Pursuant to a court order, the California Department of Public Health is required to release the address of record for certified nurse assistants, home health aides, certified hemodialysis technicians, and licensed nursing home administrators in response to a Public Records Act (PRA) request.* (Government Code starting at section 6250.)
To provide the Department with an alternate address that will be used for public release upon request, please contact the Professional Certification Branch through one of the methods below.
Please send completed form CDPH 514 (link below) to:
CDPH Licensing and Certification Program
Aide and Technician Certification Section
MS 3302, P.O. Box 997416
Sacramento, CA 95889-7416
FORM: CDPH 514
TELEPHONE: (916) 552-8780
EMAIL: attach completed form CDPH 514 and send to: NHAP@cdph.ca.gov
|*Court Order: Service Employees International Union-United Healthcare Workers v. California Department of Public Health, Sacramento County Superior Court, February 21, 2018, No. 34-2017-80002636.|
Nursing Home Administrator
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.
How to Renew a Nursing Home Administrator License
To renew your nursing home administrator license, submit your renewal fee, continuing education (CE) certificates, and the completed License Renewal Form (CDPH 512) at least
thirty (30) days prior to your expiration date.
The License Renewal Form (CDPH 512) is automatically mailed to your address of record
sixty (60) days prior to your expiration date by the NHAP. Contact NHAP via e‑mail at
NHAP@cdph.ca.gov if you did not receive your CDPH 512 or need a duplicate.
When completing the CDPH 512, you are given the choice between an
Inactive renewal. A request for an Active license renewal means that you are requesting to maintain your license status and continue to have the right to work in the state of California as a licensed nursing home administrator. A request for an Inactive license renewal allows you to maintain licensure status, but you are not allowed to work as a nursing home administrator while in this Inactive status.
Renewal Process for Requesting an Active License Renewal
To request an Active renewal, proof of your program-approved continuing education hours are required pursuant to Health and Safety Code 1416.42(b).
To renew in the Active status, you must submit:
A completed renewal form (CDPH 512) checking the Active box,
Proof of completion of 40 program approved continuing education units, 10 of which must be in the area of patient aging during the previous two year licensure period, and
The renewal fee found at NHAP website.
Renewal Process for Requesting an Inactive License Renewal
The certificates for CE hours are not required when you request an Inactive license at renewal.
To renew in the Inactive status, you must submit:
A completed renewal form (CDPH 512) checking the Inactive box,
The renewal fee found at NHAP website.
Process for NHA’s requesting to move an Inactive License to Active
An Inactive license is subject to the same 2 year renewal period as an Active license and can be moved to Active status at any time during that 2 year period.
To move your licensure status from Inactive to Active, you must submit:
NHAP’s Role after Receiving a Renewal Request from an NHA
The NHAP processes renewal requests in the order they are received. In the event that a renewal request is incomplete, the NHAP cannot process it and will instead issue a letter with instructions on the next steps needed to renew your license, which will delay the renewal and could leave you without a valid license. As a reminder, you cannot work as a NHA unless you have a valid license pursuant to Health and Safety Code Section 1416.6(a).
CDPH 512s that are submitted after the expiration date are subject to a delinquent fee pursuant to Health and Safety Code Section 1416.46(c).
The NHAP cannot process any CDPH 512 if there are outstanding citations or fines against your license pursuant to Health and Safety Code 1416.70.
Once a completed renewal request is processed, a license is printed and mailed to the address of record within fourteen (14) calendar days.
A license which is not renewed by your expiration date is delinquent, invalid and all practice rights terminate. Failure to renew a delinquent license within three years of expiration date will result in license cancelation. Once a license has been canceled, the only way for you to be licensed again is to go through the initial application process and meet all initial licensure requirements.
Process for Renewing a Delinquent License
To renew a delinquent license, you will need to submit:
A completed renewal form (CDPH 512),
Proof of completion of 40 program approved continuing education units, 10 of which must be in the area of patient aging, and
Renewal and delinquent fees found at NHAP website.
Nursing Home Administrator Forms
CDPH 503 (PDF) Application for Nursing Home Administrator State Examination
CDPH 505 (PDF) Application for Nursing Home Administrator National Examination
CDPH 520 (PDF) Re-Examination Application for Nursing Home Administrator State Examination
CDPH 521 (PDF)Re-Examination Application for Nursing Home Administrator National Examination
CDPH 523 (PDF) Special Accommodation Request for Examination
CDPH 524 (PDF) Master’s or Reciprocity Application for Nursing Home Administrator Examination
Continuing Education Forms
Renewal/Change of Facility/Replacement License Forms
Live Scan Forms