California Nursing Assistant / Nurse Aide Guide

Is a License or Certification needed:  To get certified and work as a nursing assistant or nurse aide in California, you need to complete a state certified nursing assistant program and pass the National Nurse Aide Assessment Program (NNAAP) exam.
 
Who Grants Certification: The California Department of Health grants certification to California nursing assistants and nurse aides.

The Qualifications to become Certified:

Detailed qualifications for becoming a Nurse Aide in California can be found here.  They include:
  • Proof of successfully completing a state certified In-Service Training Program; or
  • A current unencumbered (no violations) license from another state
  • Successful completion of the competency evaluation
How to Apply for Certification:
 
Use the following application to apply for certification in California.

How to Apply to take the NNAAP Exam

The NNAAP exam can be taken in California if you have successfully completed a state approved nurse aide program within the past two years. You must submit:
 
  • This initial application
  • A fingerprint form to California’s Aide and Technician Certification Section. You are able  to work while your background check is in progress.
  • You may test at one of the three regional California test sites found here:
Test Content

The NNAAP test has two parts, a Skills Evaluation and a Written (or oral) part.  Both parts must be passed to be listed on the California Nurse Aide Registry. The written section is 70 questions in length, 60 are multiple choice and 10 are reading comprehension questions. Take two pencils with you. You will have two full hours to complete the exam. (The oral exam if given in place of the written exam is 160 questions in length.) The Skills Evaluation will be a 25 minute time period given to complete 5 randomly selected nurse aide skills. Content topics include:
  • Activities of Daily Living – Hygiene, Dressing and Grooming, Nutrition and Hydration, Elimination, Rest/Comfort/Sleep
  • Basic Nursing Skills - Infection Control, Safety/Emergency, Therapeutic/Technical Procedures, Data Collection and Reporting
  • Restorative Skills – Prevention, Self-care/Independence
  • Psychosocial Care Skills – Emotional and Mental Health Needs
  • Spiritual and Cultural Needs
  • Communication
  • Client Rights
  • Legal and Ethical Behavior
  • Member of the Health Care Team
See the Candidate Handbook for more details.

Certification Renewal and Continuing Education Requirements:

In order to keep your certification up to date, you need to work at least 48 hours, paid, not volunteer hours in a home health agency, hospital, hospice agency, nursing home or mental health facility within a two year period. In order to recertify by examination, you must not allow your certification to lapse.

Recertification can only be accomplished after a lapse by being retrained and retested. This information and more can be found here.
 
Contact

CNA Licensing in California
CA Nurse Aide Registry 
CNA/HHA/CHT Certification Unit 
Licensing and Certification Division
1615 Capitol Avenue, MS 3301
P.O. Box 997416 
Sacramento, CA 95899-7416
Phone: 916-327-2445 
Fax: 916-552-8785

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To prepare for your nursing assistant or nurse aide exam, use Tests.com’s Certified Nursing Assistant Exam Practice Test Kit with 300 multiple choice questions, written by nursing experts and educators.

For more information on licensing and exam prep, go to Tests.com's CNA Test Guide.

And take Tests.com's free CNA Practice Test.

For nursing assistant and nurse aide exam preparation products and services, such as study guides, practice tests, flashcards and courses, go to Tests.com's CNA listings.


 

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