Home Health Aide Certification, Training, In-Service, and Competency
Sets out who may give home health aide services for the Agency and how the Agency proves each aide is qualified: only a person certified by the California Department of Public Health as a home health aide gives personal care under a physician’s plan of treatment (Cal. Health & Safety Code §1727(d)); the CDPH registry is checked before hire or patient contact (§1736.4(c)); each aide shows competency in every service before giving it (22 CCR §74710(b)); each aide completes at least 12 hours of in-service training in each 12-month period of certification and renews the certificate every two years on the birthday (§1736.2); and any training program the Agency runs meets 22 CCR §74747 and the instructor and online rules. If the Agency is Medicare-certified, every aide also meets 42 CFR §484.80(a)-(f).
- Policy number
- CA-HH-AID-01
- Version
- 1.0
- Main rule
- 22 CCR §74745
- Library
- California home health · 58 policies
- Category
- Clinical tasks
- Sections
- 24
In short
- You may give personal care under a doctor’s plan only if your CDPH home health aide certificate is current.
- We check the CDPH registry before you start and when your certificate renews on your birthday every two years.
- Complete at least 12 hours of in-service training in each year of your certificate, and keep your records.
- Do only the tasks a registered nurse has checked you can do safely. If a task was rated unsatisfactory, do not do it alone until you are retrained and pass again.
- Tell the office right away if your certificate expires, is suspended, or your address changes.
What's inside
24 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (22 CCR §74745)
- 5. Who May Give Aide and Personal Care Services
- 6. California Certification Routes
- 7. Training Programs the Agency Runs or Sponsors
- 7.1 Content and Hours (22 CCR §74747)
- 7.2 Instructors
- 7.3 Online or Distance Learning
- 7.4 Federal Limits on Agency-Run Programs (if Medicare-certified)
- 8. Checking Certification Before Hire and Before Each Assignment
- 9. Competency Evaluation
- 10. In-Service Training
- 11. Keeping Certificates Current
- 12. Misconduct and Concerns About an Aide
- 13. Responsibilities
- 14. Records and Compliance Monitoring
- 15. Staff Training
- 16. References
- 17. Related Policies and Forms
- 18. Approval
- 19. Revision History
An inspector may ask
- Show me the CDPH certificate status and the registry check, with its date, for each aide on your schedule this week.
- Show me the competency evaluation for this aide. Who performed it, and which tasks were observed with a patient or pseudo-patient?
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