing course will qualified instructor in each of the areas of nursing have a designated course coordinator who will also required by section 1426(d) who will be the content serve as lead faculty. Full time faculty who are expert in that area. Nursing faculty members whose planned to be hired for the first offering of a course teaching responsibilities include subject matter in a content area will be required to meet content directly related to the practice of nursing shall be expert requirements in the content area. Medical- clinically competent in the areas to which they are surgical faculty and Visiting Professors who also assigned. need to demonstrate clinical competency in geriatrics as geriatrics is integrated in medical- surgical nursing courses. 1424(i) When a non-faculty individual participates in X Non-faculty will not be used in the program. the instruction and supervision of students obtaining clinical experience, his or her responsibilities shall be described in writing and kept on file by the nursing program. 1424(j) The assistant director shall function under the X The Organizational Chart, job descriptions, and supervision of the director. Instructors shall function nursing policies reflect the chain of command and a under the supervision of the director or the assistant supervisory relationship. director. Assistant instructors and clinical teaching

74 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance assistants shall function under the supervision of an instructor. 1424(k) The student/teacher ratio in the clinical X Assignments will be based on all required criteria setting shall be based on the following criteria: and clinical facility requests. Faculty/student ratio (1) Acuity of patient needs; range in 1:5 to 1:10. (2) Objectives of the learning experience; (3) Class level of the students; (4) Geographic placement of students; (5) Teaching methods; and (6) Requirements established by the clinical agency. 1425. Faculty - Qualifications and Changes. 1425 All faculty, the director, and the assistant X Signed and approved EDP-P-03 for the Program director shall be approved by the board pursuant to Director is on file. Changes to be reported to the the document, "Faculty Qualifications and Changes Board prior to employment, change in assignments, Explanation of CCR 1425 (EDP-R-02 Rev 09/2012), and after termination. The Program Director to which is incorporated herein by reference. A program track and ensure that each faculty member’s shall report to the board all changes in faculty, license is clear and active. Assistant Director and all including changes in teaching areas, prior to faculty will be approved by the BRN prior to employment of, or within 30 days after, termination of employment. employment of a faculty member. Such changes shall be reported on forms provided by the board: Faculty Approval/Resignation Notification form (EDP-P-02, Rev 09/2012) and Director or Assistant Director Approval form (EDP-P-03, Rev 09/2012), which are herein incorporated by reference. Each faculty member, director, and assistant director shall hold a

75 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance clear and active license issued by the board and shall possess the following qualifications:

1425(a) The director of the program shall meet the X Diane Morey, PhD, MSN, RN, NEA-BC, CNE was following minimum qualifications: approved as Program Director on 08/31/2020. EDP- (1) A master's or higher degree from an accredited P-03 is approved and on file. college or university which includes course work in nursing, education or administration; (2) One (1) years’ experience as an administrator with validated performance of administrative responsibilities consistent with section 1420(h); (3) Two (2) years' experience teaching in pre- or post- licensure registered nursing programs; and (4) One (1) year's continuous, full-time or its equivalent experience direct patient care as a registered nurse; or (5) Equivalent experience and/or education, as determined by the board. Angela Strawn, EdD, MSN, RN approved as Quarterl 1425(b) The assistant director shall meet the X Assistant Director from 07/29/2020 through education requirements set forth in subsection (a)(1) 10/28/2020 having served as Program Director above and the experience requirements set forth in beginning 10/04/2019. Program will be hiring for an subsections (a)(3) and (a)(4) above, or such Assistant Program Director January 2021. experience as the board determines to be equivalent.

76 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance

1425(c) An instructor shall meet the following X Full-time faculty and most visiting professors are minimum qualifications: planned to be hired at the instructor level. (1) The education requirements set forth in subsection (a)(1); and (2) Direct patient care experience within the previous five (5) years in the nursing area to which he or she is assigned, which can be met by: (A) One (1) year's continuous, full-time or its equivalent experience providing direct patient care as a registered nurse in the designated nursing area; or (B) One (1) academic year of registered nurse level clinical teaching experience in the designated nursing area or its equivalent that demonstrates clinical competency; and (3) Completion of at least one (1) years’ experience teaching courses related to registered nursing or completion of a post-baccalaureate course which includes practice in teaching registered nursing. Assistant instructors when used will meet the 1425(d) An assistant instructor shall meet the X minimum requirements and will be approved prior to following minimum qualifications: employment. (1) A baccalaureate degree from an accredited college which shall include courses in nursing, or in natural, behavioral or social sciences relevant to nursing practice;

77 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance (2) Direct patient care experience within the previous five (5) years in the nursing area to which he or she will be assigned, which can be met by: (A) One (1) year's continuous, full-time or its equivalent experience providing direct patient care as a registered nurse in the designated nursing area; or (B) One (1) academic year of registered nurse level clinical teaching experience in the designated nursing area or its equivalent that demonstrates clinical competency. 1425(e) A clinical teaching assistant shall have at NA The program does not use Clinical Teaching least one (1) year continuous, full-time or its Assistants. equivalent experience in the designated nursing area within the previous five (5) years as a registered nurse providing direct patient care.

78 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance

1425(f) A content expert shall be an instructor and X Plans to hire content experts who meet BRN shall possess the following minimum qualifications: requirements for all content areas (MS, O, C, PMH, (1) A master's degree in the designated nursing area; G) are in place. Faculty hiring will be initiated after or program approval is given by the Board. (2) A master's degree that is not in the designated nursing area and shall: (A) Have completed thirty (30) hours of continuing education or two (2) semester units or three (3) quarter units of nursing education related to the designated nursing area; or have national certification in the designated nursing area from an accrediting organization, such as the American Nurses Credentialing Center (ANCC); and (B) Have a minimum of two hundred forty (240) hours of clinical experience within the previous three (3) years in the designated nursing area; or have a minimum of one (1) academic year of registered nurse level clinical teaching experience in the designated nursing area within the previous five (5) years.

1425.1. Faculty Responsibilities Faculty roles and responsibilities are outlined in Job 1425.1(a) Each faculty member shall assume Descriptions and Faculty Handbook. responsibility and accountability for instruction, X

79 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance evaluation of students, and planning and implementing curriculum content.

1425.1(b) Each faculty member shall participate in an X Each newly assigned faculty to be oriented to the orientation program, including, but not limited to, the areas of their faculty role. Faculty will participate in program's curriculum, policies and procedures, the Teaching Excellence Comprehensive Program. strategies for teaching, and student supervision and Chamberlain College of Nursing is designated as a evaluation. National League for Nursing (NLN) Center of Excellence for 2016-2020 – “Creating Environments That Promote the Pedagogical Expertise of Faculty.”

1425.1(c) A registered nurse faculty member shall be X F aculty are responsible for clinical supervision of responsible for clinical supervision only of those only those students enrolled in their clinical course students enrolled in the registered nursing program. and addressed in clinical facility agreements.

1425.1(d) Each faculty member shall be clinically X Clinical competence maintained through current competent in the nursing area in which he or she clinical practice and/or instruction with Faculty teaches. The board document, "Faculty Remediation Profiles updated and reviewed annually. Guidelines" (EDP-R-08 Rev. 02/09), which provides Remediation plans to be developed when indicated. guidelines for attaining and documenting clinical competency, is herein incorporated by reference.

1426. Required Curriculum. 1426(a) The curriculum of a nursing program shall be X that set forth in this section, and shall be approved by

80 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance the board. Any revised curriculum shall be approved The BSN program curriculum includes the content by the board prior to its implementation. required for licensure and meets the University’s degree requirements. 1426(b) The curriculum shall reflect a unifying theme, X The philosophy defines nursing and the practice of which includes the nursing process as defined by the nursing including use of the nursing process. A faculty, and shall be designed so that a student who unifying theme is integrated throughout the program. completes the program will have the knowledge, The curriculum is designed to progress in complexity skills, and abilities necessary to function in and is reflected within course and program learning accordance with the registered nurse scope of outcomes. practice as defined in code section 2725, and to meet minimum competency standards of a registered The curriculum framework includes: American nurse. Association of Colleges of Nursing (AACN) Essentials of Baccalaureate Education and Quality, Safety in Educating Nurses (QSEN). The graduates will complete theory and clinical requirements for CCR 1491 for Public Health Nurse Certification. 1426(c) The curriculum shall consist of not less than X Total Units for Licensure: 77 Units fifty-eight (58) semester units, or eighty-seven (87) Nursing Units: 47 units (28 theory units and 19 quarter units, which shall include at least the following clinical units) number of units in the specified course areas: Communication Units: 9 Units (1) Art and science of nursing, thirty-six (36) semester Science Units: 21 Units units or fifty-four (54) quarter units, of which eighteen Other Degree Requirements: 23 (18) semester or twenty-seven (27) quarter units will Total Units for Graduation: 126 be in theory and eighteen (18) semester or twenty- seven (27) quarter units will be in clinical practice.

81 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance (2) Communication skills, six (6) semester or nine (9) quarter units. Communication skills shall include principles of oral, written, and group communication. (3) Related natural sciences (anatomy, physiology, and microbiology courses with labs), behavioral and social sciences, sixteen (16) semester or twenty-four (24) quarter units. 1426(d) Theory and clinical practice shall be X The curriculum includes the 5 required content concurrent in the following nursing areas: geriatrics, areas with concurrent theory and clinical practice. medical-surgical, mental health/psychiatric nursing, obstetrics, and pediatrics. Instructional outcomes will focus on delivering safe, therapeutic, effective, patient-centered care; practicing evidence-based practice; working as part of interdisciplinary teams; focusing on quality improvement; and using information technology. Instructional content shall include, but is not limited to, the following: critical thinking, personal hygiene, patient protection and Military policy in place to grant credit for prior safety, pain management, human sexuality, client X military relevant education and experiences. abuse, cultural diversity, nutrition (including therapeutic aspects), pharmacology, patient advocacy, legal, social and ethical aspects of nursing, and nursing leadership and management. (1) Theory and clinical practice requirements of the curriculum will be adjusted in recognition of military education and experiences of the student, when applicable, through an individualized process for

82 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance evaluating and granting equivalency credit for military education and experience that results in meeting the same course objectives and competency standards.

1426(e) The following shall be integrated throughout All required content elements are present in the the entire nursing curriculum: X program curriculum. (1) The nursing process; X (2) Basic intervention skills in preventive, remedial, supportive, and rehabilitative nursing; X (3) Physical, behavioral, and social aspects of human development from birth through all age levels; X (4) Knowledge and skills required to develop collegial relationships with health care providers from other X disciplines; X (5) Communication skills including principles of oral, written, and group communications; X (6) Natural science, including human anatomy, physiology, and microbiology; and (7) Related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and behavior relevant to health-illness. The program has tools for evaluation of student 1426(f) The program shall have tools to evaluate a X academic progression in each course. Evaluation student's academic progress, performance, and Tools are standardized and reflect leveled course clinical learning experiences that are directly related learning outcomes in the achievement of program to course objectives. learning outcomes.

83 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance

1426(g) The course of instruction shall be presented X The program is delivered over 16 weeks/semester. in semester or quarter units or the equivalent under A semester credit is defined as a minimum of 16 the following formula: contact hours of lecture, 32 contact hours of (1) One (1) hour of instruction in theory each week laboratory or 48 hours of clinical instruction. throughout a semester or quarter equals one (1) unit. Courses are planned to be offered face-to face. (2) Three (3) hours of clinical practice each week Non-science general education courses will be throughout a semester or quarter equals one (1) unit. offered online. Nursing courses not required for With the exception of an initial nursing course that licensure have option to be offered online. teaches basic nursing skills in a skills lab, 75% of clinical hours in a course must be in direct patient Clinical courses will not exceed 25% non-direct care in an area specified in section 1426(d) in a patient care clinical hours. The program plan is to board-approved clinical setting. use 25% simulation in each clinical course.

1426.1 Preceptorship. 1426.1. A preceptorship is a course, or component of X The program will not offer a preceptorship program. a course, presented at the end of a board-approved curriculum, that provides students with a faculty- planned and supervised experience comparable to that of an entry-level registered nurse position. A program may choose to include a preceptorship in its curriculum. The following shall apply: 1426.1(a) The course shall be approved by the board prior to its implementation.

84 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance 1426.1(b) The program shall have written policies and shall keep policies on file for conducting the preceptorship that include all of the following: (1) Identification of criteria used for preceptor selection; (2) Provision for a preceptor orientation program that covers the policies of the preceptorship and preceptor, student, and faculty responsibilities; (3) Identification of preceptor qualifications for both the primary and the relief preceptor that include the following requirements: (A) An active, clear license issued by the board; (B) Clinically competent, and meet the minimum qualifications specified in section 1425(e); (C) Employed by the health care agency for a minimum of one (1) year; and (D) Completed a preceptor orientation program prior to serving as a preceptor. (E) A relief preceptor, who is similarly qualified to be the preceptor is present and available on the primary preceptor's days off. (4) Communication plan for faculty, preceptor, and student to follow during the preceptorship that addresses: (A) The frequency and method of faculty/preceptor/student contact;

85 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance (B) Availability of faculty and preceptor to the student during his or her preceptorship experience; 1. Preceptor is present and available on the patient care unit the entire time the student is rendering nursing services during the preceptorship. 2. Faculty is available to the preceptor and student during the entire time the student is involved in the preceptorship learning activity. (5) Description of responsibilities of the faculty, preceptor, and student for the learning experiences and evaluation during preceptorship, that include the following activities: (A) Faculty member conducts periodic on-site meetings/conferences with the preceptor and the student; (B) Faculty member completes and conducts the final evaluation of the student with input from the preceptor; (6) Maintenance of preceptor records that includes names of all current preceptors, registered nurse licenses, and dates of preceptorships; and (7) Plan for an ongoing evaluation regarding the continued use of preceptors. 1426.1(c) Faculty/student ratio for preceptorship shall be based on the following criteria: (1) Student/preceptor needs;XX (2) Faculty's ability to effectively supervise;

86 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance (3) Students' assigned nursing area; and (4) Agency/facility requirements 1427. Clinical Facilities. 1427(a) A nursing program shall not utilize any X Signed clinical contracts are in place. EDP-P-18s agency or facility for clinical experience without prior have been submitted and signed by clinical facilities approval by the board. Each program must submit with acknowledgement of no displacement for other evidence that it has complied with the requirements of prelicensure nursing programs. subdivisions (b), (c), and (d) of this section and the policies outlined by the board.

1427(b) A program that utilizes an agency or facility X Clinical objectives will be provided to the facility for clinical experience shall maintain written prior to student clinical rotations. Facilities that objectives for student learning in such facilities and provide the necessary experiences to meet shall assign students only to facilities that can provide objectives of the course will be selected. First the experience necessary to meet those objectives. clinical placements anticipated September 2022.

1427(c) Each such program shall maintain written X Sixteen (16) signed affiliation agreements establish agreements with such facilities and such agreements formal interagency relationships and include the six shall include the following: requirements of CCR 1427(c). These contracts are (1) Assurance of the availability and appropriateness in effect. Five additional contracts are under of the learning environment in relation to the development for backup clinical experiences. program's written objectives; (2) Provision for orientation of faculty and students; (3) A specification of the responsibilities and authority of the facility's staff as related to the program and to the educational experience of the students;

87 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance (4) Assurance that staff is adequate in number and quality to ensure safe and continuous health care services to patients; (5) Provisions for continuing communication between the facility and the program; and (6) A description of the responsibilities of faculty assigned to the facility utilized by the program.

1427(d) In selecting a new clinical agency or facility X Chamberlain is sensitive to the clinical needs of for student placement, the program shall take into students of all schools in the areas. Program consideration the impact that an additional group of Director works with regional clinical planning students would have on students of other nursing consortiums, other programs, agencies, and programs already assigned to the agency or facility. facilities to insure no negative impact on clinical access with plans to use available clinical opportunities including weekdays, weekends, and evening timeframes. SECTION 7: STUDENT PARTICIPATION Students will participate in providing program input 1428 Students shall be provided opportunity to X and feedback via campus ad hoc meetings, student participate with the faculty in the identification of forums, Suggestion Box, and Town Halls and via policies and procedures related to students including student representatives on national committees that but not limited to: address curriculum, academic policies and (a) Philosophy and objectives; procedures, and information resource (b) Learning experience; and enhancements. (c) Curriculum, instruction, and evaluation of the various aspects of the program, including clinical Students will complete End of Course Surveys, facilities. Clinical Facility Evaluation Surveys, and Alumni Surveys. Students will have opportunity to

88 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance participate in the California Student Nurse Association, Men in Nursing, and Sigma Theta Tau International Nursing Society Phi Pi Chapter. Students have opportunity to establish student organizations on Campus. 1428.6. Policies Relating to Establishing Eligibility for Examination. BRN guidelines for Establishing Eligibility for (a) At least four (4) weeks prior to its established Examination are planned to be followed. graduation date, the nursing program shall submit to X the board a roster of names of those students and their expected date to successfully complete required course work. Except as provided below such a student shall be deemed eligible to take the examination after the date on which the student X successfully completed the required course work. (b) The nursing program shall notify the board immediately by telephone, facsimile, or e-mail of any student who fails to maintain eligibility and such individuals shall be deemed ineligible to take the examination. 1429. Licensed Vocational Nurses, Thirty (30) Semester or Forty-Five (45) Quarter Unit Option. The LVN 30 Unit Option totals 30 semester units 1429(a) An applicant who is licensed in California as (See EDP-P-06). Required content is consistent a vocational nurse is eligible to apply for licensure as X with that identified by regulations and includes a registered nurse if such applicant has successfully instructional content to prepare graduates for completed the courses prescribed below and meets competent performance in CCR 1443.5. I all the other requirements set forth in section 2736 of

89 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance the code. Such applicant shall submit evidence to the board, including a transcript, of successful completion of the requirements set forth in subsection (c) and of successful completion or challenge of courses in physiology and microbiology comparable to such courses required for licensure as a registered nurse.

1429(b) The school shall offer objective counseling of X Information about the LVN 30 Unit Option is this option and evaluate each licensed vocational available in the Academic Catalog and addresses nurse applicant for admission to its registered nursing limitations on licensure. Objective counseling will be program on an individual basis. A school's provided by Student Service Advisors. determination of the prerequisite courses required of a licensed vocational nurse applicant shall be based on an analysis of each applicant's academic deficiencies, irrespective of the time such courses were taken. LVN 30 Unit Option Curriculum 1429(c) The additional education required of licensed X NR 329 – Adult Health I (6 Units) vocational nurse applicants shall not exceed a NR 341 – Complex Adult Health (4 Units) maximum of thirty (30) semester or forty-five (45) NR 326 – Mental Health Nursing (4 Units) quarter units. Courses required for vocational nurse NR 446 – Collaborative Healthcare (4 Units) licensure do not fulfill the additional education BIOS 251 – Anatomy and Physiology I with Lab (2 requirement. However, other courses comparable to Units) those required for licensure as a registered nurse, as BIOS 252 – Anatomy and Physiology II with Lab (2 specified in section 1426, may fulfill the additional Units) education requirement. Nursing courses shall be Bios 255 – Anatomy and Physiology III with Lab (2 taken in an approved nursing program and shall be Units)

90 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance beyond courses equivalent to the first year of Bios 256 – Anatomy and Physiology IV with Lab (2 professional nursing courses. The nursing content Units) shall include nursing intervention in acute, preventive, Bios 242 – Fundamentals of Microbiology with Lab remedial, supportive, rehabilitative and teaching (4 Units) aspects of nursing. Theory and courses with Total Units - 30 concurrent clinical practice shall include advanced medical-surgical, mental health, psychiatric nursing and geriatric nursing. The nursing content shall include the basic standards for competent performance prescribed in section 1443.5 of these regulations.

1430. Previous Education Credit. An approved nursing program shall have a process for a student to X Policies for gaining previous education credit is obtain credit for previous education or for other available in the Academic Catalog and the Student acquired knowledge in the field of nursing, including Handbook. military education and experience, through equivalence, challenge examinations, or other methods of evaluation. The program shall make the information available in published documents, such as college catalog or student handbook, and online. 1431. Licensing Examination Pass Rate Standard. The nursing program shall maintain a minimum pass NCLEX pass rates will be evaluated quarterly and rate of seventy-five percent (75%) for first time annually with actions taken to ensure that the licensing examination candidates. X minimum annual pass rate of 75% is met. This is 1431(a) A program exhibiting a pass rate below part of the total program evaluation. seventy-five percent (75%) for first time candidates in

91 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance an academic year shall conduct a comprehensive program assessment to identify variables contributing to the substandard pass rate and shall submit a written report to the board. The report shall include the findings of the assessment and a plan for increasing the pass rate including specific corrective measures to be taken, resources, and timeframe. 1431(b) A board-approval visit will be conducted if a program exhibits a pass rate below seventy-five percent (75%) for first time candidates for two (2) consecutive academic years. 1431(c) The board may place a program on warning status with intent to revoke the program's approval and may revoke approval if a program fails to maintain the minimum pass rate pursuant to section 2788 of the code. 1432. Changes to an Approved Program. 1432(a) Each nursing program holding a certificate of X Program Administration agrees to maintain a strong approval shall: relationship with the BRN and will provide (1) File its legal name and current mailing address notification of any changes as required per with the board at its principal office and shall notify regulations so that they can remain in compliance. the board at said office of any change of name or mailing address within thirty (30) days prior to such There are 22 Chamberlain College of Nursing change. It shall give both the old and the new name prelicensure programs. The Irwindale Campus is or address. the second program in CA. (2) Notify the board within ten (10) days of any:

92 PROGRAM NAME: Chamberlain-Irwindale Baccalaureate Program DATE OF VISIT: December 1, 2020 (VIRTUAL) VISIT NEC: Dr. Donna Schutte and Badrieh Caraway, SNEC Non- APPROVAL CRITERIA Compliance COMMENTS Compliance (A) Change in fiscal condition that will or may X potentially adversely affect applicants or students enrolled in the nursing program. (B) Substantive change in the organizational structure, administrative responsibility, or accountability in the nursing program, the institution of higher education in which the nursing program is located or with which it is affiliated that will affect the nursing program. 1432(b) An approved nursing program shall not make a substantive change without prior board authorization. These changes include: (1) Change in location. (2) Change in ownership. (3) Addition of a new campus or location. (4) Significant change in the agreement between an approved nursing program that is not an institution of higher education and the institution of higher education with which it is affiliated.

93 Appendix W: Required Curriculum Content Required for Licensure EDP-P-06 State ofCalifornia Department ofConsumer Affairs Board of Registered Nursing REQUIRED CURRICULUM: CONTENT REQUIRED FOR LICENSURE

(916) 322-3350 Submit in DUPLICATE. Program Name: For Board Use Only Chamberlain University College of Nursing . ·t . d Type of Program: Approved by: Schutte 0 1g1 a 11ys1gne by Schutte. □ Entry Level Master [8]Baccalaureate □Associate _ ___.;_____Dog~A D Date: Requesting new Curriculum Approval: □ Major [8]Minor onna 2020.12.09 Date: @DCA 1s:06:00 -os·oo· Date of Planned Implementation: May 3, 2021 New curriculum may not be implemented until approved by the BRN OBRN Copy □ Program Copy Academic System: [ZISemester -'1~6____weeks/semester Oauarter weeks/quarter

REQUIRED FOR LICENSURE AS STATED IN CCR SECTION 1426

Semester Quarter Current BRN-Approved Proposed Curriculum Revision Units Units Curriculum *Place asterisk next to proposed change Nursing 36 54 44 47*

Theory (18) (27) (26) (28)*

Clinical (18) (27) (18) (19)*

Communication Units 6 9 9 9

Science Units 16 24 26 21*

TOTAL UNITS FOR 58 87 79 77* LICENSURE Other Degree Requirements: quantitative reasoning/math (7); 26 26 social sciences (3) humanities and fine arts (9); chemistry (4); electives (3)

Other Nursing Courses: NR-103; (2) NR-222 (3); NR-293 21 23* (3); NR-302 (2); NR-304 (2); NR-360 (3); NR-449 (3) NR-228 (2) NR-283 (3)

TOTAL UNITS FOR GRADUATION 126 126

List the course number(s) and titles(s) in which content may be found for the following required content areas: REQUIRED CONTENT Course Number Course Titles Alcohol & chemical NR-329/NR-330 Adult Health I/II Dependency NR-326 Mental Health Nursing NR-342 Complex Adult Health NR-444 Community Health Nursing Personal Hygiene NR-224 Fundamentals-Skills NR-226 Fundamentals-Patient Care Human Sexuality NR-326 Mental Health Nursing

EDP-P-06 (Rev. 08/16) 4.4.1

94 Client Abuse NR-302/304 Health Assessment I/II NR-326 Mental Health Nursing NR-327 Maternal-Child Nursing NR-328 Pediatric Nursing NR-444 Community Health Nursing

Cultural Diversity NR-329/330 Adult Health I/II NR-326 Mental Health Nursing NR-327 Maternal-Child Nursing NR-328 Pediatric Nursing NR-342 Complex Adult Health NR-444 Community Health Nursing SOCS-185 or Culture and Society or SOCS-195 Hispanic American Culture and Society Nutrition NR-224 Fundamentals-Skills NR-226 Fundamentals-Patient Care NR-329/330 Adult Health I/II NR-327 Maternal-Child Nursing NR-328 Pediatric Nursing NR-326 Mental Health Nursing NR-342 Complex Adult Health NR-444 Community Health Nursing NR-452 Capstone Course

Pharmacology NR-224 Fundamentals-Skills NR-226 Fundamentals-Patient Care NR-329/330 Adult Health I/II NR-327 Maternal-Child Nursing NR-328 Pediatric Nursing NR-326 Mental Health Nursing NR-342 Complex Adult Health NR-444 Community Health NR-446 Collaborative Healthcare NR-452 Capstone Course Legal Aspects NR-224 Fundamentals-Skills NR-226 Fundamentals-Patient Care NR-329/330 Adult Health 1/11 NR-327 Maternal-Child Nursing NR-328 Pediatric Nursing NR-326 Mental Health Nursing NR-342 Complex Adult Health NR-444 Community Health Nursing · NR-446 Collaborative Healthcare NR-452 Capstone Course

EDP-P-06 (Rev. 08/16) 4.4.2 95 Social/Ethical Aspects NR-224 Fundamentals-Skills NR-226 Fundamentals-Patient Care NR-329/330 Adult Health I/II NR-327 Maternal-Child Nursing NR-328 Pediatric Nursing NR-326 Mental Health Nursing NR-342 Complex Adult Health NR-444 Community Health Nursing NR-446 Collaborative Healthcare NR-452 Capstone Course ManagemenULeadership NR-446 Collaborative Healthcare NR-452 Capstone Course

EDP-P-06 (Rev. 08/16) 4.4.3 96 Information needed to evaluate transcripts of applicants for licensure (Section 1426, Chapter 14, Title 16 of the California Code of Regulations) is listed in the left column below. Indicate the name(s) and the number(s) of the course(s) which include this content REQUIRED CONTENT Course Course Title Units Number NURSING Medical-Surgical NR-224 Fundamentals-Skills T=2, C(Lab)=l NR-226 Fundamentals-Patient Care T=2, C=l NR-329 Adult Health I T=3, C=3 NR-330 Adult Health II T=3, C=3 NR-342 Complex Adult Health T=3, C=2 NR-446 Collaborative Healthcare T=2, C=2 NR-452 Capstone Course T=2, C=l Obstetrical NR-327 Maternal-Child Nursing T=3, C=J Pediatric NR-328 Pediatric Nursing T=3, C=l Psvch/Mental Health NR-326 Mental Health Nursing T=3, C=l Geriatrics Integrated into: NR-224 Fundamentals-Skills -- NR-226 Fundamentals-Patient Care NR-329/330 Adult Health I/II NR-326 Mental Health Nursing NR-342 Complex Adult Health NR-446 Collaborative Healthcare NR-452 Capstone Course Medical/Surgical, NR-444 Community Health Nursing T=2, C-3 Obstetrical, Pediatric, Psych Mental Health/Geriatrics Total T=28 Total C=l9 Total: 47 BASIC SCIENCES Anatomy BIOS-251 Anatomy & Physiology I with Lab 2 BIOS-252 Anatomy & Physiology II with Lab 2 BIOS-255 Anatomy & Physiology III with Lab 2 BIOS-256 Anatomy & Physiology IV with Lab 2

Physiology See above --

Microbiology BIOS-242 Fundamentals ofMicrobiology with Lab 4

Societal/Cultural Pattern SOCS-185 or Culture and Society or 3 SOCS-195 Hispanic American Culture and Society

Psychology PSYC-110 Psychology 3 PSYC-290 Lifespan Development 3 Total: 21 COMMUNICATION Oral SPCH-275 or Public Speaking or 3 SPCH277 or Interpersonal Communication or COMM-285 Cross-Cultural Communication Written ENGL-117 English Composition 3 ENGL-147 Advanced English Composition 3

EDP-P-06 (Rev. 08/16) 4.4.4 97 Group SPCH-275 or Public Speaking or -- SPCH277 Interpersonal Communication

* TOTAL UNITS 77 * The 'TOTAL UNITS" should match "TOTAL UNITS FOR LICENSURE" on page 1.

LVN 30 UNIT OPTION REQUIRED CONTENT Course Course Title Units Number NURSING Medical- Surgical NR-329 Adult Health I 6 NR-341 Complex Adult Health 4 Psych/Mental Health NR-326 Mental Health Nursing 4 Geriatrics Integrated into: NR-329 Adult Health I NR-341 Complex Adult Health Management/Leadership NR-446 Collaborative Healthcare 4 BASIC SCIENCES Physiology BIOS-251 Anatomy & Physiology I with Lab 2 BIOS-252 Anatomy & Physiology II with Lab 2 BJOS-255 Anatomy & Physiology III with Lab 2 BIOS-256 Anatomy & Physiology IV with Lab 2 Microbiology BIOS-242 Fundamentals ofMicrobiology with Lab 4

TOTAL UNITS 30 Signature Program Director/Designee: Date: ~Q-~~ July 17, 2020

V ~

EDP-P-06 (Rev. 08/16) 4.4.5 98 State of California Department of Consumer Affairs Board of Registered Nursing TOTAL CURRICULUM PLAN Year 1

(916) 322-3350

Submit in duplicate Name of School: Chamberlain University College of Nursing - Irwindale Campus Date Submitted: 7.17.2020

Type of Progra: .Jnntry LevelMaster 0 Baccalaureate ·□ Associate Degree For BRN Office Use Only RevisionP Major 0 Minor Effective Date: May 3, 2021 f7Approved D Not Approved Schutte Dig itally signed by Schut " · List name and number of all courses of the program in sequence, beginning By: ' Donna@DCA Donna@DCA Date: 2020.12.0917:51:4 with the first academic term. Include general education courses. Date: -0s·oo· Check appropriate year of education (1,2,3,4) Check!2l Semester□ Quarter *Wk: 16 0 1 □ 2 □ 3 □ 4 Theory Lab Total Hours Quarter/Semester Total IMISIOICIPIG **Wk: Units Units Hr/Wk Units Hr/Wk Theory Lab BIOS-251: Anatomy & Physiology I □ □ □ □ □ □ 8 2 1.5 3 0.5 2 24 16 MATH-114: Algebra for College Students □ □ □ □ □ D 8 4 4 8 0 0 64 0 NR-103: Transition to the Nursing Profession □ □ □ D D D 8 2 2 4 0 0 32 0 BIOS-252: Anatomy & Physiology II D □ □ □ D D 8 2 1.5 3 0.5 2 24 16 SOCS-185: Culture & Society D □ □ D □ D 8 3 3 6 0 0 48 0 ENGL-117: English Composition □ □ □ □ □ D 8 3 3 6 0 0 48 0 D □ D D D □ 1 0 0 0 0 Total 16 15 30 1 4 240 32 Quarter/Semester IMISIOICIPIG **Wk: Total Hours BIOS-255: Anatomy & Physiology Ill D □ □ D D D 8 2 1.5 3 0.5 2 24 16 ENGL-147: Advanced English Comp □ □ □ D D D 8 3 3 6 0 0 48 0 PSYC-110: Psychology D □ □ □ □ D 8 3 3 6 0 0 48 0 BIOS-256: Anatomy & Physiology IV D □ D D D D 8 2 1.5 3 0.5 2 24 16 PSYC-290: Lifespan Development □ □ □ □ □ 0 8 3 3 6 0 0 48 0 □ □ □ D □ □ 1 0 0 0 0 □ D D D □ D 1 0 0 0 0 Total 13 12 24 1 4 192 32

4.3a 99 Quarter/Semester IMISIOICIPIG **Wk: Total Hours NR-222: Health & Wellness □ □ □ □ □ □ 8 3 3 6 0 0 48 0 CHEM-120: Intro to General, Organic & Bio □ □ □ □ □ □ 8 4 3 6 1 4 48 32 BIOS-242: Fundamentals of Microbiology □ □ □ □ □ □ 8 4 3 6 1 4 48 32 PHIL-347: Critical Reasoning □ □ D D □ D 8 3 3 6 0 0 48 0 D □ □ D □ □ 1 0 0 0 0 D □ □ D □ D 1 0 0 0 0 D □ D D D D 1 0 0 0 0 Total 14 12 24 2 8 192 64

* Number of weeks per semester/ quarter ** Type in number weeks for each course, replacing "1 "; do not type over "1" if there are extra lines and course is blank Fill in for each course: number for total units, lecture units, lab units/ Do not type in where "O" appears

EDP-P-05a (Rev. 08/10) State of California Department of Consumer Affairs Board of Registered Nursing

4.3a 100 TOTAL CURRICULUM PLAN Year 2

(916) 322-3350

Submit in duplicate Name of School: Chamberlain University College of Nursing - Irwindale Campus Date Submitted: July 17, 2020

Type of Progra:Jl:Entry LevelMaster 0 Baccalaureate □ AssociateDe gree For BRN Office Use Only RevisionP Major0 Minor Effective Date: May 3, 2021 ,V Approved□ Not Approved List name and number of all courses of the program in sequence, beginning By: D &;uuz, S ~ with the first academic term. Include general education courses. Date:

Check appropriate year of education (1,2,3,4) Check J1JSemeste r□ Quarter *Wk: 16 □ 1 0 2 □ 3 □ 4 Theory Lab Total Hours Quarter/Semester Total IMISIOICIPIG **Wk: Units Units Hr/Wk Units Hr/Wk Theorv Lab SPCH-277: Interpersonal Communication □ □ □ □ □ □ 8 3 3 6 0 0 48 0 NR-302: Health Assessment I □ □ □ □ □ □ 8 2 1.5 3 0.5 2 24 16 NR-283: Pathophysiology □ □ □ □ D D 8 3 3 6 0 0 48 0 NR-304: Health Assessment II □ □ D D D D 8 2 1.5 3 0.5 2 24 16 NR-224: Fundamentals - Skills 0 0 D D D 0 8 3 2 4 1 4 32 32 □ 0 D D D D 1 0 0 0 0 □ □ □ D D D 1 0 0 0 0 Total 13 11 22 2 8 176 64 Quarter/Semester IMISIOICIPIG **Wk: Total Hours NR-226: Fundamentals - Patient Care 0 0 □ □ □ 0 8 3 2 4 1 12 32 96 NR-293: Pharmacology □ □ □ □ □ □ 8 3 3 6 0 0 48 0 NR-329: Adult Health I 0 0 D □ □ 0 8 6 3 6 3 18 48 144 ETHC-445: Principles of Ethics □ □ D D □ □ 8 3 3 6 0 0 48 0 □ □ □ □ D □ 1 0 0 0 0 □ □ D □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 Total 15 11 22 4 30 176 240 Quarter/Semester IMIS IOI CIP I G **Wk: Total Hours NR-330: Adult Health II 0 0 □ □ □ 0 8 6 3 6 3 18 48 144

4.3a 101 NR-326: Mental Health Nursing D D D □ 0 0 8 4 3 6 1 6 48 48 NR-228: Nutrition, Health and Wellness D D D D □ □ 8 2 2 4 0 0 32 0 □ □ □ D D D 1 0 0 0 0 D D D D D D 1 0 0 0 0 D D D □ □ □ 1 0 0 0 0 D □ □ □ □ □ 1 0 0 0 0 Total 12 8 16 4 24 128 192

* Number of weeks per semester/ quarter ** Type in number weeks for each course, replacing "1"; do not type over "1" if there are extra lines and course is blank Fill in for each course: number for total units, lecture units, lab units/ Do not type in where "O" appears

EDP-P-05a (Rev. 08/10)

State of California Department of Consumer Affairs Board of Registered Nursing

4.3a 102 TOTAL CURRICULUM PLAN Year 3

(916) 322-3350

Submit in duplicate Name of School: Chamberlain University College of Nursing - Irwindale Campus Date Submitted: July 17, 2020

Type of Progracn:EntryL evel Master 0 Baccalaureate D AssociateDegree For BRN Office Use Only RevisionP Major 0 Minor Effective Date: May 3, 2021 tf/Approved□ NotApproved List name and number of all courses of the program in sequence, beginning By: v&-n,n.a,S~ with the first academic term. Include general education courses. Date: Check appropriate year of education (1,2,3,4) Check~ SemesterD Quarter *Wk: 16 D 1 □ 2 0 3 D 4 Theory Lab Total Hours Quarter/Semester Total IMISIOIClPIG **Wk: Units Units Hr/Wk Units Hr/Wk Theorv Lab NR-328: Pediatric Nursing D D D 0 D □ 8 4 3 6 1 6 48 48 D D D D MATH-399: Applied Managerial Statistics □ □ 8 3 3 6 0 0 48 0 NR-327: Maternal-Child Nursing □ □ 0 0 D D 8 4 3 6 1 6 48 48 NR-360: Information Systems in Healthcare □ □ □ □ □ D 8 3 3 6 0 0 48 0 □ D □ □ □ D 1 0 0 0 0 □ D □ □ D D 1 0 0 0 0 □ D D □ D D 1 0 0 0 0 Total 14 12 24 2 12 192 96 Quarter/Semester IMISIOICIPIG **Wk: Total Hours NR-342: Complex Adult Health 0 0 □ D D 0 8 5 3 6 2 12 48 96 D NR-449: Evidence-Based Practice □ □ □ □ D 8 3 3 6 0 0 48 0 NR-444: Community Health Nursing D D D □ D D 8 5 2 4 3 18 32 144 POLl-330: Political Science □ D □ D D □ 8 3 3 6 0 0 48 0 D D D D D □ 1 0 0 0 0 D D □ □ □ D 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 Total 16 11 22 5 30 176 240 Quarter/Semester I MISIOICIPIG **Wk: Total Hours NR-446: Collaborative Healthcare 0 0 □ □ □ 0 8 4 2 4 2 12 32 96

4.3a 103 Humanities Elective □ □ □ □ □ □ 8 3 3 6 0 0 48 0 NR-452: Capstone 0 0 D D D 0 8 3 2 4 1 6 32 48 History Elective D D D D □ □ 8 3 3 6 0 0 48 0 □ □ □ □ □ D 1 0 0 0 0 D D □ D D D 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 Total 13 10 20 3 18 160 144

* Number of weeks per semester I quarter ** Type in number weeks for each course, replacing "1 "; do not type over "1" if there are extra lines and course is blank Fill in for each course: number for total units, lecture units, lab units I Do not type in where "0" appears

EDP-P-05a (Rev. 08/10) State of California Department of Consumer Affairs Board of Registered Nursing

4.3a 104 Chamberlain University College of Nursing – Irwindale Campus Self-Study Executive Summary Diane Morey, PhD, MSN, RN, NEA-BC, CNE, Program Director, Irwindale

Chamberlain University’s College of Nursing (Chamberlain) – Irwindale Campus Bachelor of Science in Nursing degree program (BSN or Program) respectfully submits this Self-Study Executive Summary. Information in this document reflects Chamberlain’s compliance with the California Board of Registered Nursing Regulations. The Feasibility Study was approved on November 14, 2019 to enroll 40 new students three times a year. Chamberlain requests the Board approve its Self-Study and the December 1, 2020 site visit report. Chamberlain is accredited by the Higher Learning Commission through 2025. The BSN program is programmatically accredited by the Commission on Collegiate Nursing Education through December 31, 2024. Chamberlain’s Rancho Cordova pre-licensure BSN program is approved by the Board, opened in 2016 and the first student graduates completed the program in August of 2018. The Rancho Cordova 2018 NCLEX-RN® first-time pass rate was 100%, 2019 was 93.42%, and 2020 is 98.90% (Q1-Q3). Additionally, Chamberlain College of Nursing is designated as a National League for Nursing (NLN) Center of Excellence (2016-2024) in recognition of sustained efforts for “Creating Environments That Promote the Pedagogical Expertise of Faculty.” Achieving recognition in the category of “Creating Environments That Promote the Pedagogical Expertise of Faculty”. This designation exemplifies Chamberlain’s investment in faculty development and commitment to excellence in teaching students. Chamberlain hired Diane Morey, PhD, MSN, RN, NEA-BC, CNE, as its Campus President and Program Director in January 2020. Dr. Morey is a full-time administrator for this Program. Dr. Morey provided campus level leadership throughout development of the Self-Study and December 1, 2020. site visit. It is anticipated the first nursing students will be admitted to the Program in May 2021. The first clinical rotations and placements are anticipated for September 2022. The Self-Study continues to demonstrate that the Program has sufficient access to clinical facilities without displacing other nursing schools’ students. The Irwindale area is located 21 miles northeast of Los Angeles in the heart of the San Gabriel Valley making it an ideal commuter location. The San Gabriel Valley has an ethnic demographic that is over 51% Hispanic or Latino, over 24% Asian, 18% Caucasian, and 3.7% Black. The healthcare and social service job sector is the second largest employer in the Valley. The Feasibility Study provides evidence of the number of potential nursing students in this area of the state who were academically eligible to be admitted to a nursing program but denied access. Chamberlain’s academic eligibility includes GPA, HESI (A2), ACT/SAT, and Admission Committee Review. Once accepted, students must complete a background check, fingerprinting, and drug screening. By 2030 California is projected to experience a deficit of 44,500 nursing FTEs (2017) and Zhang,Tai, Pforsich, and Lin (2018) projected a larger shortage of 141,348 nurses. Los Angeles County has consistently been classified as an RN shortage area in California’s Office of Statewide Health Planning and Development’s (OSHPD) report (Howard, 2019). The Hospital Association of Southern California (HASC, 2017) reported that Los Angeles County has its largest shortages in specialty RNs. In 2018, Spetz reported that the “baseline supply and demand forecasts estimate that the region has a shortage of more than 2,500 FTE RNs, and the addition of inter-region commuting and the use of contract RNs suggests that the total shortage may be more than 10,000 FTE RNs (10.4%)” (p.13). The shortage of experienced and overall RNs indicates a high demand in Los Angeles and Spetz and Chu (2020) comment that with the implementation of employer strategies, new graduates can be transitioned into specialized roles. Chamberlain’s goal is to offer its BSN program and an exemplary educational experience for students in Irwindale. The professional nursing workforce for California will be supported in meeting its need for BSN prepared nurses. Chamberlain’s philosophy of higher education is grounded in the belief that taking extraordinary care of students leads to better student outcomes and experiences, and ultimately to extraordinary care of patients, families and communities. In 2010, this philosophy was translated into a model called Chamberlain Care (Groenwald, 2018) that has since evolved into an integrated, 105 holistic educational model that incorporates the following core ideals: Care for self - We must first take care of ourselves so that we have the capacity to take care of others and do our best work each day; Care for colleagues - Demonstrating care and support of employees creates a workplace environment of respect, collaboration, collegiality, and teamwork; and Care for students - Chamberlain Care reflects our fundamental belief in the College’s responsibility and ability to achieve superior student outcomes, especially for non-traditional students. Care for students is operationalized through initiatives that lead to teaching excellence, extraordinary care and support for each student’s learning experience, motivating actions and encouragement in the face of challenges. The Campus is part of Chamberlain University located in Chicago, IL. Its parent organization is Adtalem Global Education (Adtalem), a global provider of educational services. Chamberlain’s Board of Trustees delegates accountability to its National President, Karen Cox, PhD, RN, FACHE, FAAN, and senior leadership team. Carla Sanderson, PhD, RN, Provost, is the chief academic officer of the University. Dr. Sanderson reports to Dr. Cox and is responsible for the development and implementation of all nursing programs. Patrick Rombalski, EdD, Vice President of Campus Operations, is responsible for operationalizing Chamberlain’s nursing programs on Chamberlain’s 22 campuses and is responsible for all academic, financial, and student service outcomes. Kimberly LaMar, ND/DNP, MSN, RNC, CNNP, NPD-BC, Senior Regional Director of Campus Operations, serves campuses in California and is responsible for the delivery of student services; administrative and financial oversight of programs; and services in the West region. Dr. Morey reports to Dr. LaMar. Dr. Morey provides leadership for all Irwindale Campus staff, faculty, and students. Functional student services positions will include admissions including financial aid, advisement, information technology, and academics including SIMCARE CENTER™, Center for Academic Success (CAS), faculty, and clinical coordination. One of the key responsibilities of the Campus President is to ensure compliance of faculty and staff with all regulatory agency policies and procedures including the California BRN’s rules and regulations. The Program’s Dean of Academic Affairs (DAA) will serve as the Assistant Director of the Program and oversee the academic affairs and the Dean of Campus Operations (DCO) will oversee the non-academic affairs. The hiring plan over the next 4 months, in addition to nursing faculty, includes: IT specialist, DAA, DCO, Student Services Manager, Associate Dean of Student Learning, Assistant Director of Admissions, general education science faculty, admissions advisors, and student support advisors. The staffing plan includes full-time faculty hired over time to meet the responsibilities for the five content areas required for licensure. Because geriatric nursing is integrated across the curriculum, faculty hired to teach medical‐surgical nursing and mental health will also be assessed for content expertise in geriatric nursing. Faculty content experts for the mental health, obstetric, and pediatric courses will be hired prior to the first offering of each course. Additional faculty will be added as is necessary to a projected 10 full-time faculty and 12-14 part-time faculty (visiting professors) when the maximum enrollment will be reached (January 2024) as illustrated in the EDP-P-11s submitted for the five-year time span. At that time the first cohort will be in their final semester before graduation and the maximum clinical needs will be utilized. In addition to the faculty who would be needed for the courses with theory and clinical, there would be faculty needed for courses that are theory only or theory and lab. All regular full- and part-time faculty members are required to maintain continued competency in both teaching and learning practices in their areas of assigned teaching responsibility. Faculty members are accountable for maintaining the integrity of the curriculum and the courses they teach. Faculty members are responsible for assessing teaching effectiveness and considering course outcomes and program competencies when designing learning activities and assessments. Accountabilities/responsibilities are delineated in the Chamberlain Faculty Handbook. Essential faculty duties include teaching, advising, mentoring, tutoring and guiding students in the learning environment. At Chamberlain, the faculty role includes three broad areas of accountability— teaching, service and scholarship—with a primary focus on teaching which represents 75% of the total workload. The accountabilities as a percentage of total annual workload are described below.

106 Allocation of workload credits for faculty activities is determined in collaboration with the Program Director based on campus needs and faculty goals. The Center for Faculty Excellence (CFE) supports faculty by providing orientation and developmental resources including information regarding Chamberlain’s pedagogy, Master Instruction. All new faculty are required to complete Master Instruction level one within the first year of full-time employment. This program prepares faculty for the complete role, including service, scholarship, and professional development. There are three courses focused on: evidence-based teaching, assessment and evaluation, and professional development (scholarship, service, leadership). In addition to its new colleague onboarding processes Chamberlain supports ongoing faculty development through a structured tuition advantage program and Chamberlain’s tuition reimbursement for a doctoral degree program. Faculty can also find convenient, micro-learning resources. for “on-demand” topical information in which the short modules are easily accessed and viewed. Faculty are assigned rank upon employment based on education and experience. Advancement in academic rank provides a means by which a faculty member demonstrates their professional achievements as well as breadth of interest and competence through the development of a professional portfolio. Through the Chamberlain established governance process and by means of participation on national and local committees, campus leadership and local faculty will participate in the modification and implementation of written policies for student admission, readmission, transfer credit/advanced standing, progression, course completion and achievement, program completion, tuition and fee payment, classroom or clinical absence due to illness, student service support (tutoring, advising and counseling), complaints and grievances, faculty supervision, faculty evaluation of student learning, student dress and conduct, and student notification of policy changes. Policies are communicated to students in the Chamberlain Academic Catalog, Chamberlain Student Handbook, through student service advisors using a variety of communication methods, including email and in-class announcements, open forums, posters, or handouts. Updates to these policies and documents will be shared electronically and through the policy change notification process. Financial support for a new campus in the first years of operation is incorporated into the University’s operating budget which is also reviewed and approved by the Board of Trustees. Net income from all Chamberlain programs and campus operations is held in reserve to sustain new programs and campuses during their initial years. Adtalem has adequate revenue streams and financial strength to maintain its educational responsibilities. Resource allocation for all Chamberlain campuses is conducted during the annual budget process and is monitored for adequacy each month. Resources are re-evaluated biannually with budgetary modifications made when needed. The Irwindale Campus includes 8 technology-enhanced classrooms (7 academic classrooms and 1 wet science lab classroom) with a capacity of 26 to 36 students. There are two classrooms that become one larger classroom providing flexibility when holding special events such as new student orientation, accommodating 68 students. The first floor is comprised of administration and student services and the second floor is dedicated to learning spaces: faculty offices, classrooms, group study rooms, two nursing skills labs, SIMCARE Center with two simulation bays, and Center for Academic Success (CAS). Conference rooms are available in the faculty office and CAS areas to allow for private and small group conferencing with students. The nursing skills laboratories replicate hospital and clinical settings and feature state-of-the-art training equipment, privacy curtain areas, scrub sinks, and running water. Microsoft Surface Hub and presentation technology support are also available in classrooms. All offices are equipped with individual computers, desks, file cabinets, bookcases and supplies, and are hard-wired for network and telephone connectivity. Wi-Fi access is provided for students, faculty and staff. The SIMCARE CENTER™ features high-tech training equipment, including four high-fidelity human simulators (infant, child, female, male) and patient-monitoring equipment that are designed to closely replicate hospital and clinical settings. Utilizing the computer control center, faculty will have the ability to alter the simulated patient’s vitals and presenting symptoms. The CAS provides books and technological educational resources to encourage creativity in learning and provide access to a variety of materials to match the needs of students. The campus will provide laptops as needed in two charging carts for student use. Faculty members collaborate with 107 CAS staff in order to identify vulnerable students and increase linkages between the CAS and students’ classroom or clinical situation. The campus is supported by a regional librarian with library resources hosted entirely online. The Chamberlain Library is an integral part of the student’s learning experience and available online 24 hours a day, 7 days a week. The Library offers extensive online collections through the website. The eBook collection includes more than 450,000 volumes and is regularly updated and expanded. Chamberlain also subscribes to a large list of library databases. Chamberlain adheres to a Chamberlain Care Student Success Model to ensure that students receive support through every step of their academic experience. Examples include: (a) Face-to-face and/or virtual individual or small group tutoring in the Center for Academic Success (CAS) (b) Student Learning Specialists who provide concept and content learning support and remediation; (c) Student Peer Tutors who provide support for academic success, in areas such as time-management, study tips, or managing school/home/work life balance; (d) open skills lab sessions for practice, refresh, or remediation; (e) open simulation practice times for refresh or remediation; (f) career services and job placement; and (g) wellness room for stress management or breast-feeding/pumping. Chamberlain employs an organized and systematic approach to develop, maintain, evaluate, and improve relationships between the Program and clinical sites. The Campus President/Program Director is ultimately responsible for clinical relationships and processes with support from the Clinical Coordinator and faculty. The Clinical Coordinator provides a bridge for communication between the Campus President, faculty, and clinical agencies/facilities. The Clinical Coordinator is a non-nurse support staff member responsible for maintaining relationships with health care agencies and collaborating with campus leadership and faculty in renewing institutional contracts for clinical experiences. Campus leadership monitors student and faculty compliance with clinical site requirements (e.g., immunizations, current BCLS certification, and up to date PPD) to ensure safety for faculty, students, and patients. Clinical groups are designed to be a ratio of 1:8 and will not exceed a maximum clinical group size of 10 students. In addition, Chamberlain will comply with clinical facility clinical group sizes which may be smaller in some specialty nursing care areas. Chamberlain’s BSN Program consists of 126 credit hours in compliance with all Board curriculum requirements. At Chamberlain, a semester credit hour is defined as a minimum of 16 contact hours of lecture, 32 contact hours of laboratory, or 48 contact hours of clinical instruction. EDP-P-05a Total Curriculum Plan provides the three-year course plan including specific numbers of theory (didactic), lab (skills), and clinical hours. The program has 864 hours of clinical experiences. EDP-P-06 Required Curriculum demonstrates where required California BSN content is covered across the Program. In addition, EDP-P-17 provides the Education Requirements for a Public Health Nurse Certificate. Traditionally 10% or fewer of Chamberlain students enter the BSN degree program without transfer credits for the general education requirements. Additionally, students are assisted in accessing grants, scholarships, and employer‐based tuition reimbursement to offset tuition costs; consequently, only a relatively small percentage of students pay the full tuition and fees for 126 credits of $97,675- $100,605. For FY19, the Median Graduate Debt was $40,704, with the graduate’s Median Tuition, Fees, Books, & Supplies at $56,783 for students at the Rancho Cordova Campus. Prior learning is evaluated during the admissions process after official transcripts are submitted to Registrar Services. Chamberlain evaluates transfer courses from institutions accredited by either a regional accrediting agency or an agency recognized by the Council for Higher Education Accreditation (CHEA). Policies for transfer credit are communicated in the Academic Catalog. Official foreign transcripts must be evaluated by a NACES-approved evaluating agency. Transferring courses may affect eligibility for financial assistance--Student Services Advisors provide information about transfer credits and financial assistance. Some students are able to challenge course work through the Chamberlain challenge/ proficiency examination policy which is delineated in Chamberlain’s Academic Catalog. Through approved nationally recognized tests (e.g., AP, CLEP and DSST), an appropriate credit recommendation may be recognized for proficiency credit. A student’s military educational history may also be recognized for proficiency credit via an appropriate credit recommendation from the American Council on Education (ACE). Students who have completed 108 coursework outside Chamberlain for which transfer credit cannot be given or through self-study, may request a proficiency (challenge) examination for the course, provided they have never been enrolled in the course at Chamberlain and have not previously attempted the proficiency exam. Chamberlain’s Military to BSN degree option provides a pathway to professional nursing practice for qualified active or veteran military individuals which allows applicants to complete Chamberlain’s program in as few as six semesters through the award of advanced standing by means of the Chamberlain Military Articulation Plan (CMAP). The option recognizes previous knowledge, training, and experience of military healthcare specialists and fosters career mobility for both active duty and veteran healthcare specialists. Upon completion and successful passing score of course challenge exams (or ATI content mastery exams) and skills competency examinations, students with prior military experience, skills, and education will be awarded course credit hours toward the Chamberlain BSN degree program. These challenge exams may be taken for any of the nursing courses and must be taken in curricular sequencing order, may be attempted one time, and the CMAP courses will also have this challenge exam option available to military personnel a described in Board regulations and included in Chamberlain’s policies on file with the CA BRN. The LVN to RN 30-unit option was detailed in Form EDP-P-06, and equals 30 units which includes content in physiology, microbiology. Prospective students will be provided objective counseling by the Program Director. The Essentials of Baccalaureate Education for Professional Nursing Practice (AACN, 2008) provides an established framework for the Program Outcomes that identity expected student performance. The didactic and clinical portions of the curriculum are combined into single courses to provide for the Board’s concurrent enrollment requirement. The required content is integrated throughout the entire nursing curriculum to provide application of nursing process, intervention skills, human development, interdisciplinary skills, science, behavioral, and social science within the nursing courses. Student demonstration of learning outcomes is evaluated at all levels of the program. Chamberlain’s grading scale is published in the Academic Catalog and is applied to all nursing courses. A student must earn a grade of 76% or higher in each course, based upon an average of the test grades earned by the student, in order to successfully complete the course. Clinical nursing portion of courses use a pass/fail approach for rating student clinical performance as satisfactory or unsatisfactory. Students must pass the clinical portion of the course to earn credit when their theory grade is 76% or higher. Chamberlain describes experiential learning as a balance between laboratory learning activities, simulated patient care learning activities, and actual patient care learning activities. Simulated learning activities include teaching and evaluation strategies integrated into the nursing curriculum to ensure universal student learning experiences in identified content areas. Simulation supports clinical learning for direct patient care activities. It is designed as a representation of clinical reality in nursing that provides quality experiential learning experiences for all students. Also, to support student learning, clinical experiences are provided through a partnership with i-Human Patients (IHP) an additional robust virtual simulation resource. Currently the Program has 16 Clinical Affiliation Agreements with agencies. Clinical facility agreements and EDP-P-18s have been obtained for the clinical sites. Chamberlain course and clinical faculty have full accountability for the evaluation of student clinical learning. Each signed agreement has the required six elements for facility agreements. In addition to acute care facilities, agreements have been obtained with a variety of non-acute sites such as clinics and schools. Chamberlain is sensitive to the clinical learning needs of all schools in the Los Angeles area. Chamberlain will continue to participate with regional clinical planning consortiums in a collaborative manner to insure there is no impact on other schools’ clinical access with the introduction of this BSN program. The Program Director is a member of the Inland Empire Healthcare Education Consortium that provides a forum for academia and service to discuss common interests related to student learning and workforce development. Additionally, the Program Director is a member of the Los Angeles Academic and Practice Coalition which is comprised of academic and service institutions and the Program Director is also involved in a smaller work group of representatives from healthcare and academia to address the issue of clinical placements for Los Angeles. 109 Chamberlain’s Total Program Evaluation (TPE), or Systematic Evaluation Plan (SEP), for the Irwindale Campus, includes assessment and evaluation of the following key metrics: organization and administration of the program; philosophy/mission and objectives/ outcomes; program of study, curriculum, and instructional techniques; educational facilities, resources, and services; affiliating agencies, and clinical learning activities; students’ achievement; graduate outcomes; and faculty members performance. At the end of each session, students complete anonymous end-of-course survey for each course. Findings are reviewed by faculty and campus leadership for analysis and improvement actions. Additionally, campus and aggregate national findings are reviewed by national committees and leaders. Students’ comments provided on the surveys relative to course learning activities, processes, and assessments are summarized in annual course reports which are then reviewed by campus leaders and the national curriculum team for development of course improvements. Students also complete clinical evaluation surveys to provide feedback on the quality of their clinical experiences. End-of-course and clinical evaluation surveys are course specific. In order to provide broader feedback on campus facilities, student services, program resources, and the program of study, students are invited to complete an anonymous bi-annual survey. The alumni survey is sent between 6 and 12 months, soliciting data on their perspective on the entire program of study, how well it prepared them for their nursing employment responsibilities and expectations, and their overall level of satisfaction. Student participation examples include the Student Government Association where SGA Officers serve as campus resources and the California Nursing Student Association (CNSA) chapter. Chamberlain’s Sigma Theta Tau International Phi Pi Chapter (STTI) also provides opportunities for student participation. Students are provided opportunities to participate with the faculty in providing input and feedback regarding the BSN program. Students may share concerns, questions, and requests with local campus leadership and/or national committees. Concerns are documented and recorded in meeting minutes for appropriate follow up. Students from various Chamberlain campuses participate as student representatives on national committees. If a student brings forward a request or concern, a national representative may bring the request forward to the respective national committee. At the campus level, students may bring their concerns, questions, and requests directly to the campus leadership or faculty during faculty office hours, student forums, and Town Halls. Chamberlain has a history of success in implementing its BSN program in multiple states using a national administrative team to support consistency in curriculum delivery, stability in application of academic policies, and allocation of resources. Chamberlain’s model provides each campus with local academic administrative teams to ensure the campus meets the needs of the local community it serves and complies with state regulatory requirements.

References American Association of Colleges of Nursing (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: American Association of Colleges of Nursing. Chu, L. & Spetz, J. (2020). Survey of nurse employers in California, Fall/Winter 2018-19. San Francisco: Philip R. Lee Institute for Health Policy Studies & Healthforce Center at UCSF. Groenwald S. (2018). Designing and creating a culture of care for students and faculty. Philadelphia, PA: National League for Nursing and Wolters Kluwer. Hospital Association of Southern California (2017). Southern California healthcare workforce: Challenges, approaches and solutions. HASC and FutureSense LLC. Howard, C. (2019). Registered Nurse shortage area report. Sacramento: Office of Statewide Health Planning and Development (OSPD). Spetz, J. (December 2018). Forecasts of the Registered Nurse workforce in the Los Angeles Region of California. San Francisco: Healthforce Center at UCSF. Zhang X, Tai D, Pforsich H, Lin, VW. (2018). United States Registered Nurse workforce report card and shortage forecast: A revisit. American Journal of Medical Quality. 2018;33(3):229-236. doi:10.1177/1062860617738328

110 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.7.1 DATE: February 17-18, 2021

ACTION REQUESTED: Discussion and Possible Action Regarding Recommendation to Accept Changes to an Approved Program, Charles Drew University Entry Level Degree Nursing Program (Major Curriculum Revision with Enrollment Increase) (16 CCR §§ 1426 & 1432) (Present) REQUESTED BY: Michael D. Jackson, MSN, RN Chair, Education/Licensing Committee BACKGROUND: Dr. Diane Breckenridge, Dean and Professor, Charles Drew University Mervyn M. Dymally School of Nursing served as Program Director of the ELM Program from April 16, 2018 until Dr. Mickie Schuerger was approved as Program Director on December 25, 2019. The program is requesting the reinstatement of their originally approved enrollment pattern of 40 students twice a year (Fall and Spring) beginning Spring 2021. Current enrollment pattern is 30 students twice a year. Requested increase is for 10 students twice a year (20 students annually). The program was placed on Warning Status on June 20, 2016 for low NCLEX Pass Rates with a one-time enrollment of 20 students Fall 2016. With improvement in NCLEX pass rates from 45.95% to 84.62%, the Board on November 9, 2017, granted continuing approval with enrollment pattern of 30 students twice a year. The NCLEX pass rate for the 2019-2020 academic year is 91.43%. At the November 19-20, 2019 Continuing Approval Visit conducted by NECs Loretta Melby and Donna Schutte, one area of non-compliance was identified -1424(e) Sufficient time for program administration. Dr. Mickie Schuerger was hired as Program Director with 75% release time. On February 20, 2020, the Board granted continuing approval of the program. During the November 19-20, 2019 CAV, to increase enrollment to pre-warning status numbers, the program was to provide proof of additional resources (p. 7). Full time/part time faculty numbers have increased from 12/10 to 16/15. Adequate clinical placements are available. The 81unit program is CCNE approved through 2027 with Masters’ Essentials courses/Clinical Nurse Leader Competencies integrated. Current enrollment is 120. Program cost/student is $91,200. Grant funding available for qualified students. The program has submitted a request that addresses the steps taken that meet the requirements for full enrollment reinstatement (att1). On file with BRN are EDP-P-11 Nursing Curriculum/Clinical Facility Form mapping faculty/clinical placements 2021 & 2022. In OSHPD RN Shortage (June 2020), Los Angeles area is listed in high severity.

NEXT STEP: Notify Program of Board Action

PERSON TO CONTACT: Donna Schutte, DNSC, RN Nursing Education Consultant

111 Chartes R. Drew University of Medicine and Science APrivat~UtwfflqwithoPublicMillion

December 8, 2020 Dear Donna Schutte, Our ELM nursing program would like to reinstate our prior BRN approved student enrollment of 40 students each spring and fall. Currently, it is at 30 students twice a year. This attestation provides how we have followed the recommendations of the Board of Registered Nursing (BRN) as we demonstrate our actions at Mervyn M. Dymally School of Nursing (MMDSON) to reinstate our cohorts to 40 students twice a year. We have met the recommendations from the ELM 2019 Self Study Report that described the steps for reinstatement. Since 2015, the following Board Actions have taken place as we have moved towards reinstatement. Table 1 below lists the Board Actions taken from 2015 to current 2020 as we were placed on warning status due to low NCLEX Pass Rates.

Table 1: Progression of events from 2015 to 2020 Board Action Letter 11/9/15 Defer action enrollments not to exceed 40 students twice a year Board Action Letter 6/20/16 Warning status with intent to close. One time enrollment of 20 students fall 2016 Board Action Letter 11/10/16 Continue warning status may enroll one additional cohort of 20 students Spring 2017 Board Action Letter 5/5/17 Continue warning status. Enrollment of one new cohort up of up to 30 students Board Action Letter 11/9/17 Change to Approval status. Continue current enrollment of 30 students twice annually Continuing Approval Visit Report 11/19-20/19. The current enrollment in the ELM program is 120. CDU is approved to enroll 30 students x 2 annually in September and January. Prior to being placed on warning status from June 2015 and Nov 2017 enrollment was approved 40 x 2 year. The University will provide proof of an adequate budget for program delivery to enhance the quality of student support services, will hire additional faculty/staff, and update equipment/supplies prior to increasing enrollment to the pre warning status numbers. (pg 7) Board Action Letter 2/20/20 Continue approval of Prelicensure Nursing Program for MMDSON Entry Level Master’s Program. A dedicated DON was hired in December 2019- Dr. Mickie Schuerger who continues to teach within the ELM program 25%/75% dedicated to DON responsibilities.

The faculty and students worked diligently to address MMDSON’s warning status, issued on June 16, 2016 for substandard NCLEX Pass Rates originally identified at the June 15-16, 2015 Continuing Approval Visit. The school

112 submitted Quarterly Progress Reports, addressed the Education/Licensing Committee (ELC), and attended the BRN Board Meetings. The MMDSON continued the coordinated efforts to ensure improvement of the students in the program by implementing the Strategies for Success Program. This program is a structured methodology of tutoring, advising, and mentoring to improve student success in the program. It has resulted in an increase in first time NCLEX pass rates and a decline of attrition as shown in Table 2.

Table 2: Attrition compared to NCLEX first pass rates 2015 to 2020 Year Attrition NCLEX 2015-16 16% 49.25% 2016-17 18% 84.62% 2017-18 17% 83.02% 2018-19 10% 86.67% 2019-20 7% 91.43%

On October 4, 2017 the ELC recommended removal of the warning status with the satisfactory report from the Interim Visit done on July 5, 2017 and demonstration of substantial improvement on the NCLEX Pass Rates in 2016- 2017 (84.62%). MMDSON received Continued Approval of the ELM Program at the BRN Meeting in November 2017. The faculty decided to change the comprehensive content mastery testing system back to ATI from HESI, the past comprehensive testing system. ATI is now integrated into each course with a steady rise noted in the current NCLEX pass rate to 91.43% for the 2019-2020 academic year. Step taken are demonstrated in Table 3 below.

Table 3: Steps taken to meet requirements for reinstatement Implementation of a minor curriculum change with approval in November 2020. Included moving gero from fundamentals, division of nursing care of mother, infant and children, two new courses: caring for the aging population and Informatics and evidence-based practice. Retreats and conferences were put into place to have the ELM faculty, staff and Director work together on the new curriculum and Plan of Study. The reduction in our total program credits/hours to meet national standards reducing our Plan of Study from 1395 to 1059 hours. NCLEX First Time Pass Rate steady increase to 91.43% this included 32 of 35 students passing. Additional full time faculty hiring for the major areas stipulated in the Consultant Approval Report November 2019 (med surg, gero, ob, peds and psych/mental health) with two additional faculty per area. We had 2 new FT faculty being currently hired and one adjunct moving to FT. The annual budget was increased from $4 to $6 million as the SON will grow to 503 students in 2021. We were awarded grants from LA County that purchased simulation equipment: High fidelity-Sim Junior and Sim Baby, B- Line Video Sim System with cameras for ICU and OR delivery room,

113 SimCabRX Pyxis machine, and Nurse Anne, a high fidelity simulator for our Sim Lab. Additionally, we have purchased a Huntsmann exam table for female examinations, gooseneck exam lamps, Pedigo stainless steel surgical card for ob/delivery room/OR simulation, and a Waterloo 5 level card for OB scenarios. We have increased faculty development to engage our faculty and other nursing professionals. We have scheduled for 2021-23 several professional conferences by leaders in the nursing profession to come to CDU for state of the art nursing consortiums. Resources were increased in our library, staff and support staff, physical space, and technology. Implementation of Strategies for Success and Assessment Technology Incorporated (ATI) to evaluate academic readiness of ELM students prior to taking the NCLEX examination

Proposed Minor Curriculum Change and Implementation– In 2018, the new Dean/ Director of the ELM Program instituted 3 curriculum retreats for curriculum revision beginning late Fall 2018 to late April 2019. In July 2020, the completion of the curriculum was sent by the new Director of the ELM program, Dr. M. Schuerger and then to NEC Donna Schutte. This revised minor curriculum had been updated. The pediatric and obstetric courses were separated into two courses, an independent gerontology course was developed by combining previously integrated geriatric content, a new informatics /evidence-based practice course was added, and clinical hours were revised for consistency with National Standards. Final approval for this new curriculum was received following the November 14, 2020 Board Meeting. This ELM 2019 Self-Study was based on the revised curriculum. Funds for ELM: LA County awarded CDU $276,035 for simulation equipment described above in Table 3. $6,106 was taken from the SON’s operating budget to pay for the Huntsmann exam table, gooseneck lamp, Pedigo stainless steel surgical cart and the Waterloo Unicart. The hard work of Dr. Diane Breckenridge resulted in the ELM program receiving grants to assist our nursing students. CDU received the HRSA Disadvantaged ELM grant. This provided our program $3.25 million for 65 students, a $10,000 scholarship for 5 years. We have sent 65 award letters to 65 ELM Students ($10,000 each) and only 51 responded and submitted the required documentation. Per Dean Breckenridge, the 15 remaining awards will be available for the new incoming ELM Students from Cohort 22 in spring 2021.Faculty development is described in Table 4 below:

Table 4: Faculty development 2018 to 2023 MMDSON holds Faculty Retreats to provide guest presentations and creative activities for faculty development. Additionally, faculty are encouraged to attend professional conferences to keep engaged in current trends and knowledge. Four conferences are being planned for 2023. Examples of past Faculty Retreats and Topics: Curriculum Development (4): Revised Skills Competency List for all courses for students to maintain a

114 Master List that can be included in their Portfolio at the end of the program. Revised Preceptorship Handbook for NUR 629.Revised Curriculum for implementation after the Self-Study Report and Visit. Faculty Curriculum Retreats: February 2, 2019, April 17, 2019, June 26, 2019 and October 16, 2019. Weekly Nursing Forums to virtually review all updates and receive ongoing input from MMDSON Advisory Board, which includes local, state, and national experts, e.g., Dr. Linda Bolton, Dr. Leslie Nicoll, Dr. Jacqui Fawcett, Dr. Zane Wolf, and Dr. Ora Strickland to name a few members who have attended. Center of Excellence application work during 2019. Dr. Roberts & Professor Lao to Sims Conference (Jeffries) and Dr. Roberts to Sim Ed for National Certification. BSN Workshops 2019-2020. DNP Workshops 2020-2021 for development of new MMDSON nursing programs 2021 Workshops to be provided for ELM faculty to reach certification of Clinical Nurse Educator (CNE)

Simulation - At MMDSON, our pedagogy of simulation is composed of three elements based on literature. The initial step involves students’ preparation for simulation, which includes reading assignments, class discussions, and additional instructions from the professor. The second phase focuses on students applying their content knowledge into practice and using clinical strategies in their simulated role as a nurse and actively participating in the scenario. Every simulation is conducted in groups of 5-10 students with Dr. Ingrid Roberts Simulation Coordinator/Director of Clinical Coordination (25%/50%) and working with the assigned faculty for the student groups. Anne Wicks was added in December 2020, as the Assistant Director of Simulation & Clinical Coordination (30%/25%) and will oversee the ATI content covered in each of our RN Content Mastery Series within ATI (25%). Prof. Emilyn Lao oversees (30%) of simulation focused on mother/child. The simulation equipment purchased is listed above in Table 2. Resources for ELM- faculty, library, staff and support services. We have adequate faculty to cover both our didactic and clinical courses. MMDSON has hired 4 full-time CA BRN approved in Med-Surgical, Gerontology, Obstetrics, and Psychiatric/Mental Health. Additionally, 9 part time adjunct faculty have been hired, who have CA BRN approval in Medical-Surgical, Gerontology, and Psych. or are licensed as either FNP or PMHNP for those programs. MMDSON hired 2 full-time faculty and one part time faculty. There are an additional 22 faculty applicants that are being interviewed, to fill two more full-time faculty and four part-time faculty positions, also board approved in specialties, including Psych, Peds, and OB. There is a lot of interest in our program as we continue to deliver our ELM program and have not stopped out due to the COVID pandemic.

115 Our long term relationships with our clinical facilities and educators have continued allow us to continue our clinical hours. CDU library has expanded outreach to faculty for trainings, new ways to teach in the online forum, help in technology, provision of content on our CDU website for further education and support to faculty as well as students. We have hired new staff and support services for each or our nursing programs. CDU purchased an elementary school across the street and we will have a dedicated space for our program’ expansion. We have hired a Director of Professional development, ELM program co/clinical compliance staff, Director of Clinical Placement, Director of Student Affairs, administrative assistant (Nevine). Additionally, the implementation of new technology to teach online through Blackboard Collaborate. The library, IT and helpdesk have expanded their resources to assist faculty, staff and the students for education and assistance to use our new technology and resources. The library have also added to our website additional teaching resources to assist faculty and students 24/7.

Included in this report are the ELM Program objectives demonstrating high level of competencies throughout our program in Table 5 below. Table 5: ELM Program objectives Synthesize theoretical and empirical knowledge derived from the physical and behavioral sciences and humanities as a basis for professional nursing practice. Apply the nursing process to all levels of practice using the steps of assessment, diagnosis, outcomes identification, planning, interventions and evaluation. Demonstrate competent practice as a master’s prepared registered nurse in a variety of settings. Implement health promotion and disease prevention strategies for population- based practice that incorporates systems, the community, individuals and families. Communicate effectively using oral, written, and technological skills in clinical, educational and professional settings. Demonstrate ethical nursing practice to improve professional nursing practice, the work environment and influence improvement in healthcare. Advocate for the patient’s rights, healthcare policies and finance systems that promote, preserve and restore individual and public health. Provide leadership in collaborative efforts with interdisciplinary and intradisciplinary teams, thus providing a broad approach to complex patient care and community problems. Demonstrate a spirit of inquiry and critically analyzes data, research findings, and other evidence to advance nursing practice, initiate change, and promote quality healthcare. Formulate a professional philosophy that incorporates a commitment to human values and lifelong learning.

116 Provide leadership in collaborative efforts with other disciplines to improve professional nursing practice, the work environment and influence improvement in healthcare. Cost of ELM program per student: (81 credits x $924= $74,844, $74,844 + $16,200= $ 91, 044)

Completed EDP-P-11’s Nursing Curriculum and Clinical Facilities have been provided to our NEC that document the next 2 years of faculty assignments and clinical placements.

Thank you for providing the guidance in this process as we continue to strive to attain the highest level of excellence for MMDSON, CDU and the nursing profession. Sincerely,

Mickie Schuerger

Mickie Schuerger, DNP, FNP-BC, MSN, RN Elm Director/ Mervyn M. Dymally School of Nursing [email protected] Charles R. Drew University of Medicine and Science A Private University with a Public Mission

And

Diane Breckenridge

Diane Breckenridge, PhD, MSN, RN, ANEF Dean/ Mervyn M. Dymally School of Nursing [email protected]

Charles R. Drew University of Medicine and Science A Private University with a Public Mission

117 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.7.2 DATE: February 17-18, 2021

ACTION REQUESTED: Discussion and Possible Action Regarding Recommendation to Accept Changes to an Approved Program, Charles Drew University Entry Level Degree Nursing Program (Major Curriculum Revision with Enrollment Increase, Addition of a BSN Option) (16 CCR §§ 1426 & 1432) (Present) REQUESTED BY: Michael D. Jackson, MSN, RN Chair, Education/Licensing Committee BACKGROUND: Dr. Diane Breckenridge, Dean and Professor, Charles Drew University MMDSON, served as Program Director of the ELM Program from April 16, 2018 until Dr. Mickie Schuerger was approved as Program Director on December 25, 2019. The University currently offers the ELM Program that is in compliance with all BRN rules and regulations. The program is requesting to offer a generic BSN program with nursing courses beginning Fall 2021 with a student enrollment of 40 students twice a year for a total annual enrollment of 80 students. This program addresses the need for diverse BSN prepared RNs to better serve the underserved communities and population in LA County Service Planning Area (SPA) 6 (Athens, South Los Angeles (South Central), Compton, Hyde Park, Crenshaw, Florence, Lynwood, Paramount, Willowbrook, and Watts) designated a high severity RN Shortage Area (OSHPD, 2020). There are three ADN and no BSN programs in SPA 6. The MMDSON, established in 2010, is a private, non-profit, community founded, and student-centered institution, designated a Historically Black Graduate Institution and a Hispanic Serving Institution. Pipeline programs are in place in SPA 6 with applicant pool established. Budget has been increased with additions to classroom/office space; administrative, faculty, and support staff; simulation and learning lab equipment and supplies; and adequate clinical placements (EDP-P11s on file with BRN) to meet increased enrollment student learning needs (see att2 – Program Request). The MMDSON offers MSN Programs (3 specialty tracks: Entry Level, FNP and PMHNP) and an RN to BSN Program. Programs are CCNE accredited with the new BSN program accredited through 2024. The BSN curriculum mirrors the ELM curriculum, excluding the Masters Essential courses and CNL Competencies. (see att2 EDP-P-06 and EDP-P-05a). CCR 1491 PHN certification requirements will be met. The 2019-2020 NCLEX Pass Rate for the ELM Program is 91.43% with a program attrition rate in 2018-2019 at 10.3%. The 124-unit BSN program is a 3-year program (9 semesters) with a total cost of $85,172. NEXT STEP: Notify Program of Board Action

PERSON TO CONTACT: Donna Schutte, DNSC, RN Nursing Education Consultant

118 Request for Major Curriculum Revision for Proposed BSN Program Mervyn M. Dymally School of Nursing at Charles R. Drew University The Mervyn M. Dymally School of Nursing (MMDSON) at Charles R. Drew University of Medicine and Science (CDU) Proposal for adding a Generic BSN Program Track to the existing Entry Level Master’s (ELM) Nursing Program. The MMDSON currently offers a master’s degree in nursing (3 specialty tracks: Entry Level, FNP, and PMHNP), as well as the RN-BSN Program and concurrent BSN Program. All Masters nursing programs are CCNE accredited until 2027 with the Baccalaureate Degree Program first initial accreditation in 2019 for the 5 years until 2024. This major curriculum revision proposal focuses on establishing a new Bachelor of Science in Nursing (BSN) degree track, adding to the ELM and NP Programs at MMDSON. This proposed BSN Program addresses the need for more diverse professional nurses, who have baccalaureate degrees to better serve the underserved communities and population in SPA 6. Offering this BSN Program at CDU achieves the goals and visions of the CDU Advantage, a unique curricular experience that differentiates the University’s education that consists of five components: Specialized Knowledge and Research, Social Justice, Global-International Experience, Community and Experiential Education, and Health Policy. This generic prelicensure BSN program provides opportunities for graduates of local high schools to earn bachelor’s degree within their own community, as well as increases the number of professional nurses in the area. a) Description of the nursing program: The proposed program is a 3-year program (nine semesters) with 15-week Fall and Spring semesters and 12-week Summer semester. The first four semesters consist of general education (GE) courses, and the core nursing courses will be covered in the remaining five semesters. The total curriculum units are 124 units (83 units required for licensure and 41 units of other degree requirements). The table below from the EDP-P-06 (Refer to the Attachment) shows that the proposed BSN curriculum is in compliance with the requirements of CCR Sec. 1426. b) REQUIRED UNITS FOR LICENSURE:

Semester Units Proposed BSN (CCR Sec 1426) Curriculum 36 59 Theory (18) (41) Clinical (18) (18) Communication Units 6 6 Science Units 16 18 TOTAL UNITS FOR LICENSURE 58 83 Other Degree Requirements 41 TOTAL UNITS FOR BSN 124 DEGREE The BSN curriculum plan mirrors the ELM nursing curriculum, excluding the Masters Essential courses. The difference in the courses between the ELM besides the Masters

119 Essentials is the focus of its curriculum is the CNL preparation. For the BSN preparation of entry level RN role, there are two clinical courses NUR 550 in Year 3 Semester 2 and NUR 552 in Year 3 Semester 3, respectively, to develop BSN Essential skills. Course syllabi for these two courses have been forwarded to the NEC. The proposed curriculum will include skills and simulation experiences similar to the Board approved ELM curriculum. The procedures and policies for the Skills/Simulation experiences will be the same as the ELM program. The proposed BSN program will admit students with previous education and experiences, such as transfer students and LVNs and grant credits following the CDU’s policy for transfer credits. The proposed Bachelor of Science in Nursing - Prelicensure Track is designed for non- nurses who are interested in completing course requirements leading to a baccalaureate degree in nursing. Graduates of this program are eligible to sit for the NCLEX-RN examination and attaining the Public Health Nurse certification. Graduates of this track are prepared at the generalist level to assume the entry level registered nurse role at the point of care. The registered nurse is responsible for the comprehensive clinical management of individuals, families and communities across the continuum of care in a variety of clinical settings, including virtual environments. The registered nurse designs and implements the plan of care and is accountable for improving clinical outcomes and care processes in a quality, cost effective manner, as a key member of an interdisciplinary team of healthcare professionals. EDP-P-05a and 06 for the pre-licensure BSN track are attached which give the the course sequence required for this proposed BSN curriculum of study. Students are admitted to this program in either the Fall or Spring semester of each academic year as a cohort. The intended start date for this proposed BSN program is Fall 2021. Projected cohort size is 40 students, two admissions per year, in Fall and Spring. The total enrollment per year is 80 students. c) Purpose, Rationale, Community to be Served, Demand: Charles R. Drew University of Medicine and Science (CDU) is a private, non-profit, community-founded, and student-centered institution that is committed to cultivating diverse health professional leaders that are dedicated to social justice and health equity for underserved populations through outstanding education, research, clinical service and community engagement. For over 50 years, CDU’s mission is to reduce and eliminate health disparities by educating future health professionals that are committed to social justice and health equity for underserved populations. This is attributed to CDU’s location, which is centered in South Los Angeles and included in Service Planning Area 6 (SPA 6) of Los Angeles County. Through state policy efforts, the MMDSON was established in 2010 to provide greater opportunities for both underserved and minority students and faculty that will be dedicated to increasing the nursing workforce, especially for critically health professional shortage areas, such as SPA 6. Community and Diversity. CDU is unique, in that an estimated 85% of the student population identifies with an underrepresented racial/ethnic minority group. In October 2020, a total of 995 degree seeking students were enrolled in CDU: 50% in School of

120 Nursing, 15% in College of Medicine, and 34% in College of Science and Health. Degree level encompassed 27% in undergraduate program and 73% in a graduate program. The racial/ethnic breakdown includes 351Black/African American (35.3%), 243 Hispanic/Latino (24.4%), and 201 Asian or Pacific Islander (20.2%). A majority of first-time undergraduates (70%) qualified for specialized grants due to low socioeconomic status. At least 50% of the CDU student population report socioeconomic or environmental disadvantages, and at least 66% of students reside in Los Angeles County with 15% living in the campus catchment area (South LA). CDU strives to build off the resiliency of this community to expand the workforce and cultivate health professional leaders who will provide culturally sensitive care to under- represented groups, including minority populations. CDU is recognized as having the second most ethnically diverse students for non-profit 4-year universities in the nation by The Chronicles of Higher Education. (Notes: In underrepresented, including Asian, Black/African American, Hispanic, Hawaii/Pacific Islander, American Indian/Alaska native, Multiple race.) At this time, CDU is dually designated as a Historically Black Graduate Institution and a Hispanic Serving Institution. However, with the implementation of the undergraduate BSN program, the CDU undergraduate enrollment will dramatically increase from 300, which will help qualify the university as a Historically Black College/University (HBCU). This new designation will potentially increase funding for the university, in addition to greater scholarship opportunities for undergraduate students. With respect to the designation as a Hispanic Serving Institution, Dean Breckenridge and Dr. Juana Ferrerosa (past president of the LA Chapter of the National Association of Hispanic Nurses [NAHN]) are working with the leaders of the NAHN and the Robert Wood Johnson Foundation to increase the recruitment and enrollment of Latinx students. Demand and potential applicants for the proposed BSN Program at CDU: When the IOM Report on the Future of Nursing was published in 2010, there were many recommendations made for nursing practice, leadership, education, and organization and recommended that the preparation of RNs with BSN be increased from 50% to 80% by 2020. The employment forecasts by the Bureau of Labor Statistics for RNs showed continued future growth in the workforce demand. In addition to workforce demands, there are other factors that justify the need for a BSN program at CDU. There is no pre-licensure baccalaureate in nursing degree program within SPA 6. MMDSON is only the university within SPA 6 to offer a prelicensure nursing degree at the master degree level (Entry Level Masters). There are three institutions within SPA 6 that offer the Associate Degree in Nursing (ADN): Compton Community College; LA Southwest College; and American Career College. However, we are aware that many students in California seeking a career in nursing have to wait at least 3-4 years for the nursing entry at a community college because they are so impacted. SPA 6 residents face more challenges as they have very few options for nursing school, with no direct path for an undergraduate nursing degree. CDU has multiple established pipeline programs in SPA 6, which linkages to various high schools and youth-centered organizations. These include: Seven high schools: King/Drew Medical Magnet H.S. (South LA); Centennial HS (Compton); Verbum Dei HS (Compton); Animo Charter HS (South LA/Inglewood); Middle College HS (South LA);

121 Washington Preparatory HS (South LA); Inglewood HS (Inglewood); and Youth Programs in SPA 6 – CDU Saturday Science Academy; CDU Project STRIDE; Youth Works; LA Youth at Work. CDU receives large number of inquiries asking about a BSN Program. At a recent virtual Discover CDU we had over 130 interested candidates with prerequisites completed but no degree: 1) Applicants who have heard by word of mouth that CDU is planning to open a new nursing program, 2) Applicants who want to pursue nursing education, and have to be turned away because they do not meet the baccalaureate degree requirement for the ELM program, and 3) Applicants who are ready but cannot be admitted to nursing programs do not have room. The projected enrollment size is based on analyses of observed demands for the BSN program, the clinical facility availability, available faculty and funding. d) MMDSON Administration: With leadership under Dean Breckenridge, the nursing programs at MMDSON continue to flourish, evidenced by the recent 91% pass rate for NCLEX-RN. Dr. Mickie Schuerger, director of the ELM program, has added to this effort by ensuring the program compliance and successful outcomes of the program. The proposed prelicensure BSN director, Dr. Sharon Cobb, is currently the director of the MMDSON RN-BSN program. Additionally, Dr. Cobb provides familiarity, as she graduated from the neighboring King/Drew Medical Magnet High School and is an alumna of the MMDSON ELM program. She also was involved in the Bridges program and completed her PhD from UCLA in 2017 and returned to CDU as a full-time faculty member. The Administration is in the process of restructuring the organizational responsibilities and to have assigned administrator for the proposed BSN Program to prepare for the projected enrollment. e) Campus Physical Environment: Currently, the University sits on approximately 11 acres of land within the Willowbrook redevelopment project area. The campus is expanding to 49 acres, with the recent acquisition of the Lincoln Elementary School from Compton Unified School District. The W.M. Keck Foundation Building houses the College of Science and Health program offices and classrooms. The Life Sciences Research and Nursing Education Building (LSRNE) is home for MMDSON, a clinical research center, and research laboratories. Physical resources in the LSRNE will be shared with existing ELM and NP Programs through ensuring scheduling of classrooms and skills/simulation lab. There are sufficient resources for didactic and clinical learning in the LSRNE to house the number of students being proposed for admission. MMDSON is requesting to admit cohort size of 40 students in Fall and Spring each year, totaling 80 students per year. Clinical placements for the students have been secured and placement of students in appropriate clinical areas will be available when nursing clinical courses start in the second year of the BSN Curriculum. (EDP-P-11 Nursing Curriculum and Clinical Facilities Form for BSN has been sent to NEC). Additionally, clinical facility letters of support have been sent to NEC). MMDSON has funding allocations from LA County Grant Fund and MMDSON Operational Budget for the implementation of these updates to the Simulation/Skills Lab (See specific updates of equipment sent to NEC.) Classroom sizes throughout campus vary and can accommodate anywhere from 20-90 students. The LSRNE building consists of 10,000 square feet of classroom space dedicated to nursing education and basic science research. In addition to three large

122 flexible classrooms, the building houses a large nursing station, 3 exam rooms, 3 large simulation rooms, one as pediatrics with a new Pediatric high fidelity junior, one with a brand new high fidelity Anne, another large ICU glass enclosed ICU room also with a high fidelity Anne, and a simulated operating/delivery room suite with scrub area and two sim moms and babies; all furnished with state-of-the-art simulation and audio-visual equipment from the control room into the debrief room to seat groups of 10 students. Within the nursing school area, there are three large classrooms, two of which can accommodate 40 students; these spaces also serve as skills laboratories for nursing. The physician assistant program has built their own dedicated classroom in the Keck building and therefore Classroom B is now being used daily by MMDSON. The third classroom has blackboards for skills lab didactics but does not have patient beds for skills lab activities; thus, its capacity is for 78 for the weekend nurse practitioner student cohorts of approximately 78 NP students per semester. This classroom is used for pre- licensure students during the week. On the second floor, the UCLA classroom also accommodates 40 students, The Keck building also has 8 classrooms with capacity for 25 to 60 students. Between the Keck building and the LSRNE is the Keck Auditorium for up to 120 students. Space allocations in the LSRNE include offices for the dean, program directors, and administrative staff. Most of the full-time faculty share an office (on the first and second floors) for a total of 14 offices and swing cubicle office space on the second floor for 8 adjunct faculty at a time. At present, approximately half of the offices have only 1 full-time faculty member so space is available. There are also 10 more offices on the first floor of the LSRNE that will become available as the independent medical school building is completed. Faculty and Hiring Plans for the Proposed Program: Since the 2019 BRN site visit and report from the NEC report (page 7), MMDSON has been active to increase faculty, support staff and updated equipment, especially to support current programs and the proposed BSN program. The Search Committee, chaired by Dr. Cobb, has been busy interviewing potential faculty. Recruitment of faculty for MMDSON is a continuous process. Thus far, MMDSON has hired 4 full-time CA BRN approved in Med-Surgical, Gerontology, Obstetrics, and Psychiatric/Mental Health since June 2020. Additionally, 9 part time adjunct faculty have been hired, who have CA BRN approval in Medical- Surgical, Gerontology, and Psychiatry. or are licensed as either FNP or PMHNP for those programs. Presently, MMDSON hired 2 full-time faculty and one part time faculty, who will be converting to full-time in the BSN program, when the program starts. Also, there is an additional 22 faculty applicants that are being interviewed, to fill two more full-time faculty and four part-time faculty positions, also board approved in specialties, including Psych, Peds, and OB, to start between Jan 4th to June 2021. The attached Nursing Curriculum and Clinical Facilities forms (EDP-P-11) shows the proposed BSN nursing courses and the facilities with the faculty (new and to be hired positions) to be assigned to teach in the proposed courses. MMDSON made the decision to continue with the clinical experiences through the Pandemic and received additional units: Four units at LAC+USC for Med-Surg and Gerontology direct patient care; PIH for all 30 OB students; Cedars for all 30 Peds students; and Gateways for all 30 Psych students. MMDSON has signed contract with Kedren Psychiatric Hospital for the Psych student increase; and, St. Francis Medical

123 Center is working with MMDSON to again have rotations for OB, Peds, and Med-surg with gerontology. MMDSON placed 30 to 40 non-matriculation students at St. Francis for Med-Surg and OB/Peds but had stopped admitting non- matriculation students in preparation for the new cohorts of BSN students, which ensures available clinical units at St. Francis. Admission of non-matriculation students will be considered again based on the clinical placement availability after the BSN track starts. f) Budgetary Provisions for establishing the proposed BSN Track: Budget has been increased from $4 million to $6 million annually to account for the increase in total student enrollment size from 415. Since the last BRN visit in November 2019 request to increase ELM back from 30 to 40 students for 2 cohorts (increase to 80 students), projecting a total enrollment number to 503 for all students in MMDSON nursing tracks during 2021. Upon the BRN approval of the proposed BSN Track, there is an increase of another 80 students per year during 2021-2022. The student fees for each clinical program provides additional revenue to the projected budget. Two categories of student fees are collected each semester: Generic Fees for CDU clinical programs $4,675. This fee includes cost for the following: Skills Learning supplies; Oath and Honors Event; White Coat Ceremony Events; Cultural Diversity; Lab Coat; Association Fees; Conferences. This fee is included in the fees collected from ELM and for the projected BSN Track. MMDSON Curricular Program Fees of $8375 for BSN students is inclusive of the Generic Fees as mentioned above and remaining $3700 are specific tests and exam fees collected for the Nursing Program: ATI Testing; NCLEX Exam Fee; BRN Licensure Registration Fee; PHN Certification Fee. The total fees for the proposed BSN students $13,500 (5 semesters x $2,700=$13,500), plus tuition for 124 credits x $578 per credit= $ 71,672. The total will be $71,672 + $13,500 = $ 85,172 The addition of student enrollment from the projected BSN track, will result in 160 BSN students in 2 ½ years once the students start taking the nursing courses. The tuition and fees for the cohort enrolled are sufficient to cover the nursing program costs and sustain the new program. Although GE courses are taken in the first four semesters, the survey of potential applicants indicate that many of the applicants have or are in process of completing them, and there is a likelihood that a cohort may be admitted starting nursing courses soon after the proposed BSN track receives approval. Availability of Clinical Placements: MMDSON has already established partnerships with clinical facilities for the ELM Program and have sufficient placements for the number of students to be enrolled into the proposed BSN Program. As mentioned in Section (d), the attached EDP-P-11, Curriculum and Clinical Facilities Form, lists the clinical sites and assigned faculty with two student-group to account for the proposed BSN Program. The new BSN track will not displace any group of students from other nursing programs.

124 State of California Department of Consumer Affairs Board of Registered Nursing REQUIRED CURRICULUM: CONTENT REQUIRED FOR LICENSURE

(916) 322-3350 Submit in DUPLICATE. Program Name: For Board Use Only Charles R. Drew University of Medicine and Science Mervyn M. Dymally School of Nursing Generic BSN Program Track Type of Program: Approved □ Entry Level Master X Baccalaureate □ Associate by:______Requesting new Curriculum Approval: X Major Minor □ Date:______Date of Implementation: Fall 2021 (08/28/2021) □ BRN Copy □ Program Copy Academic System: X Semester. 15w for Fall/Spring; 12 Su weeks/semester □ Quarter weeks/quarter REQUIRED FOR LICENSURE AS STATED IN CCR SECTION 1426 Semester Quarter Current BRN-Approved Proposed Curriculum Revision Units Units Curriculum (7/22/16) *Place asterisk next to proposed change Nursing 36 54 59 Theory (18) (27) (41) Clinical (18) (27) (18) Communication Units 6 9 6 Science Units 16 24 18 TOTAL UNITS FOR 58 87 83 LICENSURE Other Degree Requirements: Total 41 units (37 Th; 3Cl) 41 NUR 417 Public, Community Health & Global Health (6-4/2); NUR 416 Biomed Statistics, Research, and EBP (4); Che 100 (4-3/1); Eng 112 Crit Thinking (3); Math 126 Algebra (3); HIS 141 US History (3); POL 141 US Political Systems (3); CPU 125 Info Literacy (2); ILR 101 Info Lit Research (1); HUM 231 & 232 Intro to Humanities I, II (3, 3); COM 231 Spanish for Healthcare Prof (3); Art 131 Health and Creative Arts (3); TOTAL UNITS FOR GRADUATION 124

List the course number(s) and titles(s) in which content may be found for the following required content areas: REQUIRED CONTENT Course Number Course Titles Alcohol & chemical NUR421, NUR428, Nursing Fundamentals, Medical-Surgical Nursing I: Essentials, Medical- Dependency NUR450, Surgical Nursing II: Entry into Practice, Essential Care of Mother/Infant, NUR436A, Essential Care of Children, Psychiatric/Mental Health Nursing, Nursing NUR436B, Care for the Aging Population NUR417, NUR432

Personal Hygiene NUR428, Medical-Surgical Nursing I: Essentials, Nursing Care for the Aging NUR430, Population, Healthcare Policy and Aging NUR415

125 Human Sexuality NUR421, NUR428, Nursing Fundamentals, Medical-Surgical Nursing I: Essentials, Medical- NUR450, Surgical Nursing II: Entry into Practice, Essential Care of Mother/Infant, NUR436A, Essential Care of Children, Psychiatric/Mental Health Nursing, NUR436B, NUR435 Client Abuse NUR421, NUR428, Nursing Fundamentals, Medical-Surgical Nursing I: Essentials, Medical- NUR450, Surgical Nursing II: Entry into Practice, Essential Care of Mother/Infant, NUR436A, Essential Care of Children, Psychiatric/Mental Health Nursing, Nursing NUR436B, NUR435, NUR430 Care for the Aging Population Cultural Diversity NUR403, Culture, Spirituality, and Health, Clinical Decision Making for Safe Practice, NUR460, Essential Concepts for Professional Nursing, Nursing Fundamentals, NUR420, Medical-Surgical Nursing I: Essentials, Medical-Surgical Nursing II: Entry NUR421, into Practice, Essential Care of Mother/Infant, Essential Care of Children, NUR428, Psychiatric/Mental Health Nursing NUR450, NUR436, NUR435

Nutrition NUR424, Physical Assessment in Nursing Practice, Medical-Surgical Nursing I: NUR428, Essentials, Medical-Surgical Nursing II: Entry into Practice, Essential Care NUR450, of Mother/Infant, Essential Care of Children, Psychiatric/Mental Health NUR436, Nursing, EBP: Informatics and Quality Improvement NUR435, NUR432 Pharmacology NUR427 Pharmacology

Legal Aspects NUR409, Legal/Ethical Decision Making in Nursing, Nursing Fundamentals, Medical- NUR428, Surgical Nursing I: Essentials, Medical-Surgical Nursing II: Entry into NUR450, Practice, Essential Care of Mother/Infant, Essential Care of Children, NUR436, Psychiatric/Mental Health Nursing, EBP: Informatics and Quality NUR432 Improvement Social/Ethical Aspects NUR409, Legal/Ethical Decision Making in Nursing, Essential Concepts for NUR420, Professional Nursing, EBP: Informatics and Quality Improvement NUR432

Management/Leadership NUR452, Transformational Leadership in Nursing Practice, Essential Concepts for NUR420, Professional Nursing, Psych/Mental Health Nursing, EBP: Informatics and NUR435, Quality Improvement NUR423

Information needed to evaluate transcripts of applicants for licensure (Section 1426, Chapter 14, Title 16 of the California Code of Regulations) is listed in the left column below. Indicate the name(s) and the number(s) of the course(s) which include this content. REQUIRED CONTENT Course Course Title Units Number NURSING 59 (41/18) Medical-Surgical NUR 421 Nursing Fundamentals (3/2) 15 (7/8) NUR 428 Medical-Surgical Nursing I: Essentials (2/3) NUR 450 Medical-Surgical Nursing II: Entry into Practice (2/3) Obstetrical NUR 436A Essential Care of Mother & Infant (1.5/1.5) 3 (1.5/1.5) Pediatric NUR 436B Essential Care of Children (1.5/1.5) 3 (1.5/1.5) Psych/Mental Health NUR 435 Psych/Mental Health Nursing (1.5/1.5) 3 (1.5/1.5) Geriatrics NUR 430 Nursing Care for the aging population (2/1) 3 (2/1)

126 Others NUR 420 Essential Concepts for Professional Nursing (3/0); 29 (25.5/4.5) NUR 427 Pharmacology (2.5/0.5) NUR 426 Pathophysiology (3/0) NUR 452 Transformational Leadership in Nursing Practice (2/3) NUR 409 Legal/Ethical Decision Making in Nursing (3/0) NUR 403 Culture, Spirituality, and Health (3/0) NUR 415 Healthcare Policy and Aging (3/0) NUR 432 EBP: Informatics and Quality Improvement (3/0) NUR 460 Clinical Decision Making for Safe Practice (3/0) NUR 424 Physical Assessment in Nursing Practice (2/1) BASIC SCIENCES 18 Anatomy BMS 311 L Anatomy w/ Lab 4 Physiology BMS 310 L Physiology w/Lab 4

Microbiology BMS 320L Microbiology w/ Lab 6 Societal/Cultural Pattern SOC 141 SOC 141 – D3 Introduction to Sociology 3 Psychology PSY 141 PSY 141 – D3 General Psychology 3

COMMUNICATION 6 Group/Verbal COM 111 COM 111 –A2 Public Speaking1 3 Written ENG 111 3 ENG 111 – A1 English Composition

* TOTAL UNITS 83 * The “TOTAL UNITS” should match “TOTAL UNITS FOR LICENSURE” on page 1.

LVN 30 UNIT OPTION REQUIRED CONTENT Course Course Title Units Number NURSING 22 (12.5/9.5) Advanced Medical- NUR 450 Medical-Surgical Nursing. II: Entry into Practice (2/3) 5 (2/3) Surgical NUR 424 Physical Assessment in Nursing Practice (2/1) 3 (2/1) Psych/Mental Health NUR 435 Psych-MH Nursing (1.5/1.5) 3 (1.5/1.5) Geriatrics NUR430 Nursing Care for the Aging Population (2/1) 3 (2/1) Management/Leadership NUR 452 Transformational Leadership in Nursing Practice (2/3) 5 (2/3) Other NUR 427 or 426 Pharmacology or Pathophysiology 3 (3/0) BASIC SCIENCES 8 Physiology BMS 310L Pre-req 4 Microbiology BMS 320L Pre-req 4 TOTAL UNITS 30 Signature Program Director/Designee: Date: Dr. Mickie Schuerger 12/12/2020

127 State of California Department of Consumer Affairs Board of Registered Nursing TOTAL CURRICULUM PLAN

(916) 322-3350

Submit in duplicate Name of School: Date Submitted: Charles R. Drew University of Medicine and Science Mervyn M. Dymally School of Nursing Generic BSN Program Track 12/11/2020 Type of Program:□ Entry Level Master □ Baccalaureate □ Associate Degree For BRN Office Use Only Major Approved Not Approved Revision:□ □ Minor Effective Date: 8/27/2021 ,Q' □ List name and number of all courses of the program in sequence, beginning By: with the first academic term. Include general education courses. Date: Check appropriate year: Check:□ Semester□ Quarter *Wk: 15 □ 1 □ 2 □ 3 □ 4 Theory Lab Total Hours Quarter/Semester Total Year 1 Semester 1 M I S I O I C I P I G **Wk: Units Units Hr/Wk Units Hr/Wk Theory Lab CHM 100 - B2 Basic IU Chemistry □ □ □ □ □ □ 15 4 3 3 1 3 45 45 1 0 0 0 0 MTH 126 –B3 College □ □ □ □ □ □ Algebra □ □ □ □ □ □ 15 3 3 3 0 45 0 1 0 0 0 0 CPU125 - B4 Information □ □ □ □ □ □ Literacy and Computer □ □ □ □ □ □ Applications 15 2 2 2 0 30 0 1 0 0 0 0 ENG 111 – A1 English □ □ □ □ □ □ Composition 15 3 3 3 0 45 0

ILR101 - B4 Information B B B B B B Literacy Research 15 1 1 1 1 Total 13 12 12 1 3 166 45 Quarter/Semester Year 1 Semester 2 M I_ S I_ O I_ C I_ P I_ G **Wk: Total Hours ,- BMS 310L B1 Introduction to Anatomy and Physiology I □ □ □ □ □ □ 15 4 3 3 1 3 45 45 1 0 0 0 0 SOC 141 – D3 Introduction □ □ □ □ □ □ to Sociology □ □ □ □ □ □ 15 3 3 3 0 45 0 1 0 0 0 0 ENG112 - A3 Critical □ □ □ □ □ □ Thinking and Text Analysis □ □ □ □ □ □ 15 3 3 3 0 45 0 1 0 0 0 0 HIS141 - United States □ □ □ □ □ □ History 15 3 3 3 0 45 0

□ □ □ □ □ Total□ 13 12 12 1 3 180 45 Quarter/Semester Year 1 Semester 3 M S O C P G **Wk: Total Hours I I I I I 4.3a 128 Bio 311L Introduction to El El El El El El Anatomy & Physiology II 15 4 3 3 1 3 45 45 1 0 0 0 0 HUM231: Intro to □ □ □ □ □ □ Humanities I □ □ □ □ □ □ 15 3 3 3 0 45 0 1 0 0 0 0 COM111 Public Speaking □ □ □ □ □ □ 15 3 3 3 0 45 0 □ □ □ □ □ □ 1 0 0 0 0 PSY 141 - General □ □ □ □ □ □ Psychology 15 3 3 3 0 45 0 Total 13 12 12 1 3 180 45

* Number of weeks per semester / quarter ** Type in number weeks for each course, replacing "1"; do not type over "1" if there are extra lines and course is blank Fill in for each course: number for total units, lecture units, lab units / Do not type in where "0" appears

EDP-P-05a (Rev. 08/10) State of California Department of Consumer Affairs Board of Registered Nursing TOTAL CURRICULUM PLAN

(916) 322-3350

Submit in duplicate Name of School: Date Submitted: Charles R. Drew University of Medicine and Science Mervyn M. Dymally School of Nursing Generic BSN Program Track Type of Program:□ Entry Level Master □ Baccalaureate □ Associate Degree For BRN Office Use Only Major Approved Not Approved Revision:□ □ Minor Effective Date: -v □ List name and number of all courses of the program in sequence, beginning By: v~~ Sc./4.d:ft with the first academic term. Include general education courses. Date: Check appropriate year: Check:□ Semester□ Quarter *Wk: 15 □ 1 □ 2 □ 3 □ 4 Theory Lab Total Hours Quarter/Semester Total Year 2 Semester 1 I M I S I O I C I P I G **Wk: Units Units Hr/Wk Units Hr/Wk Theory Lab BMS 320L General Microbiology 15 4 3 1 1 3 45 45 HUM232 Intro to El El El El El El Humanities II □ □ □ □ □ □ 15 3 3 3 0 0 45 0 POL141 US Political Systems □ □ □ □ □ □ 15 3 3 3 0 0 45 0 ART131 Health and Creative Arts □ □ □ □ □ □ 15 3 3 3 0 0 45 0 COM231: Spanish for Health Care □ □ □ □ □ □ Professionals 15 3 3 3 0 45 0 1 0 0 0 0 Total 16 15 13 1 3 225 45 Quarter/Semester Year 2 Semester 2 I M_l S_l O_l C_l P_J_ G **Wk: Total Hours 4.3a 129 NUR420 Concepts of u u u u u u Professional Practice 15 3 3 3 0 0 45 0 [J [J □ □ □ □ NUR421 Nursing Fundamentals □ □ □ □ □ □ 15 5 3 3 2 6 45 90 NUR426 Essential Pathophysiology □ □ □ □ □ □ 15 3 3 3 0 0 45 0 NUR430 Physical Assessment □ □ □ □ □ □ in Nurs Practice 15 3 2 2 1 3 30 45 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 Total 14 11 11 3 9 165 135 Quarter/Semester Year 2 Semester 3 nM S I O I C I P I G **Wk: Total Hours NUR427 Nursing □ □ □ □ □ □ Pharmacology 12 3 2.5 2.5 0.5 0.5 37.5 22.5 NUR430 Caring for the □ □ □ □ □ [J Aging Population □ □ □ □ □ □ 12 3 2 2.0 1 3.0 30 45.0 NUR428 Medical-Surgical Nursing I: Essentials [J [J □ □ □ □ 12 5 2 2.0 3 9.0 30 135.0 NUR432 EBP: Informatics and Quality Improvement 12 3 3 3.0 0 0.0 45 0.0 □ □ □ □ □ □ □ □ □ □ □ □ 1 0.0 0.0 0 0.0 □ □ □ □ □ □ 1 0.0 0.0 0 0.0 Total 14 9.5 9.5 4.5 12.5 142.5 202.5

* Number of weeks per semester / quarter ** Type in number weeks for each course, replacing "1"; do not type over "1" if there are extra lines and course is blank Fill in for each course: number for total units, lecture units, lab units / Do not type in where "0" appears

EDP-P-05a (Rev. 08/10)

EDP-P-05a (Rev. 08/10) State of California Department of Consumer Affairs Board of Registered Nursing TOTAL CURRICULUM PLAN

(916) 322-3350

Submit in duplicate Name of School: Date Submitted: Charles R. Drew University of Medicine and Science Mervyn M. Dymally School of Nursing Generic BSN Program Track Type of Program:□ Entry Level Master [J Baccalaureate □ Associate Degree For BRN Office Use Only Major Approved Not Approved Revision:□ □ Minor I Effective Date: I vi □ List name and number of all courses of the program in sequence, beginning By: v~;uuz, ScA'.ut:a with the first academic term. Include general education courses. Date: Check appropriate year: Check:[J Semester□ Quarter *Wk: 15 □ 1 □ 2 [J 3 □ 4 I Theory I Lab Total Hours Quarter/Semester Total I I I I I 4.3a 130 IYear 3 Semester 1 I M I S I O I C I P I G **Wk: Units Units Hr/Wk Units Hr/Wk Theory Lab NUR435: Psychiatric/Mental El El El El El El Health Nursing 15 3 1.5 1.9 1.5 5.6 22.5 67.5 NUR436A:Essential Care of Mother/Infant □ □ 0 □ □ □ 1 3 1.5 1.9 1.5 5.6 22.5 67.5 NUR436B: Essential Care of Children □ □ □ 0 □ □ 15 3 1.5 1.9 1.5 5.6 22.5 67.5 NUR403: Culture, Spirituality, and Health □ □ □ □ □ □ 15 3 3 3 0 0 45 0 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 Total 12 7.5 8.7 4.5 16.8 112.5 202.5 Quarter/Semester Year 3 Semester 2 I M I S I O I C I P I G **Wk: Total Hours NUR417 Public, Community and Global □ □ □ □ □ □ 15 6 4 4 2 6 60 90 Health □ □ □ □ □ □ NUR450 Medical Surgical: Entry into Practice 0 0 □ □ □ □ 15 5 2 2 3 9 30 135 NUR416 Biomedical Statistics, Research and □ □ □ □ □ □ Evidence Based Practice 15 4 4 4 0 0 60 0 1 0 0 0 0 □ □ □ □ □ □ 15 □ □ □ □ □ □ □ □ □ □ □ □ 1 0 0 0 0 Total 15 10 10 5 15 150 225 Quarter/Semester Year 3 Semester 3 nM S I O I C I P I G **Wk: Total Hours NUR552 Transformational Leadership in Nursing □ □ □ □ □ □ Practice 12 5 2 2 3 9 30 135 NUR409: Legal/Ethical Decision Making in □ □ □ □ □ □ Nursing 12 3 3 3 0 45 0 NUR415 Healthcare Policy and Aging □ □ □ □ □ □ 12 3 3 3 0 45 0 NUR460 Clinical Decision Making for Safe Practice □ □ □ □ □ □ 12 3 3 3 0 45 0 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 Total 14 11 11 3 9 165 135

* Number of weeks per semester / quarter ** Type in number weeks for each course, replacing "1"; do not type over "1" if there are extra lines and course is blank Fill in for each course: number for total units, lecture units, lab units / Do not type in where "0" appears

EDP-P-05a (Rev. 08/10)

EDP-P-05a (Rev. 08/10) State of California Department of Consumer Affairs Board of Registered Nursing 4.3a 131 TOTAL CURRICULUM PLAN

(916) 322-3350

Submit in duplicate Name of School: Date Submitted: Charles R. Drew University of Medicine and Science Mervyn M. Dymally School of Nursing Generic BSN Program Track Type of Program:□ Entry Level Master □ Baccalaureate □ Associate Degree For BRN Office Use Only Major Approved Not Approved Revision:□ □ Minor Effective Date: □ □ List name and number of all courses of the program in sequence, beginning By: with the first academic term. Include general education courses. Date: Check appropriate year: Check:□ Semester□ Quarter *Wk: □ 1 □ 2 □ 3 □ 4 Theory Lab Total Hours Quarter/Semester Total Year4 Semester 1 I M I S I O I C I P I G **Wk: Units Units Hr/Wk Units Hr/Wk Theory Lab LJ LJ LJ LJ LJ LJ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 Total 0 0 0 0 0 0 0 Quarter/Semester Year4 Semester 2 I M I S I O I C I P I G **Wk: Total Hours LJ LJ LJ LJ LJ LJ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 Total 0 0 0 0 0 0 0 Quarter/Semester Year 4 Semester 3 nM S I O I C I P I G **Wk: Total Hours LJ LJ LJ LJ LJ LJ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 □ □ □ □ □ □ 1 0 0 0 0 Total 0 0 0 0 0 0 0

* Number of weeks per semester / quarter ** Type in number weeks for each course, replacing "1"; do not type over "1" if there are extra lines and course is blank Fill in for each course: number for total units, lecture units, lab units / Do not type in where "0" appears

EDP-P-05a (Rev. 08/10) 4.3a 132 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.8 DATE: February 17-18, 2021 ACTION REQUESTED: Information Only: NCLEX Pass Rate Updates REQUESTED BY: Michael Jackson, MSN, RN Chairperson, Education/Licensing Committee BACKGROUND: The Board of Registered Nursing receives quarterly reports from the National Council of State Boards of Nursing (NCSBN) about the NCLEX-RN test results by quarter and with an annual perspective. The following tables show this information for the the year 2020, and by quarter. Table 1. NCLEX RESULTS–FIRST TIME CANDIDATES January 1, 2020-December 31, 2020*/**/^ JURISDICTION TOTAL TAKING TEST PERCENT PASSED (%) California 12,324 90.87 United States & Territories 177,391 86.58

Table 2. CALIFORNIA NCLEX RESULTS–FIRST TIME CANDIDATES By Quarters and Year January 1, 2020-December 31, 2020*/**/^ 1/01/20- 4/01/20- 7/01/20- 10/01/20- 1/01/20- 3/31/20*/**/^ 6/30/20*/**/^ 9/30/20*/**/^ 12/31/20*/**/^ 12/31/20*/**/^ # % # % # % # % # % tested pass tested pass tested pass tested pass tested pass 3,349 93.04 1,797 89.26 5,070 91.52 2,108 87.24 12,324 90.87 * CA rates include, (2), (0), (1) and (2) “re-entry” candidates tested. Pass rate results are based on the 2019 Test Plan and Passing Standard of 0.00 logits. A logit is a unit of measurement to report relative differences between candidate ability estimates and exam item difficulties. Data Source: NCSBN/Pearson VUE quarterly and rolling 12 months reports as of 1/4/21. Data reflects the most up-to-date and accurate numbers at the time the report is generated. Numbers in subsequent reports may vary/change based on NCSBN/Pearson VUE and or member board submitted corrections and the date the report is generated. **2019 NCLEX-RN Test Plan and Passing Standard: The detailed 2019 NCLEX-RN Test Plan is available on the NCSBN website at www.ncsbn.org. The 2019 NCLEX-RN Test Plan is now effective April 1, 2019 through March 31, 2023. The NCLEX-RN Passing Standard of 0.00 logit that was instituted effective April 1, 2013 and will now be effective until March 31, 2023.

^Effective October 1, 2020 NCSBN made the following modifications to the NCLEX-RN Examination and indicates the modifications listed will remain effective through March 31, 2023.

133 NCSBN states … “NCLEX exams will continue to use the Computer Adaptive Testing (CAT) methodology for administration and scoring. The NCLEX Test Plans will remain the same and the passing standard will not change.” (NCSBN 8/21/20)  15 pretest items were re-introduced; minimum number of exam items total 75 items and the maximum number totals 145 test items/questions;  Minimum number of scored test items remains at 60 and maximum number of scored items remains at 130 test items; Note: this change became effective 3/25/20.  Exam length will be five (5) hours;  The Next Generation NCLEX Special Research Section was re-introduced. Candidates with enough exam time available are invited to voluntarily participate in this important research;  Due to maximum exam length and testing time changes, the existing “Run Out of Time Rule” will not apply. A candidate’s ability estimate is computed from the responses to all completed scored test items;  NCLEX Online Tutorial was replaced with a general guide and testing taking tips. More information regarding the October 1, 2020 exam modifications is available at www.ncsbn.org/14950.htm. NCSBN can be contacted with any specific questions about the exam changes at [email protected]. Next Generation NCLEX (NGN) The Next Generation NCLEX (NGN) Project/FAQs/Resources/Talks & Videos/Webinars information is available at www.ncsbn.org/next-generation-nclex.htm. The NEXT GENERATION NCLEX EXAM will be implemented no sooner than 2023 according to the NCSBN website information. Nursing Education Consultants (NECs) NCLEX Pass Rate Monitoring Nursing Education Consultants (NECs) monitor the NCLEX results of their assigned programs. When a program’s annual first-time candidate pass rate is below 75% for the academic year (July 1-June 30), the NEC sends the program written notice of non- compliance (per 16 CCR 1431). The program submits a detailed written assessment of the factors contributing to the annual substandard pass rate along with a corrective action plan to improve the annual rate. The NEC summarizes the program’s NCLEX assessment and improvement action plans in the ELC/Board meeting materials per the 3/16 revision of the Licensing Examination Passing Standard EDP-I-29 document. If a second consecutive year of annual substandard performance occurs, a continuing approval visit will be scheduled within six months, and the NEC’s continuing approval visit findings are reported to the ELC with program representatives in attendance per EDP-I-29 as included in the Program Directors’ Handbook Section 8.

NEXT STEP: Continue to monitor results PERSON TO CONTACT: Katie Daugherty, MN, RN Nursing Education Consultant

134 Academic Year July-Sept Oct-Dec^ Jan-Mar April-June July 1-June 30^ #Tested % Pass #Tested % Pass #Tested % Pass^ #Tested %Pass^ National/US Educated; 61,609 (84.8) (78.4) All degree types 18,605 CA Educated; 5,070 (91.5) (87.2) All degree types 2,108

National-Associate Degree (72.2) Rates 28,936 (80.8) 9,008 CA-Associate Degree rates 2,383 (91.4) 801 (87.3)

National-BSN+ELM rates 31,719 (88.5) (84.5) 9,322 CA-BSN+ELM rates 2,686 (91.6) (87.2) 1,305 *National rate for All Degree types includes four categories of results: Diploma, AD, BSN+ELM, and Special Codes. Use of the Special Codes category may vary from state to state. In CA, the Special Codes category is most commonly used for re-entry candidates such as eight-year retake candidates wishing to reinstate an expired license per CCR 1419.3(b). The CA aggregate rate for the All degree types includes AD, BSN+ELM, and Special Codes but no diploma program rates since there are no diploma programs in CA. CA rates by specific degree type exclude special code counts since these are not reported by specific degree type. **CA rates include the specific results for the AD or the combined BSN+ELM categories; ELM rates are included in the BSN degree category by NCSBN. ^Note: Numbers included in quarter to quarter reports reflect the most up-to-date and accurate numbers at the time the report was generated 1/4/21. Typically, the numbers/corrections have not significantly changed the previously reported quarterly pass rate. The data reflects pass rate results based on the 2019 NCLEX-RN Test Plan and Passing standard effective until 3/31/2023. The 2019 NCLEX RN Passing Standard remains at 0.00 logit. Due to the COVID-19 pandemic from March 25, 2020 to the present, the NCLEX-RN exam was modified by changing the minimum number of test items to 60 scored items and a maximum number of 130 scored test items. Exam testing time was changed from 6 hours to 4 hours through 9/30/20. Effective October 1, 2020-March 31, 2023, 15 unscored pretest items have been re-introduced on the exam. This means the NCLEX RN Exam will have a minimum of 75 test items (minimum of 60 scored items) and a maximum of 145 test items (maximum of 130 scored questions).The NGN Research Section has been added back to the exam and the exam length is 5 hours. Source: National Council of State Boards/PearsonVUE Quarterly Pass Rate Reports and the 2020 NCSBN Examination Modification publications.

135 BOARD OF REGISTERED NURSING Education/Licensing Committee Agenda Item Summary AGENDA ITEM: 7.9 DATE: February 17-18, 2021

ACTION REQUESTED: Licensing Program Update, Information only.

REQUESTED BY: Michael Jackson, MSN, RN Chairperson Education/Licensing Committee LICENSING UPDATE:

Application Processing: The licensing evaluators are currently processing the initial review of:  California, US exam and International endorsement applications received in November;  Advanced Practice applications received in January;  Out-going verifications received in December; and,  Inactive to Active and Back to Active requests received in January.

To streamline our efforts, licensing is working to become more paperless, cross-train staff, and reduce the processing time for licensing processing, including but not limited to, Advanced Practice applications. Staff from other areas of the BRN have been trained and are assisting the Licensing Program to bring application processing up to date. International analysts are also assisting with the processing of US endorsement applications, one day per week. The BRN will continue to identify and make process improvements to ensure that efficiencies are identified and implemented.

California Nursing Program Transcripts: The Board continues to receive transcripts via the Cloud for California applicants and has been processing those applications as transcripts are received. For October-December 2020 the Licensing Program has received confirmation of California graduating classes from 84 programs which include both RN and Advanced Practice transcripts. The below chart is a summary of the programs processed:

California Graduates October 2020 – December 2020 Number of Number of Number of Number of Number of Graduating Programs that Programs Programs Pending Programs/ Submitted Processed Pending Transcript Classes Transcripts (Transcripts Submission to the (as of 1/21/21) Rec’d) BRN 84 25 7 18 59 Total California Graduates: 2,983

Statistics: The Board continues to use QBIRT to create and run various reports upon request. The Board utilizes custom reports to find areas of improvement in our processes, as well as better predict workflow fluctuations and to assign application workload to staff.

136 The Average Processing Time Statistics table captures the processing time for Exam and Endorsement applications:  Exam applications: Receipt of an application to approval of the applicant to exam  Endorsement applications: Receipt of an application to licensure. Licensing Average Processing Time Statistics Fiscal Year Fiscal Year Fiscal Year Fiscal Year Application Type 2020-2021 2017-2018 2018-2019 2019-2020 (as of 1/21/21) Exam 64.6 29.4 33.1 38 Endorsement 60.2 18.4 29.5 59

The Licensing Applications Received table provides the total number of applications the Board has received by fiscal year: Licensing Applications Received Fiscal Year Fiscal Year Fiscal Year Fiscal Year Application Type 2020-2021 2017-2018 2018-2019 2019-2020 (as of 1/21/21) Exams 15,571 15,425 16,092 8,038 Endorsement 15,326 15,161 17,688 10,501 Repeat/Reapply 5,792 5,085 5,966 2,933 Advanced Practice 8,408 6,913 9,454 4,937 Total 45,097 42,584 49,200 26,409

The Additional Request Received table provides the total number of out-going verifications and Inactive to Active requests the Board has received by fiscal year:

Additional Requests Received Fiscal Year Fiscal Year Fiscal Year Fiscal Year Request Type 2020-2021 2017-2018 2018-2019 2019-2020 (as of 12/2020) Out of State Verification 16,965 20,524 21,233 7,618 Inactive to Active 1,572 2,667 2,548 396 Total 18,537 23,191 23,781 8,014

Expedited Licensure Process for Refugees, Asylees, and Holders of Special Immigrant Visas: Assembly Bill (AB) 2113 was implemented on January 1, 2021. This bill added expedited licensure process to Business and Professions Code (BPC) section 135.4. Beginning January 1, 2021, individuals in the following categories may have their applications expedited: 1. Refugees pursuant to section 1157 of title 8 of the United States Code; 2. Those granted asylum by the Secretary of Homeland Security or the Attorney General of the United States pursuant to section 1158 of title 8 of the United States Code; or, 3. Individuals with a special immigrant visa that have been granted a status pursuant to section 1244 of Public Law 110-181, Public Law 109-163, or section 602(b) of title VI of division F of Public Law 111-8.

In order to receive the expedited licensure process, individuals must provide evidence of their refugee, asylee, or special immigrant visa status when submitting their application package.

The Licensing Program updated the RN applications to add a new question and instructions to 137 address requests for the expedited licensure process. Additionally, a page has been added to the BRN website with links to the updated applications as well as a link to DCA’s webpage regarding this process and document submission requirements.

Order Waiving Restrictions on RN Temporary Licenses (DCA-21-105): Exercising the authority under Governor Newsom’s Executive Order N-39-20, on January 25, 2021, the Director of DCA issued the Order waiving restrictions on RN temporary licenses. The order is effective immediately and allows BRN to issue a temporary license to RN applicants that apply for licensure pursuant to BPC section 2732.1(b), between July 1, 2020, and June 30, 2021, if the following conditions are met:  The applicant submits an application for licensure pursuant to BPC section 2732.1(b);  The applicant submits the applicable fee pursuant to BPC section 2732.1(c);  The applicant has a current and active license or registration as a nurse in another state, district, or territory of the United States, or Canada, that has, in the Board’s opinion, requirements for licensing or registration equal to or higher than those in California at the time the application is filed with the Board;  The applicant passed an examination for the license or registration that is, in the Board’s opinion, comparable to the Board’s examination; and,  The application is not subject to denial pursuant to BPC section 480.

Staffing Updates: The Licensing Program currently has the following two (2) vacancies due to staff movement that are in various stages of the recruitment process:  1 Program Technician II in US Evaluations, and  1 SSA\AGPA in International Evaluations.

NEXT STEP: Continue to monitor business processes, timeframe improvement and staff hiring.

PERSON TO CONTACT: Christina Sprigg Deputy Chief, Licensing Division (916) 574-7614

138 Agenda Item 8.0

Report of the Enforcement/Intervention Committee

Imelda Ceja-Butkiewicz, Chairperson | February 17-18, 2021

139 BOARD OF REGISTERED NURSING Enforcement Intervention Committee Agenda Item Summary

AGENDA ITEM: 8.1 DATE: February 17-18, 2021

ACTION REQUESTED: Information Only: Enforcement Intervention Update

REQUESTED BY: Imelda Ceja-Butkiewicz, Chairperson

ACCOMPLISHMENTS:

Complaint Intake

Complaint Intake staff continue to telework a majority of the time. Staff have also adapted to the changing telework environment and have remained flexible during this process.

Managers met with support staff to discuss various best practices within their daily duties. This was a collaborative effort in which they shared ideas, different work-related case processing techniques and business processes while working within the telework environment. Complaint Intake will be holding best practice meetings with the analysts in the coming months.

BRN Complaint Intake Managers met with the Medical Board to discuss best practices and similarities between the two Complaint Intake units. Some of the differences between the Medical Board Complaint Intake Unit and BRN Complaint Intake Unit are as follows:

Board of Registered Nursing Medical Board Four Office Technicians open most Five Management Services Technicians incoming complaints open most incoming complaints

Analysts assigned cases by alpha Analysts assigned cases by case type

Office technicians initiate all urgent One analyst handles all urgent complaints complaints within their assigned alpha. All analysts monitor all urgent complaints within their assigned alpha

BRN met with BVNPT to collaborate and discuss recruitment of experts. We brainstormed ways to work to assist BVNPT with their recruitment of experts specializing in med spa practice. We anticipate this collaboration will result in adequate representation in this specialty within the BRN and BVNPT’s expert practice programs.

140 In July 2020, in collaboration with Licensing, we implemented the electronic applicant case processing procedures. The paperless process has been a smooth transition and has allowed for successful transfer of 1,430 applicant cases.

In March 2020, we began tracking COVID-19 related complaints. To date, we have received 223 complaints with COVID-19 related allegations.

Investigations

Investigations is pleased to announce the promotion of Sam Orefice to the position of Supervising Special Investigator for the southern region. Sam has been with the BRN for over six years working as a Special Investigator. He brings with him over 14 years of management and healthcare experience.

We continue to work closely with the Division of Investigation on streamlining our processes and developing written uniform practices between our divisions.

January January January 2019 2020 2021 Average # of investigations per investigator 19 19 15

Discipline

Discipline continues to focus on our aging cases, currently only 15% of our pending cases have been at the AG’s office for more than 1 year as of January 2021. All hearings through Office of Administrative Hearings are all being held via online platform (Microsoft Teams).

January January January 2019 2020 2021 Average Cases per Analyst 112 82 77

Probation

Probation unit has added new codes in BreEZe to allow for better tracking of our unit’s workload. The unit is working towards the goal of pulling all probation statistics from BreEZe. The Probation unit has updated processes for opening subsequent complaints and Attorney General transmittals, that will track timeframes from case open to transmittal more efficiently.

January January January 2019 2020 2021 Average probationers per monitor 98 83 87

141 Intervention

The Intervention Unit continues to actively recruit for Intervention Evaluation Committee members. Currently, there are seven (7) total vacancies with two candidates being recommended for appointment at today’s Board meeting.

IEC Location Member Type 2 – Bay Area Physician 2 – Bay Area Public 3 – Los Angeles Physician 5 – Fresno Physician 6 – Palm Springs Physician 9 – Ontario Public 12 – Northern California Physician

To apply for an IEC position, you can find the application on our website at https://rn.ca.gov/intervention

STATISTICS: QUARTERLY COMPARISON

FY 19/20 FY 20/21 Complaint Intake Q2 Q2 Public Complaints 1,047 816 Arrest/Conviction Complaints 347 199 Applicants 767 863 Total Complaints Received 2,161 1,878 Discipline/Citations AG Referrals 248 180 AG Cases Pending 984 527 Pleadings Served 221 143 Decisions Adopted 354 270 Average Time to Close 608 679 Citations Issued 76 23 Citation Amount Ordered $46,250.00 $8,150.00 Citation Amount Received $52,860.59 $39,850.00 Intervention Intervention Referrals 232 145 Successful Completions 24 46 Investigations Investigation Referrals – DOI 93 117 Investigation Referrals – BRN 210 181

142 Probation Total Probationers 1,258 1,299 In-State Probationers 845 854 Out of State (Tolled) 413 445 Probationers Chemically Dependent 442 436 Probationers Subsequent AG Referrals 12 12 Subsequent AG Cases 87 56 Pending Petitions to Revoke Probation 24 28

FISCAL YEAR COMPARISON

Enforcement FY 18/19 FY 19/20 *Current FY AG Cases Older than 1 year 265 191 195 Investigations BRN Investigation Older than 1 year 8 10 18

DOI Investigation Older than 1 year 103 121 77 Complaint Intake Applications Received 3,289 2,942 1,920 Complaints Received 3,930 4,049 1,923 Arrest/Convictions Received 1,350 1,202 477 *As of January 29, 2021

NEXT STEPS: Continue to Monitor

PERSONS TO CONTACT: Shannon Johnson, Enforcement Deputy Chief (916) 515-5268 Scarlett Treviso, Investigations Deputy Chief (916) 508-9285

143 BOARD OF REGISTERED NURSING Enforcement Intervention Committee Agenda Item Summary

AGENDA ITEM: 8.1.1 DATE: February 17-18, 2021

ACTION REQUESTED: Information Only: DOI/BRN Pilot Update

REQUESTED BY: Imelda Ceja-Butkiewicz, Chairperson

DOI BRN CASE PRIORITIZATION PILOT PROJECT DOI and BRN continue to follow the one-year Pilot Program initiated in September 2019 that changed case referral guidelines for urgent priority Quality of Care complaints alleging significant patient harm and/or patient death.

The Pilot was reviewed, updated and submitted for continuation through December 2021.

As of January 29, 2021 there have been 147 cases submitted for BRN investigation that meet the new case referral guidelines. To date, 97 have been completed and 50 are pending.

Pilot - Category 1 Cases No. of Cases Percent of Referrals

Referred to DOI 412 74% Referred to BRN 147 26%

Pilot - Category 1 Cases No. of Cases Average Closure Times

Closed by DOI 162 173 days Closed by BRN 97 125 days All data above is from September 15, 2019 to January 29, 2021

NEXT STEP: Continue monitoring workload and investigative timeframes.

PERSON TO CONTACT: Scarlett Treviso Investigations Deputy Chief (916) 508-9285

144 BOARD OF REGISTERED NURSING Intervention/Discipline Committee Meeting Agenda Item Summary AGENDA ITEM: 8.2 DATE: February 17-18, 2021

ACTION REQUESTED: Discussion and Possible Action Regarding Appointment of Intervention Evaluation Committee Members

REQUESTED BY: Imelda Ceja-Butkiewicz, Chairperson

BACKGROUND: In accordance with Business and Professions Code § 2770.2, Board of Registered Nursing is responsible for appointing persons to serve on an Intervention Evaluation Committee (IEC). Each IEC is composed of three registered nurses, one physician and one public member who possess knowledge and expertise in substance use disorder or mental health.

APPOINTMENT: Below are the names of the candidates being considered for appointment to their respective IEC. Their applications and curriculum vitae were sent in a separate email for the Board’s consideration. If approved, their terms will expire as noted below.

Name Title IEC Appointment Term Expiration Location Type Herbert Cruz, MD Physician Member 5, Clovis New June 30, 2024 Barrett Levine, MD Physician Member 2, Fairfield New June 30, 2024

NEXT STEPS: Continue recruiting efforts

PERSON TO CONTACT: Shannon Johnson, Enforcement Deputy Chief (916) 515-5265

145 Agenda Item 9.0

Discussion of Bills of Interest to the Board of Registered Nursing (Board) and Possible Action Regarding Adoption or Modification of Positions on Bills Introduced During the 2020-2021 Legislative Session:

Dolores Trujillo, Chairperson | February 17-18, 2021

146 BOARD OF REGISTERED NURSING Legislative Committee Agenda Item Summary

AGENDA ITEM: 9.0 DATE: February 17-18, 2021

ACTION REQUESTED: Discussion of Bills of Interest to the Board of Registered Nursing (Board) and Possible Vote to Recommend that the Board Adopt or Modify Positions on Bills Introduced during the 2020-2021 Legislative Session, Including But Not Limited To the Following Bills:

REQUESTED BY: Dolores Trujillo, RN, Chairperson

BACKGROUND: Bills of interest for the 2020-2021 legislative session are listed on the attached tables.

Bold denotes a new bill for Committee or Board consideration, is one that has been amended since the last Committee or Board meeting or is one about which the Board has taken a position and may wish to discuss further and restate or modify its position.

An analysis of and the bill text for these bills are included for further review. NEXT STEPS: Present recommendations to the Board

FINANCIAL As reflected by the proposed legislation IMPLICATIONS, IF ANY:

PERSON TO CONTACT: Thelma Harris, RN, PHN, MSN Chief of Legislation (916) 574-7600

147 DEADLINES JANUARY

S M T W TH F S Jan. 1 Statutes take effect (Art. IV, Sec. 8(c)).

1 2 Jan. 10 Budget must be submitted by Governor (Art. IV, Sec. 12 (a)).

3 4 5 6 7 8 9 Jan. 11 Legislature reconvenes (J.R. 51(a)(1)). 10 11 12 13 14 15 16 Jan. 18 Martin Luther King, Jr. Day. 17 18 19 20 21 22 23 Jan. 22 Last day to submit bill requests to the Office of Legislative Counsel. 24 25 26 27 28 29 30 31

FEBRUARY Feb. 15 Presidents’ Day S M T W TH F S Feb. 19 Last day for bills to be introduced (J.R. 61(a)(1)), (J.R. 54(a)). 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

MARCH

S M T W TH F S Mar. 25 Spring Recess begins upon adjournment of this day’s session (J.R. 51(a)(2)). 1 2 3 4 5 6 Mar. 31 Cesar Chavez Day. 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

APRIL Apr. 5 Legislature reconvenes from Spring Recess (J.R. 51(a)(2)). S M T W TH F S Apr. 30 Last day for policy committees to hear and report to Fiscal 1 2 3 Committees fiscal bills introduced in their house (J.R. 61(a)(2)). 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

MAY May 7 Last day for policy committees to hear and report to the Floor non-fiscal bills introduced in their house (J.R. 61(a)(3)). S M T W TH F S May 14 Last day for policy committees to meet prior to June 7 (J.R. 61(a)(4)). 1 May 21 Last day for fiscal committees to hear and report to the Floor 2 3 4 5 6 7 8 bills introduced in their house (J.R. 61 (a)(5)). Last day for fiscal committees to meet prior to June 7 (J.R. 61 (a)(6)). 9 10 11 12 13 14 15 16 17 18 19 20 21 22 May 31 Memorial Day. 23 24 25 26 27 28 29 30 31

* Holiday schedule subject to final approval by Rules Committee Page 1 of 2

148 JUNE June 1-4 Floor Session Only. No committee, other than Conference or S M T W TH F S Rules, may meet for any purpose (J.R. 61(a)(7)).

1 2 3 4 5 June 4 Last day for bills to be passed out of the house of origin (J.R. 61(a)(8)).

6 7 8 9 10 11 12 June 7 Committee meetings may resume (J.R. 61(a)(9)).

13 14 15 16 17 18 19 June 15 Budget bill must be passed by midnight (Art. IV, Sec. 12 (c)(3)). 20 21 22 23 24 25 26 27 28 29 30

JULY

S M T W TH F S July 2 Independence Day observed.

1 2 3 July 14 Last day for policy committees to meet and report bills (J.R. 61(a)(10)).

4 5 6 7 8 9 10 July 16 Summer Recess begins upon adjournment of this day’s session, provided 11 12 13 14 15 16 17 Budget Bill has been passed (J.R. 51(a)(3)). 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Aug. 16 Legislature reconvenes from Summer Recess (J.R. 51(a)(3)). AUGUST Aug. 27 Last day for fiscal committees to meet and report bills to the Floor S M T W TH F S (J.R. 61(a)(11)).

1 2 3 4 5 6 7 Aug. 30-Sept. 10 Floor Session only. No committees, other than conference committees and Rules Committee, may meet for any purpose (J.R. 8 9 10 11 12 13 14 61(a)(12)). 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

SEPTEMBER Sept. 3 Last day to amend bills on the Floor (J.R. 61(a)(13)). S M T W TH F S Sept. 6 Labor Day. 1 2 3 4 Sept. 10 Last day for each house to pass bills (J.R. 61(a)(14)). 5 6 7 8 9 10 11 Interim Study Recess begins at end of this day’s session (J.R. 51(a)(4)). 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

IMPORTANT DATES OCCURRING DURING INTERIM STUDY RECESS

2021 Oct. 10 Last day for Governor to sign or veto bills passed by the Legislature on or before Sept. 10 and in the Governor’s possession after Sept. 10 (Art. IV, Sec. 10(b)(1)).

2022 Jan. 1 Statutes take effect (Art. IV, Sec. 8(c)).

Jan. 3 Legislature reconvenes (J.R. 51 (a)(4)). Page 2 of 2 ** Holiday schedule subject to final approval by Rules Committee

149 BILL AUTHOR/ COM BOARD STATUS BILL # BILL SUBJECT POSITION/ POSITION/ as of Feb 11, SPONSOR date date 2021 Department of Consumer Affairs: AB 225 B. & P. and boards: veterans: military spouses: 1/11/2021 Gray M. & V.A licenses

AB 269 Patterson Licensure: renewal fees: reduced fee 1/19/2021 B. & P.

Workers’ compensation: hospital AB 410 Fong employees 2/3/2021

150 BILL AUTHOR/ COM BOARD STATUS BILL # BILL SUBJECT POSITION/ POSITION/ as of Feb 11, SPONSOR date date 2021 Workers’ compensation: hospital SB 213 Cortese 1/12/21 L., P.E. & R. employees

151