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Person Interested In. A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Search AZ Index. The Professional Certification Branch (PCB), Aide and Technician Certification Section (ATCS) is primarily responsible for the certification of nurse assistants by ensuring applicants adhere to the. How to Verify the Status of your Certificate.How to Apply or Renew a Certified Nurse Assistant Certificate.How to Find a Training Program or Provider to Become a Certified Nurse Assistant.Submit a completedalong withshowing your completion of forty-eight (48) hours ofwithin your two (2) year certification period.
A minimum of twelve (12) of the forty-eight (48) hours shall be completed in each year of the two (2) year certification period. A maximum of twenty-four (24) of the forty-eight (48) hours may be obtained only through a. You may submit the application by mail or by faxing it to our department.An applicant for certification as a CNA shall comply with each of the following:. Be at least sixteen (16) years of age. Have successfully completed a, which includes anthe applicant’s knowledge and skills related to basic patient care services. Obtain a criminal record clearance.You must complete and submit the following to CDPH:., upon enrollment in the training program.
A copy of theform. Please also download the, which will show you how to correctly complete the BCIA 8016 form.Once you have completed the CDPH-approved training program, you will need to successfully pass the Competency Evaluation Examination. If you successfully pass the Competency Examination, you must allow at least thirty (30) days for CDPH to receive your examination results from the testing vendor.In order to transfer your out-of-state certificate to California, you must complete and submit the following to CDPH:.
Obtain your fingerprints in California utilizing a Live Scan Agency and submit a copy of the completed. Please also download the, which will show you how to correctly complete the BCIA 8016 form.
A copy of your out-of-state CNA certificate. Proof of work showing that you provided nursing or nursing-related services in a facility to residents for compensation under the supervision of a licensed health professional within the last two (2) years.
Acceptable forms of proof of work are a copy of a paystub or W2. If you have received your initial out-of-state CNA certificate within the last two (2) years, you do not need to submit proof of work. Part I of the CDPH 931 is to be completed by the applicant and Part II is to be completed by the endorsing state agency (the state you are coming from).If you are presently enrolled in (or completed) a Registered Nurse, Licensed Vocational Nurse, or Licensed Psychiatric Technician program, have received medical training in military services, or have received the above license(s) from a foreign country or U.S.
State, you may not have to take further training and may qualify to take the Competency Evaluation. You must complete and submit the following to CDPH:.
Obtain your fingerprints in California utilizing a Live Scan Agency and submit a copy of the completed. Please also download the, which will show you how to correctly complete the BCIA 8016 form. An official, sealed transcript of training (students may substitute the official transcript with a sealed official school letter, listing equivalent training and the completion of at least the 'Fundamentals of Nursing' course).
The letter must include the completion date(s) of the training/courses and hours/units completed. If discharged from the military, a copy of the DD-214 can substitute for an official transcript. Proof of work (paystub or W2) showing the applicant has provided nursing or nursing-related services in a facility to residents for compensation under the supervision of a licensed health professional within the last two (2) years.
Proof of work is not required for current nursing students or if the college degree was obtained within the last two (2) years.Upon completion of the above requirements, the applicant will be sent information regarding the Competency Evaluation examination. You must allow a minimum of thirty (30) days for CDPH to receive your examination results from the testing vendor. Once you have successfully passed the examination, maintained criminal record clearance, and the results from the testing vendor have been received, CDPH will issue a current CNA certificate. State and Federal Requirements.Certified Nurse Assistant Forms.Request for Live Scan Service.Sample Request for Live Scan Service form for Certified Nurse Assistants.Certified Nurse Assistant In-Service Training/Continuing Education.Certified Nurse Assistant Initial Application.Certified Nurse Assistant Renewal Application.Request for Name/Address Change and/or Duplicate for CNA Certificate.Verification of Current Nurse Assistant Certification.Report of Misconduct. Contact Us:Mailing Address:Aide and Technician Certification Section P.O. Box 997416, MS 3301 Sacramento, CA Phone Number: (916) 327-2445Please note that the Interactive Voice Response Unit (IVRU) is an automated phone system.
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An option must be selected before the IVRU can proceed with a transfer to an agent. After the required information is entered you will be given the option to press “0” for an agent.Fax Number: (916) 552-8785Email: Please include your CNA/HHA/CHT number (if applicable).
