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Licensing and Certification Program

Training Program Review Unit

Training providers are nursing facilities, agencies, public educational training institutions, instructors and directors of staff development who provide pre-certification training or continuing education to nurse assistants, home health aides or hemodialysis technicians.

​Approved Training Providers

Approved Continuing Education Providers

Approved Testing Providers

How to Apply/Renew for Training Providers

Training Program Review Unit Forms  

Nurse Assistant Training Program

  • BCIA 8016 Request for Live Scan Service
  • BCIA 8016 SAMPLE Sample Request for Live Scan Service form for Certified Nurse Assistants or Home Health Aides
  • BCIA 8016 SAMPLE Sample Request for Live Scan Service form for Administrators, or Direct Care Staff of ICFDD, ICFDDN, ICFDDH Facilities
  • CDPH 276A Nurse Assistant Training Program Skills Check List
  • CDPH 276B Daily Nurse Assistant Training Program Schedule
  • CDPH 276B SAMPLE Sample Daily Nurse Assistant Training Program Schedule
  • CDPH 276C Nurse Assistant Training Program Individual Student Record
  • CDPH 276D Disclosure of Ownership and Control Interest Statement
  • CDPH 276E Nurse Assistant Training Program (NATP) and/or Home Health Aide Program (HHP) Clinical Site Agreement
  • CDPH 276F Skilled Nursing Facility (SNF) Nurse Assistant Certification Training Program Application
  • CDPH 276S School Nurse Assistant Certification Training Program Application
  • CDPH 279 Instructor Application
  • CDPH 283B Certified Nurse Assistant Initial Application
  • CDPH 283I Transmittal for Criminal Background Clearance

Certified Hemodialysis Technician

  • CDPH 283F Certified Hemodialysis Technician Initial Application
  • CDPH 391 Hemodialysis Technician/Patient Care Technician Training Program Application

Home Health Aide

  • BCIA 8016 Request for Live Scan Service
  • BCIA 8016 SAMPLE Sample Request for Live Scan Service form for Certified Nurse Assistants or Home Health Aides
  • BCIA 8016 SAMPLE Sample Request for Live Scan Service form for Administrators, or Direct Care Staff of ICFDD, ICFDDN, ICFDDH Facilities
  • CDPH 171 40 Hour Home Health Aide (HHA) Training Program Application
  • CDPH 171A 40 Hour Home Health Aide (HHA) Training Program Current Curriculum
  • CDPH 171B 40 Hour Home Health Aide (HHA) Training Program Faculty Application
  • CDPH 183 Home Health Aide (HHA) Certification List
  • CDPH 191 120 Hour Home Health Aide Training Program Application
  • CDPH 191A 120 Hour Home Health Aide (HHA) Training Program Current Curriculum
  • CDPH 191B 120 Hour Home Health Aide (HHA) Training Program Faculty Information
  • CDPH 283B Home Health Aide Initial Application
  • CDPH 283I Transmittal for Criminal Background Clearance

In-service and Orientation

  • CDPH 278A Nurse Assistant Orientation Program Content
  • CDPH 278B In-Service Training Program
  • CDPH 279 Director of Staff Development Application
  • CDPH 283A Certified Nurse Assistant In-Service Training/Continuing Education
  • CDPH 5000 Program Flexibility

 Continuing Education

  • CDPH 192 Application for Initial or Renewal Approval as a Continuing Education Provider
  • CDPH 192B Application for Initial or Renewal Online Continuing Education Provider
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