| California CDSS, HCO Rules checked October 8, 2026 State guide | 5 hours before a client Two hours of orientation on the aide’s role and terms of employment, and three hours of safety training: basic safety precautions, emergency procedures and infection control. It may be done online. HSC s. 1796.44(b)HSC s. 1796.44(d) | Not covered in our sources | Yes, 2 of the 5 hours Two hours of orientation on the aide’s role and the terms of employment, before being with a client. HSC s. 1796.44(b) | 5 hours a year On core competencies, specific to the clients served: clients’ rights and safety, daily living needs, abuse and neglect, personal hygiene and other services, and safe transport if offered. From January 1, 2027, also the special care needs of clients with dementia. HSC s. 1796.44(c)SB 412 (2025), sec. 2, new HSC s. 1796.44(c)(6), (e) | NoOur readingRegulator guidance HCOs may not arrange medical services, and by our reading the statute names no nurse role. CDSS’s instructions ask the training plan to say who will conduct the training. Home Care Services fact sheet; HSC ss. 1796.10 to 1796.70 (our reading)HCS 281, B4 | CDSS sees the training planRegulator guidance The training plan and a sample training log go to CDSS with the application, and training hours stay subject to inspection. HCS 281, B4PIN 22-03-HCS |
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| Colorado CDPHE, HCA Class B Rules checked October 2, 2026 Caregiver training guide | None set (we found); topics only Chapter 26 sets topics, not hours: nine for homemakers, and more for personal care workers, given as interactive training before the worker serves consumers alone. 6 CCR 1011-1 Ch. 26, 7.4(B)6 CCR 1011-1 Ch. 26, 7.3(C)(1)(a)-(i)6 CCR 1011-1 Ch. 26, 7.3(B)-(C) | Observed; manager or supervisor A competency evaluation with visual observation before serving consumers. For personal care workers, a skills validation too, and a proof of competency evaluation by the manager or a supervisor before assignment. 6 CCR 1011-1 Ch. 26, 7.3(B)-(C)6 CCR 1011-1 Ch. 26, 7.4(B)6 CCR 1011-1 Ch. 26, 7.4(C)(3)(a) | Yes, 4 items On hire, for all personnel: your policies and procedures, emergency response policies, emergency contact numbers for the agency and each assigned consumer, and a description of your services. 6 CCR 1011-1 Ch. 26, 7.3(C)(2); 7.4(C)(2) | Six or four topics a year Personal care workers and supervisors cover at least six topics every 12 months, homemakers at least four, prorated for months worked. No hours are set. 6 CCR 1011-1 Ch. 26, 7.4(C)(4); 7.3(C)(3)6 CCR 1011-1 Ch. 26, 7.3(C)(3); 7.4(C)(4)6 CCR 1011-1 Ch. 26, 7.4(B) | No Supervisors need personal care training and the experience your own policy sets; no nurse is required for Class B. 6 CCR 1011-1 Ch. 26, 7.7 | Some tasks need their own check Support stockings and over-the-counter medicated shampoo need a proof of competency before use and every year. Lift devices and oxygen tank changes need training and demonstrated competency. 6 CCR 1011-1 Ch. 26, 7.4(F)(13)6 CCR 1011-1 Ch. 26, 7.4(F)(15)(c)6 CCR 1011-1 Ch. 26, 7.4(F)(4)(b)6 CCR 1011-1 Ch. 26, 7.4(F)(7)(c) |
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| Delaware DHCQ, PASA license Rules checked October 4, 2026 State guide | None set; orientation and a test DHCQ’s matrix sets no training hours for PASA workers: orientation before serving a consumer, then a competency test. Matrix, Training of aides/direct care workers3345-4.5.1 | A written test, at hire and yearly Each worker passes your competency test, with questions on the orientation topics, before providing care and every year after. A copy goes in with the application, and DHCQ marks a test with no answer key as unmet. 3345-4.5.33345-2.2.2.7p. 35, 4.5.3 | Yes, 24 topics Every direct care worker completes orientation on the 24 topics in the rule before serving a consumer. DHCQ counts 25 with the disaster plan and wants the teaching material for each topic. p. 13, 4.3.2.33345-4.5.1p. 163345-4.5.2 | A yearly test and in-service The competency test every year, a yearly infection control in-service for all staff, and yearly dementia training if you serve people with dementia. No hours are set. 3345-4.5.33345-9.33345-4.5.4Matrix, Training of aides/direct care workers | NoRegulator guidance The services need no licensed nurse, and DHCQ’s FAQ says a PASA’s policies should not describe RN assessments. Slide 6, Licensure TypesFAQ, Director section | Medication needs approved training A worker may administer medication only after a Department-approved training program. In 2020 the Department said none existed and agencies could submit their own for review. 23 DE Reg. 1033, response to comments on 4.63345-4.6 |
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| Florida AHCA, HCS registration Rules checked October 8, 2026 State guide | Dementia training only Written information on hire; the free 1-hour Elder Affairs course within 30 days for staff who give personal care or have regular contact; and 2 more hours within 7 months for staff who give personal care, so 3 hours in all for them. F.S. 400.51F.S. 430.5025(4)(a)F.S. 430.5025(4)(b)F.S. 430.5025(4)(b)1.F.S. 430.5025(4)(c) | The provider; no checker namedOur reading The provider supplies staff capable of the agreed services, including all visits. The rule names no competency check. 59A-8.025(9), F.A.C. | Not covered in our sources | None set (we found)Our reading We found no yearly training rule for registrants. An employee who completed the 1-hour dementia course does not repeat it on changing employer. 59A-8.025(9), F.A.C.F.S. 430.5025(4)(b)3. | NoOur reading We found no nurse role in registrants’ training. A home health agency, a different license, needs proof of forty hours of aide training or a passed competency test before an aide works. 59A-8.025(9), F.A.C.59A-8.0095(5)(c), F.A.C. | Companion work counts hereOur reading For the dementia training only, personal care includes homemaker or companion services given in person, so the 2 extra hours within 7 months reach companions who give those services. F.S. 430.5025(2)(c)F.S. 430.5025(4)(c) |
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| Georgia DCH, PHCP Rules checked September 30, 2026 State guide | 40 hours on the agency route Personal care aides qualify by one of four routes. On the agency’s own course: 40 hours, 20 before serving clients and 20 within six months. 111-8-65-.09(5)(c)2111-8-65-.09(5)(c) | A supervisor observes A written evaluation shows a supervisor personally observed each employee perform their job tasks, and each staff member is evaluated in writing every year. 111-8-65-.10(2)111-8-65-.09(5)(a) | Yes, 4 items Before working with clients: your policies on scope of services, client rights and complaints; the person’s duties; reporting problems and handling medical emergencies; and the duty to report TB or hepatitis exposure. 111-8-65-.09(6)(a)1-4111-8-65-.09(6) | 8 hours a year, after year one At least eight clock hours of training a year for each employee after their first year. 111-8-65-.09(6)(b) | Directs the agency’s aide course An RN, or a health professional with similar education and experience, directs the 40-hour course. An RN or LPN supervises personal care for medically frail clients. 111-8-65-.09(5)(c)2111-8-65-.10(2)(b) | Companions may show competency instead Companions complete training, or show practical competency, in seven areas, from meal preparation and housekeeping to medical emergencies and infection control. 111-8-65-.09(5)(d)2 |
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| Illinois IDPH, Home services agency Rules checked October 1, 2026 State guide | 10 hours, 5 before the first visit At least 10 hours for each worker: five before the first assignment and five within the first 30 days, on the subjects the rule lists. 77 Ill. Adm. Code 245.71(c)77 Ill. Adm. Code 245.71(e) | Agency test before the first visit No assignment until the worker passes your competency evaluation on the first five hours, with another test after the next five. Supervisors and trainers need set home services experience. 77 Ill. Adm. Code 245.71(c)77 Ill. Adm. Code 245.71(g) | Required; topics not listed The manager orients new staff and runs regularly scheduled in-service education, and makes every employee familiar with the Act and rules. 77 Ill. Adm. Code 245.40(a)(10)77 Ill. Adm. Code 245.40(a)(2)-(3) | 10 hours a year At least 10 hours every year, covering client rights, disaster procedures, infection control, abuse and neglect, and personal care skills. Staff serving clients with dementia also get 3 hours of advanced dementia training a year. 77 Ill. Adm. Code 245.71(f)77 Ill. Adm. Code 973.140(f) | No Supervisors and trainers qualify by home services experience, not a nurse license, and IDPH’s application says the license allows no skilled service. 77 Ill. Adm. Code 245.71(g)Form 445104, page 7 | 6 hours of dementia training Staff with direct access to clients with Alzheimer’s or a related dementia complete at least 6 hours of dementia training in their first 60 days. 77 Ill. Adm. Code 973.140(c) |
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| Indiana IDOH, PSA license Rules checked October 2, 2026 Caregiver training guide | None set (we found) The statute ties training to competency instead: each worker is evaluated on each attendant care task, trained where they need to improve, and re-evaluated. IC 16-27-4-16(a)-(b)IC 16-27-4-16(b) | The agency or its designee Before a worker does a task without direct supervision, the agency or its designee evaluates them, and the agency alone decides competency. IDOH’s form gives 80% on written and skills tests as an example pass mark. IC 16-27-4-16(b)IC 16-27-4-16(a)IC 16-27-4-16(a)-(b)State Form 53391, Section VIII, item 7.a.iv | Not covered in our sources | None set (we found) Retraining follows the tasks the agency believes need improvement, then re-evaluation. Medicaid waiver rules, a program rule, ask waiver providers for yearly job performance evaluations. 455 IAC 2-15-2(b)(3)IC 16-27-4-16(b) | No The statute sets no qualifications for the evaluator, and IDOH says a personal services agency is not a medical agency. IC 16-27-4-16(a)Instruction letter, Medical Care | Lift training at the client’s home A worker giving lift services is trained on lifts in general and, at the client’s home, on that client’s own lift. IC 16-27-4-16(c) |
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| Kansas KDHE, HHA (supportive care) Rules checked October 2, 2026 Caregiver training guide | None set (we found); 10 competency areas The rules set competency areas and yearly training, not hours, for supportive care workers. K.A.R. 28-51-117(d); 28-51-113(a)K.A.R. 28-51-117(c) | Shown before working alone Each worker demonstrates competency in 10 areas before serving a client without the manager present, and is re-evaluated in them every year. K.A.R. 28-51-117(c) | Required; topics not listed The administrator provides orientation for new staff and regularly scheduled in-service education. K.A.R. 28-51-103(b)(1)(F) | Yearly; no hours set Ongoing training at least yearly on the services provided and equipment used, plus abuse, neglect and exploitation training at hire and every year. K.A.R. 28-51-117(d)K.A.R. 28-51-103(g)(1)K.A.R. 28-51-117(d); 28-51-113(a) | No, and no nursingRegulator guidance KDHE’s attestation prohibits nursing of any kind under the supportive care license, including a nurse supervising or delegating. Attestation Form, p. 2 | Lifts and oxygen need specific training Only workers with training and demonstrated competency assist a lift-device transfer or set oxygen flow when changing tanks. K.A.R. 28-51-117(g)(14)K.A.R. 28-51-117(g)(16) |
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| Maine DLC, PCA license Rules checked October 4, 2026 State guide | A CNA or the PSS course For hands-on care: an active CNA, or Personal Support Specialist (PSS) or other approved training, completed or enrolled in within 60 days of hire and finished within nine months. MaineCare Section 19, a Medicaid program rule, describes the PSS course as at least 50 hours. Ch. 129 § 4(A)(1)(c)Ch. 129 § 4(A)(1)MaineCare Benefits Manual Ch. II § 19.01-27 (Secretary of State copy) | Supervised on site at first A supervisor visits each new direct care employee on site during care at least every 30 days for the first three months, recording competency issues and an action plan. Ch. 129 § 5(D) | Yes, 13 topics Before working independently with a client: mandated reporting, abuse policy, agency expectations, grievances, job duties, performance management, service plans, documentation, contingency planning, infection control, training requirements, client emergencies and confidentiality. Ch. 129 § 5(B)(2)Ch. 129 § 5(B)(1) | Set topics every year Every employee, every year: mandated reporting, abuse policy, grievances, agency expectations, infection control, emergency and disaster policies, and confidentiality. Ch. 129 § 5(C) | No DLC’s curriculum says PSSs are not clinical staff. A supervisor may be an LPN or RN, but equally a CNA, an experienced PSS, or someone with five years’ related education or experience. PSS Training Program Curriculum, introductionCh. 129 § 5(D) | No PSS for household help only Workers who only help with meals, money, shopping, light housework and communication need no PSS training. Ch. 129 § 4(A)(2) |
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| Maryland OHCQ, RSA Rules checked October 2, 2026 Caregiver training guide | No general hours; 3 hours of dementia training Seven COMAR topics, from supervised practice in personal care to CPR and abuse prevention, with no hours set (we found). The statute sets at least 3 hours of dementia training within 45 days of starting. A client who needs help with daily living or medication administration gets a certified caregiver by default, unless COMAR 10.07.05.10D allows an uncertified one. COMAR 10.07.05.11CHealth-General §19-4A-03.1(c)(1)(i) (Chapter 487 of 2021)COMAR 10.07.05.10ECOMAR 10.07.05.10D | Skills shown before referral Each worker completes a skills assessment and demonstration before referral to clients, and the registered nurse takes part in training and retraining when indicated. COMAR 10.07.05.12B(2)(c)COMAR 10.07.05.10B(1) | Not covered in our sources | 2 hours of dementia training Direct care and supervisory staff get 2 hours of dementia continuing education each calendar year. We found no other yearly hours in the RSA rules. Health-General §19-4A-03.1(c)(1)(ii) | Yes, the RN takes part For clients who need skilled services or help with daily living, a registered nurse oversees the care plan, delegation, supervision and training, and takes part in training and retraining. COMAR 10.07.05.12E(1)COMAR 10.07.05.12B(2)(c) | Outside trainers need OHCQ approval An agency may train its own staff; an outside trainer needs OHCQ’s written approval before training. RSAs that Use an Outside TrainerCOMAR 10.07.05.11B |
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| Nevada HCQC, Personal care agency (PCA) Rules checked October 3, 2026 Caregiver training guide | None set; set topics HCQC’s workbook says initial training has no hour requirement. The program covers the listed topics with supervised on-the-job instruction, within the 12 months before the first client. Workbook, Training requirementsNAC 449.3977(1)(b)NAC 449.3977(3)NAC 449.3977(1)(c) | Administrator or designee The administrator or a designee supervises the on-the-job part of the training to decide whether the attendant is competent, and each attendant is found competent in the required training areas. NAC 449.3977(1)(b), as amended by R089-24 section 60NAC 449.3977(2) | Not covered in our sources | 8 hours a year At least 8 hours a year related to clients’ needs, plus yearly elder abuse training and, for unlicensed caregivers, yearly infection control training. NAC 449.3975(6)NRS 449B.225(4)-(7)R063-21 section 4(1) | No Attendants need no certification such as CNA. For optional tasks such as vital signs and glucose tests, the trainer may be a physician, PA or licensed nurse, or an experienced employee they trained. NAC 449.3975(1)-(5)NAC 449.39775(7) | CPR needs live skills practice First aid and CPR, ending in certification, is part of the initial program, and since R089-24 its hands-on skills part may not be prerecorded. NAC 449.3977(1)(c)(5), as amended by R089-24 section 60R089-24 section 2 |
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| New York DOH, LHCSA Rules checked October 3, 2026 State guide | An approved course, 40 hours per DOH A personal care aide completes a home health aide program or the personal care training program in 18 NYCRR 505.14, a Medicaid program rule; DOH says at least 40 hours. Since July 16, 2026, DOH no longer accepts an alternative competency demonstration in place of the 40-hour personal care aide basic training. 10 NYCRR 700.2(b)(14)DAL DRS 26-02 / DHCBS 26-05 | An RN supervises and evaluates A registered nurse supervises home health and personal care aides, with in-home visits to instruct and evaluate. 10 NYCRR 766.5(c), (d) | Required; topics not listed All personnel are oriented to the agency’s policies and procedures (10 NYCRR 766.11(i)). 10 NYCRR 766.11(i) | 6 hours for personal care aides Personal care aides need 6 hours of in-service education a year. Medicaid personal care, a program rule, adds 3 hours every six months. 10 NYCRR 766.11(i)18 NYCRR 505.14(e)(2)(ii) | Yes Every LHCSA employs an RN responsible for directing and supervising all patient care, and DOH says in-services must be supervised by an RN. 10 NYCRR 766.9(h)DAL DHCBS 21-09 | Approved courses are free to traineesRegulator guidance DOH-approved personal care aide training programs may not charge candidates a fee. DAL DRS 26-02 / DHCBS 26-05 |
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| North Carolina DHSR, Home care agency Rules checked October 1, 2026 Caregiver training guide | None set (we found) Rule 13J asks for documented competency instead: each caregiver demonstrates every assigned task to the health care practitioner, and is assigned only duties they are trained and competent for. An aide giving extensive assistance must be listed on the Nurse Aide Registry. 10A NCAC 13J .1110(a), (b)10A NCAC 13J .1003(e)10A NCAC 13J .1107(b) | An RN, for aides off the registry For in-home aides not on the Nurse Aide Registry, a registered nurse verifies six core personal care skills. DHSR says the RN validates caregivers’ competency, by demonstration of the task. 10A NCAC 13J .1003(g)FAQ 45FAQ 57 | Required; your policy sets it Written policies on orientation and in-service education, with attendance records. DHSR’s survey checklist looks for proof of orientation in personnel records. Initial Survey Checklist, p. 2, Personnel Record Review10A NCAC 13J .1003(d) | Pathogen updates; hours by policy Hands-on care staff get airborne and bloodborne pathogen training with annual updates. DHSR says your in-service policy should state how many in-service hours employees must complete. FAQ 5410A NCAC 13J .1003(f)(6) | Yes, for in-home aides For in-home aides not on the Nurse Aide Registry, a registered nurse verifies core competencies, and DHSR says the RN validates caregivers’ competency and supervises in-home caregivers. Companion and sitter services are defined as needing no RN training or skills verification. 10A NCAC 13J .1003(g)FAQ 4510A NCAC 13J .1501(2) | New owners train first An applicant who has never owned or operated a home care agency completes DHSR-approved training before DHSR issues a license. 10A NCAC 13J .0903(a) |
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| Ohio ODH, Nonmedical HHS Rules checked September 30, 2026 State guide | ODA program: a 30-hour routeProgram rule We found no training rule in the ODH license rules. ODA certification, a program rule for Medicaid and aging programs, offers a training and competency program of at least 30 hours as one route for aides. OAC 173-39-02.11(C)(3)(a)(v) | ODA program: competency evaluationProgram rule For ODA certification, a program rule, the aide qualifying routes rest on a training and competency evaluation program or a competency evaluation, and its return demonstration part counts only if done in person. OAC 173-39-02.11(C)(3)(e)(iii)OAC 173-39-02.11(C)(3)(a)(v) | ODA program: 7 topicsProgram rule For ODA certification, a program rule, orientation before any in-person contact covers seven topics, including incidents, emergencies and infection control. OAC 173-39-02.11(C)(3)(b) | ODA program: 6 hoursProgram rule For ODA certification, a program rule: six hours of ODA-approved in-service training every 12 months. OAC 173-39-02.11(C)(3)(d) | ODA program: an RN supervisorProgram rule For ODA certification, a program rule, aides are supervised by an RN, or an LPN under an RN’s direction, with visits at least every 60 days. OAC 173-39-02.11(C)(4)(a)OAC 173-39-02.11(C)(4)(b) | Training rules sit in ODA certificationOur reading The ODH license rules call only one document a written policy, the criminal records check policy. By our reading, caregiver training duties come from ODA certification, a program rule. OAC 3701-60-03(B)(3)(g)OAC 173-39-02.11(C)(3)(d) |
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| South Carolina DPH, IHCP Rules checked October 2, 2026 Caregiver training guide | None set (we found); 8 topics Eight topics, from basic first aid to preventing abuse, neglect and exploitation, given before client contact. R.60-122 §404 | Medicaid program only: RN or LPNProgram rule We found no competency check in R.60-122. For Medicaid waiver participants, SCDHHS, a program rule, requires each aide, CNAs included, to pass an RN or LPN competency evaluation. HCBS Provider Manual, Personal Care scope, D.1.b.viiR.60-122 §404 | Not covered in our sources | The 8 topics again, yearly The same topics at least annually, with records signed by trainer and trainee. SCDHHS, a Medicaid program rule, asks for at least 10 hours a year for waiver aides. R.60-122 §404HCBS Provider Manual, Personal Care scope, D.1.b.viii | No R.60-122 does not require a nurse. Training comes from appropriate resources, such as licensed or certified persons, books or electronic media. R.60-122 §402.B, §406.AR.60-122 §404 | Missing training is Class I Section 404, training, is marked (I), so missing training is a Class I violation. R.60-122 §404 |
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| Tennessee TDMHSAS, PSSA Rules checked October 2, 2026 Caregiver training guide | None set (we found); 7 competency areas Before working with clients, each worker shows basic competency in seven areas and has documented training in self-care, household management, community living and service methods. 0940-05-38-.07(2)(f)3Tenn. Comp. R. & Regs. 0940-05-38-.08(1)(a) | The agency ensures and documents The licensee must ensure, and document, that each worker shows basic competency in the seven areas before working with clients. 0940-05-38-.08(1)Tenn. Comp. R. & Regs. 0940-05-38-.08(1)(a) | Not covered in our sources | Yearly; no hours set Training on job-related topics at least annually, documented, with no hour minimum. Tenn. Comp. R. & Regs. 0940-05-38-.08(1)(c) | For medication assistance training Medication assistance training is given by, or under the general supervision of, a registered nurse, and TDMHSAS says a physician assistant cannot approve it. 0940-05-38-.08(1)(b)Slide 24 | An optional 20-hour medication class Since Public Chapter 730 (2024), unlicensed PSSA staff may administer medication after a TDMHSAS-approved program, and TDMHSAS has approved DDA’s 20-hour class. Public Chapter 730 (2024), section 2 (T.C.A. 68-1-904(c)(3))Slide 21Medication Administration Agency Guidelines |
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| Texas HHSC, HCSSA (PAS) Rules checked September 30, 2026 Caregiver training guide | None set (we found) Your staffing policies require orientation, job-specific training and a continuing training program, and an attendant shows competency in each assigned task when education or experience does not establish it. 26 TAC §558.245(b)(1)26 TAC §558.245(b)(2)(A)26 TAC §558.245(b)(2)(C)-(D)26 TAC §558.404(c) | Tied to the supervisor’s assignments An attendant demonstrates competency in the tasks the PAS supervisor assigns. For a task an RN delegates, the RN verifies competency first, and it must be documented. 26 TAC §558.404(c)22 TAC §225.9(a)(2)22 TAC §225.9(c) | Required; topics not listed Staffing policies require orientation to the agency’s policies, procedures and objectives, and you train employees on their roles in the emergency plan. 26 TAC §558.245(b)(1)26 TAC §558.256(i) | A continuing program; no hours A continuing, systematic training program for all personnel, who are kept informed of changes. We found no yearly hour minimum for PAS attendants. 26 TAC §558.245(b)(2)(C)-(D) | For RN-delegated tasks When an RN delegates a task, the RN verifies the person’s competency first. The PAS supervisor who assigns tasks may be a licensed nurse but need not be one. 22 TAC §225.9(a)(2)26 TAC §558.404(g)(2) | G-tube feeding has a set program Unlicensed staff may do g-tube feedings only after a training and competency program that includes a 100 percent score on a written test and a documented skills demonstration. 26 TAC §558.404(h)(3)(A)26 TAC §558.404(h)(3)(B)-(C)26 TAC §558.404(h) |
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| Virginia OLC, HCO Rules checked October 1, 2026 State guide | One of six qualifying routes Home attendants qualify by one of six routes, such as nurse aide certification, an approved nurse aide program or, for personal care only, the DMAS Personal Care Aide Training Curriculum. 12VAC5-381-29012VAC5-381-290 6 | A yearly competency evaluation You evaluate each employee’s performance and competency every year, and a designated registered nurse supervises personal care at least every 90 days. 12VAC5-381-360 A12VAC5-381-360 E12VAC5-381-180 E 4; 12VAC5-381-200 J-K | Yes, 9 topics New employees and contract staff are oriented on the nine listed topics, including confidentiality, client rights, abuse reporting, emergency preparedness, infection control and cultural awareness. 12VAC5-381-200 I | 12 hours a year Home attendants giving personal care get at least 12 hours of in-service training a year, which may be given with on-site supervision. 12VAC5-381-360 G | Supervises personal care, if offered An organization providing personal care designates a registered nurse to supervise it, at least every 90 days, and in-service training may be given with that on-site supervision. An RN or LPN is available whenever personal care is given. 12VAC5-381-360 A12VAC5-381-360 E12VAC5-381-360 G12VAC5-381-360 F | The aide curriculum dates from 2003 The personal care route names the DMAS curriculum’s 2003 edition. VDH’s 2022 draft rewrite would have replaced it with a training program an organization may offer. 12VAC5-381-290 6Stage 9512 Agency Background Document, Substance, Section 290 |
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| Washington DOH, In-home services license (home care) Rules checked October 2, 2026 Caregiver training and certification guide | 75 hours within 120 days Long-term care workers complete 75 hours of DSHS-approved training within 120 days of hire, the first 5 (orientation and safety) before giving care. Nurses and CNAs are exempt. RCW 74.39A.074(1)(b)WAC 246-980-030(1)(b)WAC 246-980-025(2)(a) | Your skills check, then a state exam Before anyone gives care, you give in-person orientation and verify skills or training by written test, observation or prior training. Certification adds DOH’s exam: a written test and a skills demonstration. WAC 246-980-100(1), (7)WAC 246-335-425(9) | Required, in person In-person orientation to your current policies before giving care, besides the 2 hours of orientation inside the 75-hour training. RCW 74.39A.074(1)(d)(i)RCW 74.39A.074(1)(b)WAC 246-335-425(9) | 12 hours a year Long-term care workers complete 12 hours of DSHS-approved continuing education a year; for home care aides it is a condition of keeping certification. RCW 74.39A.341(1)RCW 74.39A.341(5) | For delegation and some vital signs No nurse is required on staff. A contracted RN trains workers where vital signs guide medication, and nurse delegation needs DSHS core delegation training. WAC 246-335-420(14)(b)WAC 246-335-420(12)(b)WAC 246-335-420(14)(d) | Home care aide certification Unless exempt, workers apply to DOH within 14 days of hire and are certified within 365 days, or 425 with a provisional certificate, for applications made by December 31, 2027. WAC 246-980-030(1)(b)WAC 246-980-030(2)(b) |
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