Home care aide registry california

    • [PDF File]APPLICATION FOR HOME CARE AIDE REGISTRATION - California

      https://info.5y1.org/home-care-aide-registry-california_1_c2b7ed.html

      of Social Services, Home Care Services Bureau, 744 P Street, MS 9-14-90, Sacramento, CA 95814. Per Health and Safety Code Section 1796.48, the Home Care Aide application fee is nonrefundable. If any of the following apply, then you are not eligible for Home Care Aide registration at . this time.


    • [PDF File]HCA Registration Statuses - California

      https://info.5y1.org/home-care-aide-registry-california_1_1393cb.html

      An individual in a “REGISTERED-PENDING REVIEW” status cannot continue to provide home care services for any Home Care Organization until a final determination is made. A Home Care Aide’s registration status will show “REGISTERED-PENDING REVIEW” when: 1) the individual has subsequent violent criminal history that is under review;


    • [PDF File]Department of Health and Human Services (DHHS) Division of Health ...

      https://info.5y1.org/home-care-aide-registry-california_1_06df37.html

      Registry Home Care Aides are Nurse Aides who have also completed the North Carolina state-approved Home Care Aide specialty training program. The instructor should submit the Candidate’s name to DHSR to be added to the North Carolina Home Care Aide Registry. Click here to verify a listing on the North Carolina Home Care Aide Registry.


    • [PDF File]ASSEMBLY BILL No. 1667 - California

      https://info.5y1.org/home-care-aide-registry-california_1_25c62f.html

      line 32 listed on the home care aide registry. line 33 (b) An affiliated home care aide shall be listed on the home care line 34 aide re gistry prior to pro viding home care services through a home line 35 care organization. An independent home care aide shall be listed line 36 on the home care aide registry prior to being referred by a home


    • [PDF File]CRIMINAL RECORD STATEMENT - California

      https://info.5y1.org/home-care-aide-registry-california_1_730d8a.html

      STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CRIMINAL RECORD STATEMENT State law requires that persons associated with licensed facilities or Home Care Aide Registry applicants be fingerprinted and disclose any conviction. A conviction is any plea of guilty or ...


    • [PDF File]Home Care AACide Registry Request For Name/Address Change

      https://info.5y1.org/home-care-aide-registry-california_1_d44189.html

      HOME CARE AIDE REGISTRY REQUEST FOR NAME/ADDRESS CHANGE HCS 105 (3/19) Page 1 of 1 State of California – Health and Human Services Agency California Department of Social Services Pursuant to California Health and Safety Code section 1796.28(a)(2) Home Care Aide applicants must notify the Department of an address change within 10 days. Please ...


    • [PDF File]CRIMINAL RECORD STATEMENT & OUT-OF-STATE DISCLOSURE

      https://info.5y1.org/home-care-aide-registry-california_1_da25b0.html

      State of California – Health and Human Services Agency California Department of Social Services CRIMINAL RECORD STATEMENT & OUT-OF-STATE DISCLOSURE LIC 508 (7/21) Page 1 of 5. State law requires that persons associated with licensed care facilities, Home Care Aide Registry or TrustLine Registry applicants be fingerprinted and disclose any ...


    • [PDF File]CALIFORNIA DEPARTMENT OF SOCIAL SERVICES State of California ...

      https://info.5y1.org/home-care-aide-registry-california_1_0c352b.html

      Under the Supervision of the Staff Services Manager ! (SSMI), in the Home Care Services Bureau (HCSB), the Office Technician - Typing (OT (T)) will provide support to the Home Care Aide Registry (Registry) and the HCSB. The OT (T) will perform a variety of the most difficult support duties exercising a high degree of initiative and independence.


    • [PDF File]APPLICATION FOR HOME CARE AIDE REGISTRATION

      https://info.5y1.org/home-care-aide-registry-california_1_9a01e4.html

      State of California – Health and Human Services Agency California Department of Social Services APPLICATION FOR HOME CARE AIDE REGISTRATION HCS 100 (6/19) Page 1 of 2 ... • You must be 18 years of age or older to apply to be listed on the Home Care Aide Registry. • Once you are registered, failure to notify the Home Care Services Bureau ...


    • [PDF File]CRIMINAL RECORD STATEMENT & OUT-OF-STATE DISCLOSURE - Laguna Woods Village

      https://info.5y1.org/home-care-aide-registry-california_1_3fd59f.html

      State of California – Health and Human Services Agency California Department of Social Services CRIMINAL RECORD STATEMENT & OUT-OF-STATE DISCLOSURE LIC 508 (7/21) Page 1 of 5. State law requires that persons associated with licensed care facilities, Home Care Aide Registry or TrustLine Registry applicants be fingerprinted and disclose any ...


    • [PDF File]LIC 9163 - Request for Live Scan Services - California Department of ...

      https://info.5y1.org/home-care-aide-registry-california_1_e57987.html

      Home Care Aide Registry Applicant 1. ORI: ... Under the California Public Records Act, the Department may have to provide copies of some of the records in the file to members of the public who ask for them, including newspaper and television reporters.


    • [PDF File]HOME CARE AIDE REGISTRY REQUEST FOR NAME/ADDRESS CHANGE - California

      https://info.5y1.org/home-care-aide-registry-california_1_2fc3d6.html

      and or address change to only the Home Care Aide Registry and the Home Care Services Bureau. Please ensure that you include a copy of one of the following forms of identification: California Driver’s License, California ID Card, Permanent Residence Card, or a numbered, picture ID issued from a state other than California.


    • [PDF File]APPLICATION FOR HOME CARE AIDE REGISTRATION - California

      https://info.5y1.org/home-care-aide-registry-california_1_b33a93.html

      HOME CARE AIDE REGISTRATION RENEWAL HCS 101 (6/19) Page 1 of 2 ... State of California – Health and Human Services Agency California Department of Social Services HCS 101 (6/19) Page 2 of 2 Please note the following: • If you need to change your name, you must submit a Home Care Aide Registry Request for Name/ Address Change (HCS 105) to ...


    • [PDF File]HOME CARE AIDE REGISTRY REQUEST FOR NAME/ADDRESS CHANGE

      https://info.5y1.org/home-care-aide-registry-california_1_749244.html

      and or address change to only the Home Care Aide Registry and the Home Care Services Bureau. Please ensure that you include a copy of one of the following forms of identification: California Driver’s License, California ID Card, Permanent Residence Card, or a numbered, picture ID issued from a state other than California.


    • [PDF File]APPLICATION FOR HOME CARE AIDE REGISTRATION For Department Use Only ...

      https://info.5y1.org/home-care-aide-registry-california_1_12d028.html

      STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION HOME ... 657-3570 to obtain the Home Care Aide Registry facility number for LiveScan fingerprinting. For the application type, please check the appropriate box. 1. Print your full legal name and do not use nicknames.


    • [PDF File]LIC 508 - Criminal Record Statement - California Department of Social ...

      https://info.5y1.org/home-care-aide-registry-california_1_c1ac0a.html

      STATE OF CALIFORNIA -HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CRIMINAL RECORD STATEMENT State law requires that persons associated with licensed facilities or Home Care Aide Registry applicants be fingerprinted ...


    • [PDF File]CRIMINAL RECORD STATEMENT & OUT-OF-STATE DISCLOSURE - Alpha Connection

      https://info.5y1.org/home-care-aide-registry-california_1_970c9d.html

      State of California – Health and Human Services Agency California Department of Social Services CRIMINAL RECORD STATEMENT & OUT-OF-STATE DISCLOSURE LIC 508 (7/21) Page 1 of 5. State law requires that persons associated with licensed care facilities, Home Care Aide Registry or TrustLine Registry applicants be fingerprinted and disclose any ...


    • [PDF File]REQUEST FOR LIVE SCAN SERVICE - COMMUNITY CARE LICENSING ... - California

      https://info.5y1.org/home-care-aide-registry-california_1_fe32be.html

      Home Care Aide Home Care Aide Home Care Organization Adult Day Care Facility Adult Day Support Center Adult Day/Resident/Rehab Adult Residential Facility ... (Civil Code section 1798 et seq.). Under the California Public Records Act, the Department may have to provide copies of some of the records in the file to members of the public who ask ...


    • [PDF File]HCS 100 (11/21) - APPLICATION FOR HOME CARE AIDE REGISTRATION OR RENEWAL

      https://info.5y1.org/home-care-aide-registry-california_1_b7eb81.html

      APPLICATION FOR HOME CARE AIDE REGISTRATION OR RENEWAL. HCS 100 (11/21) Page 1 of 2 Please type or print clearly. Mail this completed two-page application and the materials specified below . to: The California Department of Social Services, Home Care Services Bureau, 744 P Street, MS 9-14-90, Sacramento, CA 95814. You can also apply online at


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