Nursing Home Administrator Program

The Nursing Home Administrator Program (NHAP) is governed by the Health and Safety Code Sections 1416 through 1416.84 and must assure that the health, safety, security, and rights of the Skilled Nursing Facility (SNF) and Intermediate Care Facility (ICF) residents are safeguarded by setting standards for licensing of Nursing Home Administrators (NHAs), administering a training program for NHAs, testing and issuing licenses, and administering an enforcement program for disciplinary action against NHAs.

NHAP continues to strive for excellence in ensuring that California Nursing Homes are managed by qualified professional NHAs.

To verify Nursing Home Administrator License on line - click here

Nursing Home Administrator Program Contact Information
Email Link: NHAP@cdph.ca.gov
Phone Number (916) 552-8780
FAX Number (916) 552-8777

Nursing Home Administrator Guide to an Amazing Career (PDF)

NHAP Forms and Applications

• AIT Application for Nursing Home Administrator State Examination and License:  CDPH 500 (PDF)
• Administrator in Training (AIT) Evaluation Report:  CDPH 501 (PDF)
• Application for AIT Program:  CDPH 502 (PDF)
• Application for Nursing Home Administrator License:  CDPH 506 (PDF) 
• Application for Nursing Home Administrator National Examination:  CDPH 505 (PDF)
• Application for Nursing Home Administrator State Examination:  CDPH 503 (PDF)
• Application for Nursing Home Administrator State Examination and License:  CDPH 504 (PDF)
• Application for Provisional License:  CDPH 525 (PDF)
• Application to Become an Administrator-in-Training (AIT):  CDPH 507 (PDF)
• Application to Become a Provider of Continuing Education:  CDPH 508 (PDF)
• Continuing Education Courses Completed for Active License Renewal:  CDPH 509 (PDF)
• Continuing Education Fact Sheet (PDF)
• Dates to Remember Preceptor and Examination for Current Fiscal Year (PDF)
• Declaration and Request for Replacement License:  CDPH 510 (PDF)
• Frequently Asked Questions (About Becoming a Nursing Home Administrator):  CDPH 526 (PDF)
• Health and Safety Codes Governing the Nursing Home Administrators (PDF)
• Instructor Application for C.E. Credit:  CDPH 511 (PDF)
• License Renewal Affidavit for Nursing Home Administrators:  CDPH 512 (PDF)
• Licensee's Request for Course Approval:  CDPH 513 (PDF)
• Master's or Reciprocity Application for Nursing Home Administrator Examination:  CDPH 524 (PDF) 
• NHA/Facility Profile Sheet:  CDPH 514 (PDF)
• NHAP Approved Providers for Correspondence Home Study Courses (PDF)
• NHAP Preceptor Training Registration Form:  CDPH 516 (PDF)
• Nursing Home Administrator Examination Instructions (2008):  CDPH 527 (PDF)
• Preceptor Continuing Education Credit Application:  CDPH 515 (PDF)
• Provider Request for Course Approval for Seminars, Workshops, and Conferences:  CDPH 517 (PDF)
• Provider Request for Course Approval:  CDPH 518 (PDF)
• Provider Request for Course Renewal:  CDPH 519 (PDF)
• Re-Exam Application for Nursing Home Administrator National Examination:  CDPH 521 (PDF)
• Re-Exam Application for Nursing Home Administrator State Examination:  CDPH 520 (PDF)
• Request for Provider Renewal:  CDPH 522 (PDF)
• Special Accommodation Request for Examination:  CDPH 523 (PDF)
  

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