Attention license holders! If you are an Active NHA seeking employment, we encourage you to register with
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Nursing Home Administrator
The Nursing Home Administrator Program (NHAP) is governed by the
Health and Safety Code Sections 1416 through 1416.84. NHAP ensures the health, safety, security, and rights of the Skilled Nursing Facility (SNF) and Intermediate Care Facility (ICF) residents are safeguarded. NHAP sets standards for licensing nursing home administrators (NHAs), administers a training program for NHAs, prepares and proctors competency evaluation, issues NHA licenses, and runs an enforcement program and takes disciplinary action against NHAs as needed to protect the vulnerable population living in SNFs and ICFs.
NHAP continues to strive for excellence in ensuring that California Nursing Homes are managed by qualified professional Nursing Home Administrators.
In order to check the status of your NHA license, please go to the
License & Certification Verification Search Page. If your name shows on this tool, it means you are either in good standing with the department (active, inactive) or received disciplinary action against your NHA license (suspension or revocation). Active NHA’s can be currently employed in the industry. Inactive NHA’s cannot be employed as NHA’s but maintain a current license.
If your name does not show online, it means you have an expired license. Licensees with expired licenses cannot work as NHAs pursuant to Health and Safety Code Section 1416.6(a).
If you are a member of the public, and you would like more information on an NHA, please send a Public Records Act Request at the
California Department of Public Health Public Records Center.
If you are licensed in California and would like to apply for reciprocity in another state, you need to submit the
CDPH 9146 form (PDF) to NHAP along with the
verification of NHA licensure fee.
To renew a nursing home administrator license, the licensee must submit the renewal fee, continuing education (CE) certificates, and the completed
License Renewal Form (CDPH 512) (PDF) at least
thirty (30) days prior to the licensee’s expiration date.
The
License Renewal Form (CDPH 512) (PDF) is automatically mailed to the licensee’s address of record approximately sixty (60) days prior to the Licensee’s expiration date by the NHAP. Contact NHAP via e‑mail at
NHAP@cdph.ca.gov if the CDPH 512 is not received or if a duplicate is needed.
Continuing Education certificates from National Continuing Education Review Service (NCERS) approved CE courses are uploaded by the NCERS provider when CE courses are completed. Continuing education certificates validated on NAB’s CE registry do not have to be mailed in with the renewal application and fee. Licensed NHAs do not have to pay anything to sign up for an account on NAB’s CE registry.
When completing the
License Renewal Form (CDPH 512, PDF), the licensee is given the choice between an
Active and
Inactive renewal. A request for an Active license renewal denotes that the licensee is requesting to maintain the license status and the right to continue to work in the state of California as a licensed nursing home administrator. A request for an Inactive license renewal allows the licensee to maintain licensure status, but the licensee is not allowed to work as a nursing home administrator while in the Inactive status.
To request an Active renewal, proof of the licensee’s program-approved continuing education hours are required pursuant to Health and Safety Code 1416.42(b).
To renew in the Active status, the licensee must submit:
The certificates for continuing education hours are not required when the licensee requests to renew in the inactive status.
To renew in the Inactive status, the licensee must submit:
An Inactive license is subject to the same two year renewal period as an Active license and can be moved to Active status at any time during that two year period.
To request an Inactive license be moved to Active status, the licensee must submit:
- A completed
Declaration and Request for Replacement License (CDPH 510, PDF), and
-
Forty (40) hours of CEUs can be sent either as a copy of the CE certificates of completion from NHAP approved CEP, or CE certificates uploaded to the NCERS system if the CEUs taken are NCERS approved CEP. Ten (10) hours of the CEUs must be in the area of patient care or aging and should be completed within two-years of submitting the request to go active.
The NHAP processes renewal requests in the order they are received. In the event that a renewal request is incomplete, the NHAP will issue a letter indicating the next steps needed to renew the license. Please be advised that if the application is incomplete, this may cause a delay in the renewal process, which may leave licensees without a valid license. As a reminder, the licensee cannot work as a NHA unless they have a valid license pursuant to Health and Safety Code Section 1416.6(a).
The NHAP evaluates all NCERS courses to determine if they meet the definition of patient care or aging during the renewal review process and use the follow definitions for patient care or aging:
-
Aging: Courses in aging relate to the processes and facets of aging, and any biological, mental and sociological implications. Classes may also include study and treatment of diseases associated with the elderly. In general, courses should contribute to the knowledge and understanding of older adults, such as special dietary needs of the elderly, psychological implications associated with institutionalization, and protecting the elderly in a restraint-free environment.
-
Patient Care: Courses relate to care of the patient, which may include elements of the physical, psychological or sociological aspects of care; i.e., care and treatment of pressure ulcers, Alzheimer’s, identification and treatment of elderly depression, and activities enhancing socialization skills. Programs defining, explaining or promoting patients’ rights in skilled nursing facilities will also receive credit.
Any renewal request that is submitted after the expiration date is subject to a delinquent fee pursuant to Health and Safety Code Section 1416.42(c).
The NHAP cannot process a renewal request if the Licensee has any outstanding citations or fines pursuant to Health and Safety Code 1416.70(b)(6).
Once a completed renewal request is processed, a license is printed and mailed to the address of record within fourteen calendar days.
A license which is not renewed by the licensee’s expiration date is delinquent and all practice rights are terminated. 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 the licensee to be licensed again is to go through the initial application process and meet all initial licensure requirements.
To renew a delinquent license into the active status, the licensee will need to submit:
- A completed
License Renewal Form (CDPH 512, PDF) with the Active box checked,
- Forty (40) hours of CEUs can be sent either as a copy of the CE certificates of completion from NHAP approved CEP, or CE certificates uploaded to the NCERS system if the CEUs taken are NCERS approved CEP. Ten (10) hours of the CEUs must be in the area of patient care or aging and should be completed within two-years of submitting the delinquent renewal request, and
- Renewal and delinquent fees can be found at
NHAP Fee List.
To renew a delinquent license into the inactive status, the license will need to submit:
To become licensed as a nursing home administrator, applicants must:
- Be at least 18 years old;
- Be a citizen of the United States or legal resident of reputable and responsible character;
- Pass the nursing home administrator license examination, which consists of a written state exam and an on-line national exam;
- Pass a criminal history review;
- Pay the licensing fees; and
- Be in compliance with any judgement or order of support.
There are three ways an applicant can qualify for the nursing home administrator license examination:
- Have a master’s degree in nursing home administration or a related health administration field. The master’s program in which the degree was obtained must have included an internship or residency of at least 480 hours in a skilled nursing facility or intermediate care facility;
- Have a current valid license as a nursing home administrator in another state and meet the education requirements in California when the applicant was originally licensed based upon the table below:
| Prior to 7/1/73 |
None |
| From 7/1/73 to 6/30/74 |
30 semester units |
| From 7/1/74 to 6/30/75 |
45 semester units |
| From 7/1/75 to 6/30/80 |
60 semester units |
| From 7/1/80 to present |
Baccalaureate degree |
- Have completed an NHAP approved Administrator-In-Training (AIT) program with an NHAP certified Preceptor
The NHAP provides the written state examination at least four times a year. The online national examination is provided by the National Long Term Care Administrator Board (NAB).
Your initial licensing fee is valid for one year from when you submitted it. After that year, you must repay the initial licensing fee to continue attempting to obtain a license.
State Examination Dates page
Applicants may qualify for the nursing home administrator examination if they have received a Master’s degree in a related health administration field and the Master’s degree curriculum required an internship of at least 480-hours. Applicant qualifications are set forth in Section 1416.22(a) of the Health and Safety Code.
Applicants wanting to use their Master’s education to be considered to take the nursing home administrator examination, must submit:
-
Completed the
Master’s or Reciprocity Application for Nursing Home Administrator Examination (CDPH 524, PDF);
- Completed
Live Scan Form (BCIA 8016, PDF);
- Effective January 1, 2020, applicants to the Nursing Home Administrator Program pay for their fingerprints at the LiveScan vendor when submitting their fingerprint images. The current fees for fingerprinting are $32 for state level service and $17 for federal level service. In addition to this $49, applicants will pay the LiveScan Vendor’s rolling fee, which varies across the state.
- Department of Justice (DOJ) LiveScan vendor list: Live Scan Locations | State of California - Department of Justice - Office of the Attorney General.
- If you do not reside in the state of California, you can either:
- Submit a LiveScan (preferred) when you come in state to take the test or;
- Submit 2 completed copies of fingerprint hard cards (FD-258) along with a check made out to NHAP for the $49 fingerprint fee.
- A copy of one of the following:
- Passport; or
- State issued identification card (e.g. driver’s license); or
- Permanent resident card;
- The appropriate non-refundable application fee established by the Program, which can be found on the
NHAP website; and
-
An official transcript from your college/university or a third-party vendor (e.g., Parchment) bearing your date of graduation and degree awarded is required. Transcript is official when it is in a sealed school envelope and it bears the authorizing school signature and the official seal of the issuing institution. Transcript may be sent electronically, preferred method, by a school official. Electronic transcript should be sent directly from the college/university to the NHAP email address at
NHAP@cdph.ca.gov; the email address of the sender must be associated with the sending institution.
- If your units earned or degree/credentials were not conferred in the United States, you must acquire a credential equivalency evaluation in lieu of providing an official transcript. The two credential evaluation services that NHAP accepts are:
- International Education Research Foundation Inc. (310) 258-9451
- Academic and Professional International Evaluations, Inc. (562) 594-6498
- You only have to provide the transcript indicating you were awarded an academic degree (baccalaureate or higher) regardless of the number of universities or colleges you attended.
- Your transcript must bear the official seal of the school.
- Do not send diplomas, copies of diplomas, certificates of attendance at seminars, or letters of recommendation.
- Your Master’s degree must be in a related health administration field and an internship of at least 480 hours must have been required as part of the curriculum for completion of the degree.
Pursuant to Health and Safety Code Section 1416.24(b), completed applications to take the state exam must be submitted 30 days prior to the date of the exam you are requesting to take.
Your initial licensing fee is valid for one year from when you submitted it. After that year, you must repay the initial licensing fee to continue attempting to obtain a license.
You may qualify for the nursing home administrator examination if you have a current valid license as a nursing home administrator in another state and meet the education requirements in California when you were originally licensed based upon the table below:
| Prior to 7/1/73 |
None |
| From 7/1/73 to 6/30/74 |
30 semester units |
| From 7/1/74 to 6/30/75 |
45 semester units |
| From 7/1/75 to 6/30/80 |
60 semester units |
| From 7/1/80 to present |
Baccalaureate degree |
Applicant qualifications are set forth in Sections 1416.22(a)(1) and 1416.22(a)(2) of the Health and Safety Code.
Applicants that want to use Reciprocity to be considered to take the nursing home administrator examination, must submit:
- Completed the
Master’s or Reciprocity Application for Nursing Home Administrator Examination (CDPH 524, PDF);
- Completed
Live Scan Form (BCIA 8016, PDF);
- Effective January 1, 2020, applicants to the Nursing Home Administrator Program pay for their fingerprints at the LiveScan vendor when submitting their fingerprint images. The current fees for fingerprinting are $32 for state level service and $17 for federal level service. In addition to this $49, applicants will pay the LiveScan Vendor’s rolling fee, which varies across the state.
- Department of Justice (DOJ) LiveScan vendor list: Live Scan Locations | State of California - Department of Justice - Office of the Attorney General.
- If you do not reside in the state of California, you can either:
- Submit a LiveScan (preferred) when you come in state to take the test or;
- Submit 2 completed copies of fingerprint hard cards (FD-258) along with a check made out to NHAP for the $49 fingerprint fee.
- Verification of nursing home administrator license in all states the applicant is licensed in. License verifications must be sent directly to the NHAP from the state board that the applicant is licensed in. Electronic verifications should be sent to the NHAP email address at NHAP@cdph.ca.gov.
- A copy of one of the following:
- Passport, or
- State issued identification card (e.g. driver’s license), or
- Permanent resident card;
- The appropriate non-refundable application fee established by the Program, which can be found on the
NHAP website; and
-
An official transcript from your college/university or a third-party vendor (e.g., Parchment) bearing your date of graduation and degree awarded is required. Transcript is official when it is in a sealed school envelope and it bears the authorizing school signature and the official seal of the issuing institution. Transcript may be sent electronically, preferred method, by a school official. Electronic transcript should be sent directly from the college/university to the NHAP email address at
NHAP@cdph.ca.gov; the email address of the sender must be associated with the sending institution.
- If your units earned or degree/credentials were not conferred in the United States, you must acquire a credential equivalency evaluation in lieu of providing an official transcript. The two credential evaluation services that NHAP accepts are:
- International Education Research Foundation Inc. (310) 258-9451
- Academic and Professional International Evaluations, Inc. (562) 594-6498
- You only have to provide the transcript indicating you were awarded an academic degree (baccalaureate or higher) regardless of the number of universities or colleges you attended.
- Your transcript must bear the official seal of the school.
- Do not send diplomas, copies of diplomas, certificates of attendance at seminars, or letters of recommendation.
Pursuant to Health and Safety Code Section 1416.24(b), completed applications to take the state exam must be submitted at least 30 days prior to the date of the examination requested on the application.
Your initial licensing fee is valid for one year from when you submitted it. After that year, you must repay the initial licensing fee to continue attempting to obtain a license.
Well qualified reciprocity applicants may qualify for a one-time Provisional License if they qualify for the state exam under the requirements listed in 1416.22 and meet the additional requirements specified in section 1416.40 of the Health and Safety Code. Well qualified reciprocity applicants must have verifiable work experience as a licensed nursing home administrator in the state they are licensed in within the last five (5) years. Health and Safety Code section 1416.40(e) states that a Provisional License is valid for 12 months and cannot be renewed or extended.
Applicants that want to apply for a one-time Provisional License, must submit:
- Completed Application for Provisional License (CDPH 525) (PDF);
- Completed Master’s or Reciprocity Application for Nursing Home Administrator Examination (CDPH 524) (PDF);
- Completed Live Scan Form (BCIA 8016) (PDF);
- Effective January 1, 2020, applicants to the Nursing Home Administrator Program pay for their fingerprints at the LiveScan vendor when submitting their fingerprint images. The current fees for fingerprinting are $32 for state level service and $17 for federal level service. In addition to this $49, applicants will pay the LiveScan Vendor’s rolling fee, which varies across the state.
- Department of Justice (DOJ) LiveScan vendor list: Live Scan Locations | State of California - Department of Justice - Office of the Attorney General.
- If you do not reside in the state of California, you can either:
- Submit a LiveScan (preferred) when you come in state to take the test or;
- Submit 2 completed copies of fingerprint hard cards (FD-258) along with a check made out to NHAP for the $49 fingerprint fee.
- A Provisional License cannot be issued until the criminal background review is completed.
- Verification of nursing home administrator license in all states the applicant is licensed in. License verifications must be sent directly to the NHAP from the state board that the applicant is licensed in. Electronic verifications should be sent to the NHAP email address at NHAP@cdph.ca.gov.
- A copy of one of the following:
- Passport; or
- State issued identification card (e.g. driver’s license); or
- Permanent resident card;
- The appropriate non-refundable application fee established by the Program. The posted fees for the Provisional License include the fees for the Reciprocity application, which can be found on the NHAP website; and
- An official transcript from your college/university or a third-party vendor (e.g., Parchment) bearing your date of graduation and degree awarded is required. Transcript is official when it is in a sealed school envelope and it bears the authorizing school signature and the official seal of the issuing institution. Transcript may be sent electronically, preferred method, by a school official. Electronic transcript should be sent directly from the college/university to the NHAP email address at NHAP@cdph.ca.gov; the email address of the sender must be associated with the sending institution.
Pursuant to Health and Safety Code Section 1416.24(b), completed applications to take the state exam must be submitted at least 30 days prior to the date of the examination requested on the application.
Your initial licensing fee is valid for one year from the date it was submitted. After that year, you must repay the initial licensing fee to continue attempting to obtain a license.
Applicants may qualify for the nursing home administrator examination if they have completed an Administrator-in-Training (AIT) program. Applicant qualifications are set forth in Sections 1416.22(a) of the California Health and Safety Code.
Your AIT program must be certified by NHAP before you can apply. In order to take the nursing home administrator examination for their first attempt, applicants must submit:
- Completed Application for Nursing Home Administrator Licensing Examination (CDPH 503, PDF)
-
NHA
license application fee can be found at NHAP Fee List
Pursuant to Health and Safety Code Section 1416.24(b), completed applications to take the state exam must be submitted 30 days prior to the date of the exam you are requesting to take.
Once your application is approved, you will receive an e-mail that provides you with the date and time of the state examination you were approved to take. Seating is limited for these examinations and we do not accept “walk-ups” on the date of the examination. Please pay attention to the time listed in your approval letter. If there are enough approved applicants, an afternoon examination may be held and your approval letter will provide you with the time of the examination you were approved for.
On the day of the examination, NHAP staff start checking in approved state examination takers 45 minutes before the examination is schedule to begin. Approximately 15 minutes prior the examination, NHAP staff provide instructions for taking the examination. Once the examination begins, test takers have two (2) hours to complete the examination.
Pursuant to Health and Safety code section 1416.34(c), the NHAP will provide your examination results in a timely manner through e-mail within 90 days of the examination. Exam results are not available via telephone.
If you do not pass the state examination on the first attempt, please submit the
Re-Examination Application for Nursing Home Administrator State Examination (CDPH 520, PDF) and appropriate non-refundable application fee established by the Program, which can be found on the NHAP Fee List.
Applicants who are unable to pass the state examination after three attempts are required to take an NHAP approved re-training. The re-training is required to be completed before a fourth attempt can be approved by the NHAP.
Your initial licensing fee is valid for one year from when you submitted it. After that year, you must repay the initial licensing fee to continue attempting to obtain a license.
Applicants for a nursing home administrator license must pass, or have previously passed, the national examination. The NHAP approves applicant’s access to take the national examination at the same time that we approve the applicant’s eligibility for the state examination. Applicants do not need to wait for the results of the written state exam before attempting the national examination.
The national examination is computer-based and can be scheduled through the National Association of Long-Term Care Administrator Boards (NAB).
Applicants applying through Reciprocity are required to submit a verification form from each state they are currently licensed in, which includes the passing score for the national examination, and do not need to retake the national examination.
To apply to take the national examination:
- Go to the
NAB website fill out appropriate information and pay the national examination fee.
- A NHA Information for Candidates Handbook can be downloaded from this website. The handbook is a 38-page document that provides step-by-step instructions, FAQs, sample test questions and other important information. If you do not have access to a computer or an e-mail account, you can contact the NHAP for a hard copy of the handbook and a paper application.
- To apply on-line, you must have a valid credit or debit card, an e-mail address, an Internet connection (DSL or modem), and an Internet-capable PC with an attached printer. Pearson Vue will send an e-mail to you confirming receipt of the application.
- The NAB will confirm your eligibility to take the examination with the NHAP. After your eligibility has been confirmed by the NHAP, you will be approved to take the examination.
- You will receive an ‘Authorization to Test’ letter via email. This letter will provide instructions on how to sign up for the national examination. You can apply using the toll-free telephone number or website provided in the letter.
- The national examination is through the national Pearson Professional Center, which has many sites located throughout California. You will be given 60 days to schedule and take the examination. You will select the time and location that is most convenient for you. If you do not schedule and take the examination within 60 days, all fees will be forfeited. There is no exception to this policy.
Pursuant to Health and Safety code section 1416.34(c), the NHAP will provide your examination results in a timely manner through e-mail within 90 days of the examination. Exam results are not available via telephone.
Applicants who are unable to pass the national examination after three attempts are required to take an NHAP approved re-training. The re-training is required to be completed before a fourth attempt can be approved by the NHAP.
An applicant may qualify for the AIT program if they have the appropriate education or work experience requirements and pass the criminal background review. The eligibility requirements for an AIT program are set forth in Sections 1416.55(c) and (d) of the California Health and Safety Code.
To qualify for the AIT program, applicants must be at least 18 years of age and meet one of the following:
- Have a doctorate degree in medicine and a current valid license as a physician and surgeon;
- Have a baccalaureate degree;
- Have ten years of full-time work experience and a current valid license as a registered nurse. At least the most recent five years of the 10 years of work experience shall be in a supervisory or director of nursing position.
- Have ten years of full-time work experience in any department of a skilled nursing facility, an intermediate care facility, or an intermediate care facility/developmentally disabled with at least 60 semester units (or 90 quarter units) of college or university courses. At least the most recent five years of the 10 years of work experience shall be in a position as a department manager.
- Have ten years of full-time hospital administration experience in an acute care hospital with at least 60 semester units (or 90 quarter units) of college or university courses. At least the most recent five years of the 10 years of work experience shall be in a supervisory position.
To apply for the AIT Program applicants must first find a skilled nursing or intermediate care facility administrator who possesses a valid preceptor certificate. Applicants can send an e-mail to
NHAP@cdph.ca.gov to obtain the current list of approved preceptors in the counties they wish to train. The preceptor will work with the applicant to develop a 1,000-hour training outline based on a pre-training assessment of the applicant’s education and work experience.
In addition to finding a preceptor, applicants are required to submit their fingerprint images for a criminal history review by filling out the
Request for Live Scan form (BCIA 8016, PDF) and taking it into a live scan vendor. If an applicant does not live in California, they can send a completed fingerprint card along with an application and we will submit it to the Department of Justice. Only Live Scan fingerprints completed in California can be accepted. Criminal history reviews previously processed by another state agency or past employers do not satisfy the NHAP's criminal history review requirement.
Once an applicant has their AIT training outline and completed BCIA 8016, submit them to the NHAP along with:
-
A completed
Application for AIT Program (CDPH 502, PDF), a completed
Preceptor Information for AIT Program CDPH 502C (PDF) and
Employment History for AIT Program CDPH 502B (PDF) (If Needed), which is located on the NHAP website;
**Pages 1, 2, and 3 of the (CDPH 502) form are required from all applicants. If you have a bachelor’s degree, doctorate degree in medicine and a current valid license as a physician and surgeon, you do not need to complete the (CDPH 502B) form.
- An outline of a 1,000-hour training program prepared by the applicant’s preceptor based on an assessment of the applicant’s individual needs, including a week-by-week breakdown of the outline. The week-by-week breakdown should include:
- Completed
Live Scan Form (BCIA 8016, PDF).
- Effective January 1, 2020, applicants to the Nursing Home Administrator Program pay for their fingerprints at the LiveScan vendor when submitting their fingerprint images. The current fees for fingerprinting are $32 for state level service and $17 for federal level service. In addition to this $49, applicants will pay the LiveScan Vendor’s rolling fee, which varies across the state.
- Department of Justice (DOJ) LiveScan vendor list: Live Scan Locations | State of California - Department of Justice - Office of the Attorney General.
- If you do not reside in the state of California, you can either:
- Submit a LiveScan (preferred) when you come in state to take the test or;
- Submit 2 completed copies of fingerprint hard cards (FD-258) along with a check made out to NHAP for the $49 fingerprint fee.
- A copy of one of the following:
- Passport; or
- State issued identification card (e.g. driver’s license); or
- Permanent resident card;
- Non-refundable AIT fee can be found at
NHAP Fee list;
- A copy of the applicant’s Registered Nurse (RN) License or a copy of the on-line verification printed from the licensing entity’s website if they qualify under the basis of ten years work experience as a RN; and
-
An official transcript from your college/university or a third-party vendor (e.g., Parchment) bearing your date of graduation and degree awarded is required. Transcript is official when it is in a sealed school envelope and it bears the authorizing school signature and the official seal of the issuing institution. Transcript may be sent electronically, preferred method, by a school official. Electronic transcript should be sent directly from the college/university to the NHAP email address at
NHAP@cdph.ca.gov; the email address of the sender must be associated with the sending institution.
- If the applicant’s units earned or degree/credentials were not conferred in the United States, the applicant must acquire a credential equivalency evaluation in lieu of providing an official transcript. The two credential evaluation services that the NHAP accepts are:
- International Education Research Foundation Inc. (310) 258-9451
- Academic and Professional International Evaluations, Inc. (562) 594-6498
- Applicants only have to provide the transcript indicating they were awarded an academic degree (baccalaureate or higher) regardless of the number of universities or colleges they attended.
- Transcripts must bear the official seal of the school.
-
Do not send diplomas, copies of diplomas, certificates of attendance at seminars, or letters of recommendation.
Please allow approximately 30 days from the date the application was received for processing time.
The applicant’s AIT training does not start until the NHAP issues an approval letter. Hours worked prior to the NHAP issuing its approval are not counted toward the 1,000 hours.
The applicant’s preceptor is responsible for submitting evaluation reports to the NHAP within 10 days of completing each quarter, or every 250 hours, of the 1,000 hour AIT training program. The preceptor must indicate the appropriate quarter on the
Administrator in Training (AIT) Evaluation Report CDPH 501 (PDF), minor changes that were made to the program, and attach any supporting documentation, if necessary.
Minor changes are:
- Minor fluctuation in hours per week, due to illness or “short” vacation. A short vacation by preceptor or AIT that is less than one week.
- Placing the training on hold if less than 2 weeks.
- Changing topics from week-by-week breakdown of the AIT outline.
However, major changes to the AIT program must first be approved by the NHAP prior to the change taking effect. These changes are:
- Permanent change of the hours per week.
- Changing preceptor.
- Changing facility.
- Placing the training on hold if more than 2 weeks.
Major changes need to be requested with the
Preceptor Information for AIT Program CDPH 502C (PDF) and an updated AIT outline with the week-by-week breakdown. They can be submitted to the NHAP via e-mail at NHAP@cdph.ca.gov. Please allow up to 30 days processing time for all program change requests.
Failing to report changes or waiting for approval from the NHAP may result in the training hours not being accepted.
Please allow up to 30 days processing time for all program change requests.
Once the AIT program is complete and the preceptor has sent in the final evaluations, the applicant is eligible to apply to take the nursing home administrator license examination.
Nursing Home Administrator Forms
AIT Forms
Examination Forms
-
CDPH 503 (PDF) Application for Nursing Home Administrator Licensing Examination
-
CDPH 520 (PDF) Re-Examination Application for Nursing Home Administrator Licensing Examination
-
CDPH 523 (PDF) Special Accommodation Request for Examination
-
CDPH 524 (PDF) Master’s or Reciprocity Application for Nursing Home Administrator Examination
License Forms
Preceptor Forms
Continuing Education Forms
Current Administrator Forms
Live Scan Forms