KHOBCARE, LLC Home Health Aide Screening Process?

In order to work for a Home Care Organization (HCO), caregivers, attendants, caretakers, and other in-home care workers will need to fulfill many new requirements. As a result of a new law called the Home Care Consumer Protection Act (AB 1217), these requirements have been created.


Those working as caregivers, personal attendants, in-home care aides or personal attendants assume the title Home Care Aide (HCA) created by the Home Care Services Bureau. In California, the Home Care Services Bureau is the state agency responsible for regulating Home Care Organizations and maintaining the Home Care Aide Registry. Background checks and exemptions are regulated by the Caregiver Background Check Bureau. In accordance with the Home Care Consumer Protection Act (AB 1217), these two bureaus regulate home care services.

An HCA must meet AB 1217's requirements. As a caregiver, it is your responsibility to ensure that you have met the requirements of AB 1217 and have been added to the Home Care Aide Directory.



In order to become a home care aide (HCA), you will need to apply to the Home Care Aide Registry, complete AB 1217 training requirements, and complete at least three hours of entry-level training, as follows:

  1. Three hours of entry level training, which should consist of:

  2. Safety training, including basic safety precautions

  3. Emergency procedures

  4. Infection control.


  1. The TB skin test or a chest X-ray are the two ways you will need to prove your tuberculosis-free status as a HCA. It is required that you provide your employer with the TB clearance within seven days of the start of employment or 90 days prior to the start date.

  2. HCAs are required to provide ongoing TB clearance at least once every 2 years.

  3. It is the responsibility of the Home Care Organization/Employer to keep a copy of the TB clearance on file and to ensure that the HCA submits the clearance to them every two years. The HCO requires the examination for initial and continued employment.


  1. HCAs are mandated reporters and will sign an acknowledgment of the need to report suspected elder or dependent adult abuse, known as SOC 341A.

  2. In addition, a criminal record statement (LIC 508) and an application for HCA registration (HCS 100) must be in the hands of HCSB.

  3. To get Live-Scan clearance, you will need to submit finger prints (LIC 9163) and pay the Live-Scan fees.

As an HCA, you are required to complete five hours of annual training in addition to your entry-level training requirements. During the annual training, the following topics would be covered, but not limited to, core competencies and population specifics:

  1. Clients’ rights and safety

  2. How to provide for, and respond to, a client’s daily living needs

  3. How to report, prevent, and detect abuse and neglect

  4. How to assist a client with personal hygiene and other home care services

  5. If transportation services are provided, how to safely transport a client?

Why a Home Health Aide and Not a "Caregiver"?


Different requirements apply in California for different types of direct care workers. The California state code defines a home health aide as a person employed by home health agencies or hospice programs to provide patients with personal care services in their homes. Every direct care worker in California has different requirements depending on their workplace. A worker who provides personal care through a regulated agency under a physician's order must have a state certification.


The state requires 120 hours of training for home health aides. Medicare-certified agencies must provide at least twice as much care as this. Medicare-certified agencies must provide the Institute of Medicine's minimum level of care. As part of certification requirements, a criminal background check must be cleared. Which KHOBCARE, LLC requires all staff to be cleared prior to care placement. In addition to performing housekeeping and meal preparation, home care aides may help administer medications, position patients, and address bathroom/ incontinence needs.Their training requirements are lower, but the home care organization employing them is responsible for ensuring that minimum standards are met. The Home Care Aide Registry lists home care aides who are affiliated with regulated home care organizations. It is possible to apply to be listed on the registry even if one is not employed by a home care organization. Clients can feel more secure with a registered aide.


Home care aides may assist with patient medications (can't administer medication), patient positioning, and bathroom/ incontinence needs in addition to performing housekeeping and meal-related tasks. They have lower training requirements; the employing home care organization, though, is responsible for ensuring that minimum standards are met. Home care aides who are affiliated with regulated home care organizations are listed in the Home Care Aide Registry. Aides who are not employed by home care organizations may still opt to be listed on the registry. The registry notes that registration can provide reassurance to clients.


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