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15 Capitol Avenue, MS 3301 P.O. Box 997416 Sacramento, CA 95899-7416 (916) 327-2445 FAX (916) 552-8785 NURSE ASSISTANT AND/OR HOME HEALTH AIDE INITIAL APPLICATION (See instructions on the reverse) Last name First name MI Sex Male Mailing address (number and street name or P.O. Box number) Date of birth City Driver's license number *Social Security Number (SSN) - State Telephone number Number: Height Weight ZIP code ( State: Place of birth ) Eye color Hair color * If you us.

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How to fill out the Application Forms For Home Aide online

Completing the Application Forms For Home Aide online can be a straightforward process when you have the right guidance. This guide will provide you with detailed steps to ensure that you fill out the form accurately and efficiently.

Follow the steps to complete your application successfully.

  1. Click ‘Get Form’ button to obtain the application form and access it in your digital editor.
  2. Begin by entering your last name, first name, and middle initial in the designated fields. Ensure that all names are spelled correctly as they appear on official documents.
  3. Provide your sex by selecting ‘Male’ or ‘Female’ accordingly. Enter your mailing address, including the number and street name or P.O. Box number along with your city, state, and ZIP code.
  4. Enter your date of birth and driver’s license number in the respective fields. Remember to include your area code when listing your telephone number.
  5. Complete the physical attributes by filling in your height, weight, eye color, and hair color accurately.
  6. You must provide your Social Security Number (SSN). Note that using an invalid SSN may lead to rejection of your application. Be cautious and ensure you enter the number correctly.
  7. Respond to the question regarding any past criminal convictions. If you have been convicted of a crime, answer ‘Yes’ and provide the necessary details. Similarly, address the question about any health-related licensing actions against you.
  8. Select the type of request you are making by checking the appropriate box for CNA or HHA. If you are enrolling in a training program, check the corresponding box and fill in the required training facility information.
  9. Ensure that all sections of the application are completed as per the instructions provided on the reverse side of the form. Once all fields are filled, review your entries for accuracy.
  10. After reviewing, you can choose to save your changes, download the completed form, print it for submission, or share it as needed.

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Home Care Aides (HCA) need 5 hours of initial training and 5 hours of annual training in specific topics which CareAcademy offers. Certified Nursing Assistant (CNAs) need 48 hours of continuing education over 2 years, 24 hours can be obtained through an approved provider like CareAcademy (NAC provider number 7047).

In order to get a home care license in California and start your home care business, you will need to submit the California home care license application along with the application fee. From there, you will need to staff your home care agency with the required staff (call us for details).

5 Ways to Get Paid as a Family Caregiver in California 1) In-Home Supportive Services. 2) Veteran's Aid & Attendance Pension. 3) Veterans Directed Home and Community Based Services. 4) Long Term Care Insurance. 5) California's Paid Family Leave Act.

Home Care Aides (HCA) need 5 hours of initial training and 5 hours of annual training in specific topics which CareAcademy offers. Certified Nursing Assistant (CNAs) need 48 hours of continuing education over 2 years, 24 hours can be obtained through an approved provider like CareAcademy (NAC provider number 7047).

Home Care Aide Application Process Access the Guardian Applicant Portal at https://guardian.dss.ca.gov/Applicant. ... Create an Account by clicking “Register as a new user.” A temporary password will be sent to your email account. ... Enter Application Information. ... Retrieve the Live Scan Form.

ing to California state code, home health aides are individuals who are employed by home health agencies or hospice programs to provide patients with personal care services in their homes.

HCSB is also responsible for the Home Care Aide application process and maintenance of the Home Care Aide Registry. California law established the Home Care Services Consumer Protection Act which, as of January 2016, requires Home Care Organizations to be licensed and creates a public online registry for Home Care ...

With that in mind, here is some information about whether or not you need to have a license to be a caregiver in California. The simple answer to this question is no. ing to the legislature, in California, a person is not required to have a specific or special license in order to be a private paid caregiver.

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