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State of California—Health and Human Services Agency
California Department of Public Health

AFL 20-57.1
July 8, 2021

All Facilities

Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs)
(This AFL supersedes AFL 20-57)

AUTHORITY:      Proclamation of a State of Emergency (PDF), Executive Orders  N-39-20 (PDF) and N-08-21 (PDF)

All Facilities Letter (AFL) Summary

  • This AFL notifies all HHA Training Programs of a temporary waiver of specified statutory and regulatory requirements for HHA Training Programs due to the state of emergency related to the COVID-19 outbreak.
  • This AFL notifies all facilities that the temporary waiver of specified statutory and regulatory requirements is expiring September 30, 2021. 

Pursuant to the Governor's Executive Order N-39-20 (PDF) related to the COVID-19 state of emergency, the Director of the California Department of Public Health (CDPH) may waive any of the professional certification requirements and amend scopes of practice of Chapter 8 of Division 2 of the Health and Safety Code (HSC) and accompanying regulations with respect to home health aides. Any waiver shall include alternative measures that, under the circumstances, protects public health and safety.

CDPH is temporarily waiving the HHA Training Program requirement and suspending regulatory enforcement as specified in this AFL.

California has made significant progress in the response to COVID-19 as a result of the collective efforts taken by Californians and the widespread availability of COVID-19 vaccines. With decreasing case rates, stabilizing hospitalizations, and increased availability of vaccines, California is moving beyond the Blueprint for a Safer Economy.  

As a result and incompliance with Executive Order N-08-21 (PDF), the temporary waiver in this AFL will expire September 30, 2021.

Initial Theory Training

  1. Title 22 of the California Code of Regulations (CCR) section 74747(c):  An HHA Training Program may provide up to 75 hours of required classroom training through an online or distance learning format and may begin providing online or distance learning training immediately upon electronic submission of notification to CDPH.

Effective September 30, 2021, the waiver allowing a facility to provide up to 75 hours of classroom training through an online or distance learning format will expire.

As a result of this temporary waiver, HHA Training Programs do not need to submit individual program flexibility requests for the waiver specified above until September 30, 2021; however, HHA Training Programs and nursing facilities are still required to notify CDPH of changes to core curriculum, training hours, program staff, or contracted services. Notification shall be submitted to the Healthcare Workforce Branch, Training Program Review Unit (TPRU) via email at

Program Flexibility Requests

HHA Training Programs may also apply for waivers of other requirements not specified above, including alternative ways to conduct clinical training such as simulation or laboratory return demonstration. Requests for specific emergency waivers must be submitted to the Medical and Health Coordination Center via email at using the CDPH form 5000A (PDF).

If you have any questions about this AFL, please contact the Healthcare Workforce Branch, Aide and Technician Certification Section via email at Please include reference to AFL 20-57.1: Suspension of Professional Certification Requirements for HHA Training Programs in the subject line of the email.



Original signed by Cassie Dunham

Cassie Dunham

Acting Deputy Director



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