Unable to find additional information on the provided term. Program Director : YES . For experience/education to qualify during the application screening process, and to ensure that minimum qualifications can be determined, applicants should include all employment history on the Employment Application (STD 678) and/or Resume, including detailed job descriptions,hours worked per week, andstart/end dates (MM/DD/YYYY). Visit the CDPH Guidance and Policy Inquiry Portal if you have questions, comments, and concerns regarding CDPH Guidance and Policy. take the place of the Supplemental Questionnaire. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application. A completed State application (STD. Please turn on JavaScript and try again. 1540 0 obj <>/Filter/FlateDecode/ID[<21B77C7B2D434A44B1AE3812132A329D>]/Index[1511 45]/Info 1510 0 R/Length 129/Prev 469261/Root 1512 0 R/Size 1556/Type/XRef/W[1 3 1]>>stream to Default, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, Orientation and In-serviceProgram Requirements, Hemodialysis Technician Training Program Requirements, 120 Hour Home Health Aide (HHA) Training Programs (HHP), Training Program Review Unit News & Updates, Certified Nurse Assistant Regulations, California Health and Safety Code Section 1337 - 1338.5, Certified Nurse Assistant Training Regulations, California Code of Regulations, Title 22, Division 5, Chapter 2.5, Article 1-5, Certified Nurse Assistant Training Federal Regulations, Title 42 Code of Federal Regulations, 483.75 and 483 Subpart D, Home Health Aide regulations, California Health and Safety Code Section 1725-1742 (1736-1736.7). Primary care clinics are required to be licensed through the authority of the California Department of Public Health (CDPH) Licensing & Certification Program (L&C). %%EOF If you are unable to submit your application electronically through your CalCareers account, please emailapply@cdph.ca.govfor assistance and a CDPH Human Resources Division staff member will contact you to assist with the online application process or,a hard copy application package may be submitted through an alternative method as explained in the How to Apply section below. <> Training Program Name: NURSE ASSISTANT TRAINING PROGRAM SKILLS CHECK LIST Applications received without an SQ may be rejected. You will find additional information about the job in the Duty Statement. hbbd```b`` AD2*+d|"@d -"A$o ?mX=# / : A resume is not needed for this position. to Default, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, Centers for Disease Control and Prevention, Licensing and Certification Program Information. This position supports the California Department of Public Healths (CDPH) mission and strategic plan by acting as lead analyst and subject matter expert, independently performing a variety of the more complex technical analytical tasks related to the implementation of public and program policy, procedures, interpretation of State and Federal statutes, regulations, and legislation related to the Center for Health Care Quality (CHCQ) and reviewing provider applications requesting licensure and certification. . Find All Guidance - California The Licensing and Certification(L&C) Program is responsible for regulatory oversight of licensed health care facilities and health care professionals to assess the safety, effectiveness, and quality of health carefor all Californians. 678) and any other relevant documents (e.g. MS 0500 Edit your cdph program flex form online Type text, add images, blackout confidential details, add comments, highlights and more. that are in compliance with licensing rules and can be found in the LSS Group Service Manual, . Job Posting: "dgol pm%#MK1D2%ZEDIA8KG-{|z sMG'+js`GQD'We/A)GW 5Ev^Wwl>.'`+"UI/.A9aFG>d[bAJ}!=/OwF+pI[LUNf>U/dPT&t!Hu:.! SROA and surplus candidates should submit a copy of their letter with their application. Cdph 5000: Fill out & sign online | DocHub for assistance and a CDPH Human Resources Division staff member will contact you to assist with the online application process or. 0 l This change supports the Department's effortsto promote paperless communication. HR0!M&p:"Kwv~%Q fewUdN4z#J/EXII5c4yP&*b4 [9#c9VX7.dQ'(iG4H(ACiJxZi& V%H2+TAd=S(kZrHb4EY Restate each question preceding each response. The L&C Program is comprised of three branches: Centralized Applications Branch, Field Operations Branch, and Professional Certification Branch. For experience/education to qualify during the application screening process, and to ensure that minimum qualifications can be determined, applicants should include all employment history on the Employment Application (STD 678) and/or Resume, including detailed job descriptions. Health care facilities in California are licensed, regulated, inspected, and/or certified by a number of public and private agencies at the state and federal levels, including the CDPH Center for Health Care Quality (CHCQ) and the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS). The incumbent will develop expertise in a number of program areas and will analyze and research issues, work closely and cooperatively with others and in teams, and prepare responses to controlled and other program correspondence on a variety of subjects. (1-833-422-4255). Type text, add images, blackout confidential details, add comments, highlights and more. Applications received without a clearly titled Supplemental Questionnaire may not be considered for this position. should be submitted electronically via your CalCareers Account. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s). All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position. This branch includes more than 600 Health Facility Evaluation Nurses, physicians, and other medical consultants who regularly survey facilities and investigate complaints to determine compliance with state laws and regulations. Reset Please remove any confidential information (i.e. zM/(g1j` W5O)DH$/c Licensing & Certification/OSHPD 3 - CPCA It is an objective of the State of California to achieve a drug-free work place. Box 997416 Sacramento, CA 95899-7416 PHONE: (916) 327-2445 FAX: (916) 324-0901 . 4 Unauthorized or improper use of this system may result in administrative disciplinary action and/or criminal penalties. Researches and evaluates laws, policies, and procedures to analyze changes and issues relative to the Licensing and Certification (L&C) Program and makes recommendations to management. Training Program Review Unit - California PDF Nurse Assistant Training Program Skills Checklist Sample Form - California social security number, date of birth) from your documents prior to submission. %PDF-1.6 % endstream endobj 1559 0 obj <>stream CDPH Licensing - California hb```b``Nc`a``} @q@QIP@ID-0Oaa(sAA0Ll #F#Xz&>P]`>}K Yf[W;@g2KbGY L1dV'f(JXRV,#WMo>)4:dm3Q]+=cOEvUo7\Y@6JuQ,'Vmnv@LwmI !:tLZ6Xd:-b[ Nh^V(u0LJ TVbF3Qb\++a|Ly1F3 z |cw$TQHQj n i> D3Fn&~Hz-te;}>>F?2'z@p:{6f+ >-ge3 E+8D]!je - Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Staff Qualifications - 67:42:07:02, 67:42:07:07 A. (916) 558-1784, COVID 19 Information Line: Describe how your education, training, experience, and skills meet the minimum qualifications and qualify you for the position. The Health Program Specialist 1 examination will be unavailable for maintenance after 5/4/2023 and will be available again on 5/9/2023. "e;n In addition, CHCQ cooperates with CMS to ensure that facilities accepting Medicare and Medi-Cal (in California, Medicaid is referred to as Medi-Cal) payments meet federal requirements. APPROVED C passport-visa-service. 1-833-4CA4ALL stream By using this site you agree to our use of cookies as described in our, cdph licensing and certification policy and procedure manual. Please turn on JavaScript and try again. 1581 0 obj <>stream hUYO@+%) T *aq`mp NO . The Centralized ApplicationsBranch provides standardizationand consistency ofstate licensing and federal certification through the application process. CPaXp"r.8H. CHCQ is responsible for ensuring health care facilities comply with state laws and regulations. endstream endobj 1555 0 obj <>/Metadata 119 0 R/OCProperties<>/OCGs[1573 0 R]>>/OpenAction 1556 0 R/Outlines 157 0 R/PageLayout/SinglePage/Pages 1546 0 R/StructTreeRoot 229 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1556 0 obj <> endobj 1557 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1558 0 obj <>stream Any Contract that does not have all of the following terms shall have to be submitted to KSYSA for approval. In recruiting for team members, we welcome the unique contributions that you can bring to us and the work we do. Application Packages may be submitted electronically through your CalCareers Account at www.CalCareers.ca.gov. Share your form with others Send cdph form 5000 via email, link, or fax. hbbd```b``"@$s0;D2 $#K-+DU'`1d A&$r9*&F-@FQQl@ /B The Training Program Review Unit is responsible for the review, approval/disapproval and continual oversight of Certified Nurse Assistant (CNA), Home Health Aide (HHA), and Certified Hemodialysis Technician (CHT) training, Orientation and In-service programs. 5. Please referenceJob Control # (367337)and indicate the basis of your eligibility in the Examination(s) or Job Title(s) section. Contact Us WARNING: This is a State of California computer system that is for official use by authorized users and is subject to being monitored and or restricted at any time. endstream endobj startxref We are genuinely and strongly committed to cultivating and preserving a culture of inclusion and connectedness where we can grow and learn together with a diverse team of employees. Adhere to the instructions below to fill out Cdph 5000a online quickly and easily: Benefit from DocHub, the most straightforward editor to promptly manage your documentation online! CHCQ is responsible for ensuring health care facilities comply with state laws and regulations. Please reference. CALIFORNIA-DSS-MANUAL-CCL MANUAL LETTER NO. 3/16/2023, 5:00:00 PM to 3/16/2023, 11:30:00 PM. <>>> Cdph program flex: Fill out & sign online | DocHub 0 Home Health Aide regulations, Title 42, Federal Code of Regulations (42CFR), Part 484, CNA Competency Testing Vendor Information, Disqualifying Penal Code Sections (HHA only), Centers for Disease Control and Prevention, Educational Institution Application Requirements, Skilled Nursing Facility & Intermediate Care Facility Application Requirements, In Person Continuing Education Program Requirements, Online Continuing Education Program Requirements. Any applications received thatdo not providea written response to theSQ will notbe scored/reviewed. 0 At the California Department of Public Health (CDPH), equity, diversity, and inclusion are at the core of our mission to advance the health and well-being of Californias diverse people and communities. to Default, Certificates, Licenses, Permits and Registrations, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Division of Radiation Safety and Environmental Management, Center for Health Statistics and Informatics, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, Centers for Disease Control and Prevention. %PDF-1.6 % You can also download it, export it or print it out. Teleworking may be available for this position, in accordance with CDPHs Telework Policy and Procedures. %PDF-1.6 % Simply copying and pasting your resume will also not be accepted. PDF Residential Care Facilities for The Elderly (Rcfe) It looks like your browser does not have JavaScript enabled. and indicate the basis of your eligibility in the Examination(s) or Job Title(s) section. The Field Operations Branch has regulatory oversight of licensed health care facilities and agencies. This site uses cookies to enhance site navigation and personalize your experience. should be submitted electronically via your CalCareers Account. Describe your ability to handle multiple assignments at one time, prioritize your workload, and manage deadlines. Decrease, Reset Formulates and implements an action plan for issue resolution and presents problem I..vy5E~U,/sTa?|[bi[6YE]e1z}/E mX"Tw\|V5:"w&o^cel~M;O:~ lsp%!\6%"Q3&gO\#D@|BiPQ8L ' {^&[]\5|;Pp! WARNING: This is a State of California computer system that is for official use by authorized users and is subject to being monitored and or restricted at any time. 1-833-4CA4ALL %PDF-1.7 % Please try again. HQK0+.y+BXL HM>&8mqu-pITSid/%IdV}!L$!d+ %%EOF PO Box 997377 We apologize for any inconvenience. )vh=Ec)S"An_Jmi4*Y$NLU9o%?StM64L Job Description and Duties. mT,6([1ooJ:DxhPk%n)VoP:!Xmdppn#j2uR962x(JACt6>D,}G%G"y?CS.`lN5 80/4@_c>|a6$1=)I)8PL1*. Supplemental Questionnaire (SQ) Instructions. ^YFa5~s@( 9! d!74{d4{@Xfie5SIgPS(.HB_pX@YOL{*S.9V8oVBiZ`tAp|YsSAqCi Reset *cCIN?3j72*=_=O*,s Individuals who are eligible for a Training and Development assignment may also be considered for this position(s). 1-833-4CA4ALL `a`zHs10iaCSovp9HY!zYJ 9A b0 M; If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below: Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. MS 0500 Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Each question response shall be on a separate piece of paper and up to one page in length, single spaced, using 12-point Arial font with your name and JC number in the upper left-hand corner. It looks like your browser does not have JavaScript enabled. endobj PO Box 997377 State Oversight: CDPH Licensing and Certification (L&C) Headquartered in Sacramento, CA 18 district offices >600 health facility evaluator nurses (HFEN) Licenses facilities to operate in California, including General acute care hospitals (GACH) Skilled nursing facilities (SNF) Federal Oversight: Centers for Medicare and Medicaid Services (CMS) social security number, date of birth) from your documents prior to submission. endstream endobj 1512 0 obj <>/MarkInfo<>/Metadata 65 0 R/OCProperties<>/OCGs[]>>/Outlines 85 0 R/Pages 1509 0 R/StructTreeRoot 90 0 R/Type/Catalog>> endobj 1513 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1514 0 obj <>stream 0tt e -*`#T84`gy52wp6PPFA40t102(5 California Department of Public Health (CDPH) Licensing and Certification Program (L&C) Aide and Technician Certification Section (ATCS) Training Program Review Unit (TPRU) MS 3301, P.O. 3 0 obj Application packages without this information will experience delayed processing times and your eligibility for this position may be impacted. Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Forms: Licensing and Certification Program - California You may drop off your application and any applicable or required documents at: The following items are required to be submitted with your application. You must enable Javascript to use this site. <> An error occurred during your request. The request should be made at the time of contact to schedule the interview. If you are unable to submit your application electronically through your CalCareers account, please email. DocHub v5.1.1 Released! MS 0500 m=e}wdSY)Sa1n_W?P0;K^O B(xj*Jt\o5!@k2S#lMW~VMcS7N{W^:=gU=V=> 220 0 obj <>/Filter/FlateDecode/ID[<8057D936990C164CA14321D7DAD250DF><77642FCE50124145A561DCCE9727C949>]/Index[204 23]/Info 203 0 R/Length 80/Prev 97625/Root 205 0 R/Size 227/Type/XRef/W[1 2 1]>>stream Electronic (Using your CalCareer Account), Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view. The L&C program utilizes standards defined in state and federal law and regulations to evaluate health facility compliance. If you believe that this page should be taken down, please follow our DMCA take down process, 17 Station St., Ste 3 Brookline, MA 02445. NEW: Effective January 1, 2022, all training program applications and documents must . 431 0 obj <> endobj Application Analyst, Final Filing Date: It looks like your browser does not have JavaScript enabled. Licensing, Certification and Other Credentials; Certificates, Licenses, Permits and Registrations; Health Care Facility Licenses; Health Care Professionals; Laboratory; Medical Waste; . 0 u__X#f"I mv|``3#T@ PMd Please submit only one application. System will be down for a scheduled maintenance from. a hard copy application package may be submitted through an alternative method as explained in the How to Apply section below. The Human Resources Contact is available to answer questions regarding the application process. 678) and any other relevant documents (e.g. 545 0 obj <>stream We review, analyze, and evaluate requests for facility licensure, certification, and other license-associated transactions submitted by facility providers for approval. [H:+"yc" com EMAIL info passport-visa-service. {vGpKk5YlfXZUk>(+vN#7 ohXN 8*%4K%yh [. Questions relative to this Users' Manual should be directed to your usual program policy office. The Associate Governmental Program Analyst (AGPA) will be responsible for enforcing licensing and certification standards in accordance with State, Federal, and local laws and regulations. Home Health Aide Regulations, Title 22, Division 5, Chapter 6, Article 5. Unauthorized or improper use of this system may . You may submit your application and any applicable or required documents to: Address for Drop-Off Application Packages. r|Z_o7*,{y>8E=EyNa JefE%O~$HYQL]Q)!FE[EnE81 OY2?X#FEH;8`Y0_`G\GX 9bhPJ7T{Hvp.#x. WkmMPT-I#4*uF4&7I hEl!~9yrV6 1571 0 obj <>/Filter/FlateDecode/ID[<229AD8CC74FBF740881CE5C81D10DED6>]/Index[1554 28]/Info 1553 0 R/Length 96/Prev 530017/Root 1555 0 R/Size 1582/Type/XRef/W[1 3 1]>>stream Many updates and improvements! (1-833-422-4255). Z,TxoY0t/KJzC8-EeW"hT+%5y-WrA08[!S~"Pk ^&C&;Xp|2z9vH+%WRJ7U]wgBLXc>x|*W*fH^I:|} O^I2N!OSJ63Y1m v yh7y2x [gKARj;xnbX. California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) m? Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. In recruiting for team members, we welcome the unique contributions that you can bring to us and the work we do. Duty Statement When submitting your application in hard copy, a completed copy of the Application Package listing must be included. The incumbent will be responsible for independently preparing documents and reports to support recommendations for approving/denying Initial and Change of Ownership (CHOW) applications for health facilities and providers of services statewide and complete all Report of Changes. endstream endobj startxref WvkJtU8BR~:s/NKn:&e#F5|hKZs2\pZpA+Fe4)4T@o7Ked4K{dOT*0K&o+vJKXb%~ Applications received without an SQ may be rejected. ]_h_'=S(; 40`/!iXL:|MX]:oIs CHCQ also oversees the certification of nurse assistants, home health aides, hemodialysis technicians, and the licensing of nursing home administrators. The Supplemental Questionnaire is a narrative writing that individually answers each of the questions below. :c\!p? cdph program flex cdph licensing and certification policy and procedure manual cdph licensing and certification district offices california department of public health home health agency license afl 18 19 cdph program flex cdph licensing and certification policy and procedure manual cdph licensing and certification district offices california Adjusting paperwork with our extensive and intuitive PDF editor is easy. CDPH Licensing. The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. Espaol, - =x4;5*3-=)L:o';-D9+SLj`:?A2(KJvjW ]'nUo,C~`7}-iE9)re6BWl Submitting an electronic application through your CalCareers account is strongly recommended since electronic applications will be received/processed faster than other methods of filing. L)Ba(i"q}3%qAQb K`!9T)CCIpA6R1~W*jOGGhGthRf- The incumbent will conduct research utilizing various databases to ensure compliance with State and Federal statutes. 0 policies and procedures. Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). to the Department's EEO Office. unofficial transcript, copy of degree, resume, etc.) % Applicants who do not submit the required items timely may not be considered for this job: Please see Supplemental Questionnaire instructions below at end of Posting. %%EOF What skills do you believe are most critical to be successful in this position? The Professional Certification Branch administers the certification of nurse assistants (CNAs), home health aides (HHAs), and hemodialysis technicians (CHTs) and conducts investigations of complaints against them. Espaol, - hb``` ea80mZm gl.0p40t bFU pqo&f5[LKsU20.e g%NF@t X_ PDF Nurse Assistant Orientation Program Content All employees are PDF South Dakota Department of Social Services CERTIFICATE OF LICENSE as a 4 0 obj \^{C2"AVo:NM gbXr*s9"=Dfa^\y#%L`1OO7n Decrease, Reset A completed State application (STD. Licensing and Certification Program Information - California CDPH 931 (PDF) - Verification of Current Nurse Assistant Certification CDPH 5000 (PDF) - Program Flexibility CDPH 5000 A (PDF) - Temporary Permission for Program Flexibility for Increased Patient Accommodations HS 200 (PDF) - Licensure and Certification Application HS 215 A (PDF) - Applicant Individual Information*
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