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. We apologize for any inconvenience. 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. NO . 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. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. A resume is not needed for this position. 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. Formulates and implements an action plan for issue resolution and presents problem Individuals who are eligible for a Training and Development assignment may also be considered for this position(s). SROA and surplus candidates should submit a copy of their letter with their application. Share your form with others Send cdph form 5000 via email, link, or fax. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting. 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. Edit your cdph program flex form online. 03. This position supports the California Department of Public Health's (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 . Submitting an electronic application through your CalCareers account is strongly recommended since electronic applications will be received/processed faster than other methods of filing. Unauthorized or improper use of this system may result in administrative disciplinary action and/or criminal penalties. (916) 558-1784, COVID 19 Information Line: =x4;5*3-=)L:o';-D9+SLj`:?A2(KJvjW ]'nUo,C~`7}-iE9)re6BWl Home Health Aide Regulations, Title 22, Division 5, Chapter 6, Article 5. HQK0+.y+BXL HM>&8mqu-pITSid/%IdV}!L$!d+ 2 0 obj HtUnH+>$; /"06k",O&?)^"]{ufztOE(-#M %%EOF Select 'Stay Logged In' below to resume your activity. %PDF-1.6 % for licensing and certification meet the State and Federal requirements. hbbd``b`Z$U7H0w V6"K!ADHmy0f`bdR h' policies and procedures. Please referenceJob Control # (367337)and indicate the basis of your eligibility in the Examination(s) or Job Title(s) section. a hard copy application package may be submitted through an alternative method as explained in the How to Apply section below. 453 0 obj <>/Filter/FlateDecode/ID[<2D63CCFDFD5B7E46935B63B2B7D57276><8CC1B76A2A16E84A8C51865605C06DC9>]/Index[431 115]/Info 430 0 R/Length 111/Prev 220853/Root 432 0 R/Size 546/Type/XRef/W[1 3 1]>>stream The L&C program utilizes standards defined in state and federal law and regulations to evaluate health facility compliance. stream 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. 3 0 obj 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. N.>nO PO Box 997377 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 endstream endobj 435 0 obj <>stream 4 0 obj 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. 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. 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. endstream endobj 1515 0 obj <>stream The request should be made at the time of contact to schedule the interview. Resumes, letters, Statement of Qualifications, transcripts, degrees, your state application, cover letters and other materials. NEW: Effective January 1, 2022, all training program applications and documents must . Applications received without an SQ may be rejected. ]_h_'=S(; 40`/!iXL:|MX]:oIs The Health Program Specialist 1 examination will be unavailable for maintenance after 5/4/2023 and will be available again on 5/9/2023. endstream endobj startxref Reset The Hiring Unit Contact is available to answer questions regarding the position. Supplemental Questionnaire (SQ) Instructions. The L&C Program is comprised of three branches: Centralized Applications Branch, Field Operations Branch, and Professional Certification Branch. com EMAIL info passport-visa-service. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s). The Centralized Applications Branch provides standardization and consistency of state licensing and federal certification through the application process. You can find all forms related to all program types on List of Forms for all Program Types or visit the links under the types of programs for specific program related forms. 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. ?+{ z$Dny}N^0b7A yl `cG/Q*W^ ? &"e$;MHl G!0Q! c&x0 j C9+$`p|B+H,{($Do^[aU+a 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). 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. Restate each question preceding each response. 545 0 obj <>stream Contact Us. California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) 1-833-4CA4ALL State of California-Health and Human Services Agency California Department of Public Health (CDPH) Licensing and Certification Program (L&C) Aide and Technician Certification Section (ATCS) MS 3301 P.O. <> The Supplemental Questionnaire is a narrative writing that individually answers each of the questions below. hb``` ea80mZm gl.0p40t bFU pqo&f5[LKsU20.e g%NF@t X_ *cCIN?3j72*=_=O*,s MS 0500 0 By using this site you agree to our use of cookies as described in our, cdph licensing and certification policy and procedure manual. TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device. social security number, date of birth) from your documents prior to submission. Reset WvkJtU8BR~:s/NKn:&e#F5|hKZs2\pZpA+Fe4)4T@o7Ked4K{dOT*0K&o+vJKXb%~ Licensing, Certification and Other Credentials; Certificates, Licenses, Permits and Registrations; Health Care Facility Licenses; Health Care Professionals; Laboratory; Medical Waste; . 431 0 obj <> endobj unofficial transcript, copy of degree, resume, etc.) hb```f``Qg`e` B@16`Q1yjW+; Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. manual letter and subsequent community care licensing changes will now be identified by a line in the left margin. DocHub v5.1.1 Released! Please remove any confidential information (i.e. Decrease, Reset hbbd```b``"@$s0;D2 $#K-+DU'`1d A&$r9*&F-@FQQl@ /B 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. 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). Simply copying and pasting your resume will also not be accepted. W5O)DH$/c A completed State application (STD. Applications received without a clearly titled Supplemental Questionnaire may not be considered for this position. Submit a CDPH form 5000 for non-COVID-19 related requests to your local district office; Submit COVID-19 related requests to Centralized Program Flex Unit 01. 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* Training Program Name: NURSE ASSISTANT TRAINING PROGRAM SKILLS CHECK LIST 1554 0 obj <> endobj 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. MS 0500 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. LSS has written procedures for storage and admistration of medications that are . All employees are %PDF-1.7 % Decrease, Reset Box 997416 Sacramento, CA 95899-7416 (916) 327-2445 FAX (916) 324-0901 NURSE ASSISTANT ORIENTATION PROGRAM CONTENT Application packages without this information will experience delayed processing times and your eligibility for this position may be impacted. (1-833-422-4255). 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 204 0 obj <> endobj When submitting your application in hard copy, a completed copy of the Application Package listing must be included. 678) and any other relevant documents (e.g. %PDF-1.6 % m=e}wdSY)Sa1n_W?P0;K^O B(xj*Jt\o5!@k2S#lMW~VMcS7N{W^:=gU=V=> Job Description and Duties. System will be down for a scheduled maintenance from.
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