Home

HCR User Manual 3.0 - LeadingAge New York

1. Programs Certification ReCertification Print Certificates Program General Program Classes Class Roster Supervising Nurse Nurse Instructor Director Coordinat Senior Official Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA Competency Evaluation English 04 18 2010 10 00 AM Registry Name DOB ae Certificate Action Last First MM DD YY Y Y P Printed iu Dean Curtis 06 12 1959 Approved 3881 George Harmon 05 06 1960 Certified Home Care Registry User Manual 3 0 Df click Save CB Home Care Registry IE E TEHENS S E On the Training Programs Student page un select the supervising nurse and Training Programs Student Camera ihre n Caitie n From E Test LHCSA Tramang Entity lest LHCSA Tramig Program HHA Competency Evaluation English Demographic Information EE Preat Bm St Firat Mama Dain burol tidi b mi M Cure Ma te oe bettie z Epa o i ax marty Cuni sump stars Fugwrj Aane i t pna rare UA hbri See sd Fami DROGRS aom CU angi e gor RS l2 Rar Die amp nl I hit Security Information Lia ia i ERN x nx ior Moret Bimari Fani za and Say of mri Riitaa Firat fame Home Care Registry User Manual 3 0 Pied cee drrkT uar Fini Tp urcBpw cp PTT License Dp 8 2010 IOT AM uin of RL vam Y uuo TTT fender Jae hd Ehe hos Pres v LE id Pears a
2. x a Certificate Pr ENES Registry Number i Certificate amp LI Al iv First Marne T u E Middle Hame Last Harne DOB ls apo Gender jal vw Aide Type ll Iv City p mM State alse Zipcode oa 4 Approved for 88 PI Employment Ale Employment v Status is jM Hide Advanced Search Training Entity Home Care Services Agency A amp A STAFFING HEALTH CARE SERVICES ph P 1ST CHOICE HOME CARE SERVICES INC l A amp A Staffing previously Staff Builders p s A amp A STAFFING HEALTH CARE SERVICES s ASTHEALTHCARE LLC 0 a A amp B HEALTH CARE SERVICES INC A 8T HEALTHCARE aeee MAS o 53 A amp D PERSONNEL SERVICES INC A amp E HOME CARE INC A ROUND THE CLOCK TEMPORARY SERVICES INC A B J HOME CARE INC A amp T HEALTHCARE LLC A amp T HEALTH CARE INC AST HEALTHCARE LLC A A A T HEALTHCARE LLC AAA SERVICE PROGRAMS INC ae A amp T HEALTHCARE LLC Iw 3 Select the appropriate name and then click View Selected Result s Registrant Search Results SEARCH CRITERSA VEWAT IT EL 1 1 41 l JRESULTS TOOLBOX Registry e Certificate Per Page C tapay 2s C Dapay 30 C papay 009 CL Decay Al First flare Lom Mute gt swe Ledectian C Checiaed Doy 9 oy View Al Search riea Jo enter ew Dert Adres ni C Siem Adimas 7 Dent Skew LAE e Perit nanc Gente t Regesirants found dispiaryong of Regiatrants a legii f iims ara wi Last hb Vara Fem
3. 3 The date of successful completion was changed and saved To print the certificate click on the registry number to the left of the aide s name License Z Certificate Printed Action Employability Determina tions Ann Black Address 123 Main Si Schenectady NY 12303 DOB 02124861 Gender Femaie Add nnal knavun Name Ho names found Home Care Registry User Manual 3 0 Approved for Employment Date Approved for Employment 03 24 2010 Determination s of Abuse Neglect or other Misconduct 03 30 2010 10 00 AM Unknown Ho Registry Number 3665 s Print Training Entity Profile Print Program Class Listing 8 9 From the Registrant Training page click Print Original This will bring up an Adobe pop up Click Print Certificate Du mln ie Eure Hm amp turn 10 Liazz ROSIST Registrant Training Training Employment Employability Determinations Ann Black Registry Number 3665 Certification Home Health Aide Certificate Status Active Training Entity Test LHCSA Training Entity Certificate Status Date 04 05 2010 Address amp 00 North Pearl Street Certificate 354T Albany WY 12204 Program Name Test LHCSA Training Program Training Methodology Core Training Start Date 03 30 2010 State Department DOH Registered Nurse Susan Supervisor Instructor Irma Si Instructor xmv Tem Cm Successful Completion Senior Official Carol Mi Cage Date D4 D5 2D40
4. Data Corrections for Training Programs Jump to my Training Entity gt Programs gt Show gt Show gt Edit gt Save The following steps are to correct the student s name DOB address successful completion date or any other fields such as gender ethnicity and security information From the Class Roster page click the Edit button next to the student whose information is to be changed Training Class Roster Programs Certification ReCertification Print Certificates Program General Class Roster Supervising Nurse Nurse Instructor Director Coordinal Senior Official Z Test LHCSA Training Entity Z Test LHCSA Training Program HHA Core Training English Name DOB License 03 30 2010 10 00 AM Status Certificate Printed Action Last MM DDY YY Ann Black 02 12 1861 2008 UNILDA LUNA 05 01 1955 Certified 03 30 2010 Certified Home Care Registry User Manual 3 0 6 2 On the Training Programs Student page changes can be made to any field including Successful Completion Date After the changes are made click Save at the bottom Ph Work ALLE Home Care Registry hoo Farce Lerma ESTE PAS Rusa LHsmhcew3 Ha ET LEER E E E EET Hrpererdm Training Programs Student baie aatia bons Psi or di TTC Ff Lii nii b Zu d cad Z Test LHCSA Training Program HHA Core Training English 03 30 2010 10 00 AM License Data
5. Jump to my Training Entity s Agencies Welcome To The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Em is an active registry and changes can occur at any given time Use These Quick Links To Get Started search for a Registrant search for a Training Entity I mm Jump to my Agency s search for a Home Care Agency Jump to my Training Md 2 From the Training Entity General Information page click the Admin Personnel tab Rages ae Training Entity General Information ae Pimp area artifi atium B E fest LHCSA Transp Entty amp drresg BD Herm eer Soe Lines REM County lign Panera PU Ue fi Home Care Registry User Manual 3 0 mmm Type Emp Bane ecu SATa A Prati Apgnreeng Utr oparimuaerst ertai ui Hopi Fred Becky Cina Laii Aree kyen keener Huri BARAS 82 3 Choose one of these three options that correspond with the photo below 1 If the person is already associated with your program choose his name from the drop down menu and click Go 2 If he is new to your program and he has an RN license number you may enter it here and click Search 3 If he is new to your program you enter his first and or last name and click Search Search Training Entity Personnel Certification ReCertification Print Certificates Admin Personnel Z Test LHCSA Trauung Entity Available Perso
6. Pind Tarna Eby Prais Punt Frpgram Caia Liting HET Fre eerie mre ro E Pa Tasas LETEA Training Program Tep n i F 58 li The student now shows a status of enrolled Training Class Roster Programs Certification ReCertification Print Certificates Program General Program Classes Class Roster Supervising Nurse Nurse Instructor Senior Official Director Coordinati Student Saved successfully Z Test LHCSA Training Entity Z Test LHCSA Training Program HHA Competency Evaluation English License 04 18 2010 10 00 AM DOB e Certificate P Last First TH Status Printed CD Dean Curtis 062 1955 Add Student 3881 George Harmon 05 06 1950 Certified Edit l Uncertif Enrolled Home Care Registry User Manual 3 0 Uncertify a Student Jump to my Training Entity gt Programs gt Show gt Show gt Uncertify 1 Jump to my Training Entity s Use These Quick Links To Get Started search for a Registrant search for a Training Entity search for a Home Care Agency Jump to my Training Entity s a Jump to my Agency s 2 Click the Programs tab ReCertification Print Certificates Address 800 North Pearl Street Type Home Health Agency Albany Ny 12204 County Albany Approving State Department Department of Health Phone TTWTI ITIT Associated Agency License Number 3888624663 Click Show across from the appropriate training program T
7. next to the program to which you want to add a class ew York State Home Care Registry Training Entities Registrants Agencies Home gt Search Training Entity gt Search Tr Training Entity Programs Programs Certification Print Certificates TEST POST SECONDARY EDUCATION SCHOOL Course Start Date End Date ae Language License asses Lr La P TEET POET SECONDARY MUI M M HHA PTI 0205 2001 08 10 2010 HHA English Print Training Entity Profile Print Entity Class Listing 800 North Pearl Street Albany NY 12204 Z TEST POST SECONDARY EDUCATION SCHOOL HHA PTI 02 05 2001 08 0 2010 PCA gt peia TEST POST SECONDARY EDUCATION B00 North Pearl Street Albany NY 1220 4 2009 HYS Department of Health Home Care Registry gt These fields are pre populated Notes Home Care Registry User Manual 3 0 18 Add info in the boxes highlighted and click Add Class button d E Home Care Registry gt Verity your Training Program from the Tool tasas Bar on the right Training Entities Registrants Home Search Training Entity Search Training Entity Results Training Classes Programs Certification Print Certificates Program General Program Classes Supervising Nurse Nursing Instructor Director Coordinator Official Agency Designee Z TEST POST SECONDARY EDUCATION SCHOOL Z TEST POST SECONDARY EDUCATION SCHOOL License HHA
8. 2 The aide s date of birth shall be December 31 1975 or earlier 3 The date on the aide s training certificate that indicates when the aide successfully completed training shall be prior to August 14 1990 1 Jump to my Agency s Use These Quick Links To Get Started search for a Registrant search for a Training Entity search for a Home Care Agency Jump to my Training Entity s Jump to my Agency s _ Home Care Registry User Manual 3 0 102 2 Click the Aides tab Agency General Infor Training Entity Z Test LHCSA License ES88ZRS8S Type Licensed Homes Care Service Apancy Open Date OLD Vat Address EOD North Beart iresi Closed Date Albany ew ror 12204 County Albany Facility ID Phone 51873 1808 3 Enter the information in the boxes provided and click Add Agency Aide Information Training Entity Z Test LHCSA License 88887888 Status Active Aides W Show Registry Gender DOB Hire Date Separation Date Number Last First MM DD YYYY MM DD YYYY MM DD YYY Y Aide 03 76 1961 08 24 201 ol 4 When no match is found click the No Match button Matched Aides No Aes Found Matching Name and Date of Birth Provided No Match Return to Agency Aides Home Care Registry User Manual 3 0 103 9 Enter the date of the certificate into the box and click the Retrieve Training Programs button r Pues Lud me Lidia TS Home Care Registr
9. Albany Ny 12204 Test LHCSA Training Program Test Re n 0301 1900 3 10 01 2010 PCA English 800 North Pearl Street Albany N Y 12204 Home Care Registry User Manual 3 0 54 4 Select Closed from the Status drop down menu and click Show Training Classes Programs Certification Recertification Print Certificates Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency De Z Test LHCSA Training Entity Z Test LHCSA Trayafhe Program License 4A Class Start MMDDIYYYY HH MM AM PM Methodology Registered Nurse Created By Action Roster Select One Select One Add Class 01 01 2100 08 00 AM Personal Care Aide Upgrade Irma Si Instructor ajcOd 07 01 2010 09 00 PM Competency Evaluation Irma Si Instructor exfl2 3 06 01 2010 09 00 AM Core Training Irma Si Instructor jin 4 La 9 Click Reopen Training Classes Programs Certification ReCertification Print Certificates Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency Des Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA English Class Start ata Bare nahar Ra ET at MM DDIYYYY HH MM AM PM Methodology Registered Nurse Created By Action Roster 04182010 10 00 AM Competency Evaluation Irma Si Instructor Ixf11 Feren 01 01 1800 12 00 AM Unknown HCR Show 6 The training class updated successfully Tra
10. EPLAY RESULT PREFERENCES egiirym 318 Certifscaln i Per Page 2 papay O Depay 80 CO Dany 100 O Day Ad Firnt lima Lara Marre zetbclicet checked Gey 5hnw Ad o ew AS Search Crberia 4C Dprisem New Sagre Addani saw Addis 7 Dent er Adre Prod Sah Arii RESULTS TOOEBOX Viy Seleched Rap mall a one Recent bore Bogexlry 8 App ced Iw Eric erant Ee 1951 cem Makkdd Barea Th Ferran EJ Employ alii by De termina tions Melissa Smith Registry Number 3161 Acces a 123 Main St Approved for Employment Unknown Schenctady NY 12303 02 25 1961 Date Approved for Employment 12 21 2005 Gender Fema Determination s of Abuse Neglect or other Misconduct hig Home Care Registry User Manual 3 0 119 9 Click Add Employment from the Tool Bar on the right poe nt Employment iere al Fraser s E E rreiow abilily Dar beer inn Registry Number 3161 Melissa Smith Pres Secr ant Prof M l AO Cur HANE Empiayeri ALL PRO MDUT AND HEALTH CARE Ses Stat Date neile z 3 42 Eva oemnd nt Address Xx CH RCH AVE 3 FL rut Dale OSH Seiected Registrantu Hagge Wy i263 Empleer Ae STAFF PERITI CABE Srt Star Date en eun Adidvena TS Ga STREET mi Gate WHITE PLANE NY 10001 6 Enter the Employment Start Date MM DD YY Y Y and click Retrieve Agencies Registrant Add Employment Information Melissa Smith Registry Number 3161 Employment Informat
11. Successful Print Training Entity Profile Completion Training Methodology Class Start Approved Print Entity Class Listing Reprint Certification Form Date MM DD YYYY Foxy Samantha HHA Competency Evaluation 07 01 2010 06 03 2010 bert cert HHA Competency Evaluation 07 01 2010 05 05 2010 John J Deer HHA Personal Care Aide Upgrade 01 01 2100 03 09 2010 colleen colleen HHA Personal Care Aide Upgrade 01 01 2100 03 02 2010 Home Care Registry User Manual 3 0 65 Locate the date of the original certification and click the Print Certification button across from it Reprint Certifications Certification ReCertification Print Certificates Z Test LHCSA Training Entity Display 25 Display 50 Display 100 Tool Bar 202 Forms found displaying 1 to 25 First Prev 1 2 3 4 5 6 7 8 Next Last Print Training Entity Profile B Return to Certification Senior Official Status Successor Predecessor Action Form Form Previous 06 10 2010 09 05 AM Carol Mi Cage Print Certification 06 09 2010 01 21 PM Carol Mi Cage Recertified Next Print Certification 06 08 2010 04 23 PM Print Certification 06 08 2010 10 36 hris Mi Certifier Print Certification Selected Training Entities 06 08 2010 10 22 Cyrus Mi Crawford Ed Z Test LHCSA Training Entity Albany aA MW E eA Z Test Post Secondary Education Schoo 06 04 2010 01 23 PM Chris Mi Ce
12. Anea Agency Laena hunier D Home Care Registry User Manual 3 0 88 3 Choose the name of the Senior Official or Official Agency Designee from the Available Personnel drop down box Then click the Go button search Training Entity Personnel Z Test LHCSA Training Entity SeecOne v OR ReCertification Print Certificates Admin Personnel Available Personnel License amp OR First Name Last Name 4 This brings up the selected person s Senior Official and or Official Agency Designee information To edit the start date of either click on the Edit button below the correct role Senior Official or Official Agency Designee Edit Admin Personnel Z Test LHCSA Training Entity ia zm First Name Chris w Print Training Entity Profile 3 Return to Personnel Search 3 Remove Admin Personnel Middle Name Last Name Certifier Location Start Date End Date Start Date End Date MMUDDIYYYY MM DDIYYYY MM DD YYYY MM DDIYYYY Z Test LHCSA Training Program 01 01 2009 Seleciud Training Entities HHA English Add 800 North Pearl Street Z Test LHCSA Training Entity PREVIOU sonic ca Z Test LHCSA Training Entity Alb Z Test LHCSA Training Program 01 01 2009 N A Z Test HHA Training Entity Albany PCA English Edi Add 800 North Pearl Street Albany NY 12204 I lt E Save Cancel Home Care Registry User Manual 3 0 89 You may then make changes to t
13. Deie ct Lu Birth 41 Ba ond ey heibei tgier rg 3 Suebected Tramin Entre E Z Teat LHCSA T hiy Albay Exhniceys masa Daa w Z Test Post Secondary Education Sch Bace Taleg Ge xw j H Country Ses one Fieitk mares veln ame smqurggd in dive Student n feneaten Feia market wit aem resured fn eave Shidert Ageraval infermation Security Information Laat 4 digits of i 55N E or Mothers i Maiden Mame et D om __ and iy ot Girin and Mothers Fast Hanne zi Course completed and approved by Seact Ore 09 AYS Denartment of Hear Home Care Heat E Tesi LASS Tee Proe arm HH Z Teat LEES A Tra ning Program POA E Home Care Registry User Manual 3 0 23 Home Care Registry User Manual 3 0 8 The student has been saved successfully Traini Class Roster Certification ss Print Certificates Admin Personnel Director Coordinat Student Saved Successfully Z Test LHCSA Training Entity Z Test LHCSA Training Program HHA Core Traming English Registry License 07 02 2010 09 30 AM DOB Certificate Action t TrrEE Humber i First moo mus Printed L _ lest fest Add Student pum 152461 Johnin Doe 11 11 1877 Certified 07 06 2010 Litan na ba T DEO rm CU Ia ET BE J i 24 M Important Reminders for Approving a S
14. EP E EP Click the link that says View All Document Groups Health Commerce System Documents My Groups iew All Document Groups iy Getting Started Locate Long Term Care from the alphabetical listing and then click on the green plus symbol on the right to add this group 11 Local DSS 11 Long Term Care 11 Managed Care OQ 3 After clicking on Long Term Care you will see two columns of topics click on the Home Care Registry link in the left column Long Term Care Document Groups i Calendars contacts i Criminal Histary Record Check i Dear Administrator Letters Dear Practitioner Letters i Diseases and Conditions i Family and Community Health Farms Guidelines i Health Insurance Programs Help Home Care Registry i NYSIIS i Newsletters i Patient Safety 4 Click on the Alerts and DALs folder to find our recent advisories and DALs Groups gt Long Term Gare gt Home Care Regis Long Term Care Document Groups i Alerts and DALs i Help Home Care Registry User Manual 3 0 142 Section 7 Contact Information Home Care Registry Toll Free Customer Service Assistance 1 877 877 1827 E mail Help Desk Assistance HCReg health state ny us Home Care Registry User Manual 3 0 143
15. Print Certification 01 27 2010 11 23 AM Carol Mi Cage Print Certification Selected Training Entities 01 26 2010 03 57 PM Carol Mi Cage Print Certification i Test LHCSA Training Entity Albany moron 5 j r c 01 26 2010 03 51 PM Carol Mi Cage Print Certification Test Post Secondary Education Schoo 01 26 2010 03 46 PM Carol Mi Cage Print Certification 01 26 2010 03 23 PM Carol Mi Cage Print Certification 01 26 2010 02 57 PM Carol Mi Cage Print Certification 01 21 2010 03 43 PM Chris Mi Certifier Print Certification m 01 21 2010 03 23 PM Carol Mi Cage Print Certification 01 20 2010 12 11 PM Cyrus Mi Crawford Print Certification 01 19 2010 11 35 AM Carol Mi Cage Print Certification 1 19 7010 11 24 AM Chris Mi Certifier Print Certificatinn Tool Bar 2009 NYS Department of Health Home Care Registry System Information Home Care Registry User Manual 3 0 31 T Click Open File Download Mint Certificates Do you want to open or save this file Mame Certification pdt EnA Type Adobe Acrobat Document From bhnsmg While files from the Internet can be useful some files can potentially harm your computer IF you da nat trust the source do nat open or save this file whats the risk ord Print Certification Print Certification s lll r Dirint Mertifieatinn Click the printer icon to p
16. Z Test LHCSA Training Program 01 01 2009 HHA English 800 North Pearl Street Albany NY 12204 Selected Training Entities Z Test LHCSA Training Entity PREVIO U Add Z Test LHCSA Training Program 01 01 2009 Z Test HHA Training Entity Albany PCA English Edit Add 800 North Pearl Street Albany NY 12204 S s E Home Care Registry User Manual 3 0 90 Enter the end date for the position selected and then click the Save button below Edit Admin Personnel Certification ReCertification Print Certificates Admin Personnel Z Test LHCSA Training Entity License g9ogg5 First Name Chris MEM E Middle Name B Last Name Certifier Llc Start Date End Date Start Date End Date MM DD YYYY MM DD YYYY MM DD YYYY MM DD YYYY Z Test LHCSA Training Program 01 01 2009 m HHA English 800 North Pearl Street Albany NY 12204 Z Test LHCSA Training Program 01 01 2008 WA PCA English Edit Add 600 North Pearl Street ma mm Albany NY 12204 If you receive a message stating End date cannot be before and a date you are trying to enter an end date that comes before the last date the Senior Official or Official Designee was selected for use in a class You must choose a date after the date shown here To remove a Senior Official or Official Designee choose Remove Admin Personnel from the Tool Bar on the right Edit Admin Personnel ReCertification
17. nit ite En DUE Mte oe eo Re DES Ee itas eor 45 Update the Class LOCA M eoo tbid uto au Ce C a nuu 48 COSSA on eee eee ene eee ee 51 Reopen a Closed CASS c e tends 54 Ur approve A StUdeNT esasnp 56 Uncernity a Student IMPR 60 Reprint the Certification Form after Uncertifying a Student 63 Printa CerliCaless nen idus adiectis ttn RA Mesa eo Mes Ut 68 aisdejdia eia llle lii E OE DE 70 Remove or Add a Certificate sr ribi RR Ea UD QU LOU O QAI a RR cM ERE U 73 Data Corrections for Training Programs eeeeeeeeeeeeeeereeeee 76 Add a Senior Official or Official Agency Designee 82 Edit a Senior Official or Official Agency Designee 88 Section 3 Home Care Agency Procedures cene 93 Instructions for Home Care Agencies ssseeeeeee 94 SEarch TOF an AGENCY E E T ee bie eeeeageeatees 95 Home Care Registry User Manual 3 0 2 aa o ies Ce io eee ee ee en ee ee eee eee eaten etree ee eee nT nD 97 Enter a Home Health Aide with an Unlisted Training Program 102 S parate ah FNC e 108 Data Correction for AQ ncCies ccccccceccceseeceeeteneeceeeteneeeeeeteneeneeteneenees 110 Change an Aide s Personal Data ccccceecceeeeeeeeeceeeteeeteeeseeeeseetenees 112
18. ogy Pariani Cate Aide Up aoe Narr Dalee oun 129009 State Dopisni ScD OF Reyiahered Ture Jconny Laerte iratructor Jot iatructot Attesatnr Jahnny Af eet r Atig station Maie Pectin fate Certificate Printact Home Care Registry User Manual 3 0 126 View Employability search gt Registrant General Information gt Employability Determinations 1 Click Search for a Registrant Welcome Io The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Employer is an active registry and changes can occur at any given time Use These Quick Links To Get Started seale errai Entity search for a Home Care Agency To search for a Registrant enter the information you have such as Registry Number DOB Last Name etc and click Search Registrant Search z E Certificate i lumber Ci ate i Registry Number L Certificate Prin All iv DOB D MM DDIYYYY Gender All Aide Type All City State All Zip Code Approved for 3 Employment F Employment PR hd Status dn i Home Care Registry User Manual 3 0 127 If you wish to search by the training entity or the home care services entity click Show Advanced Search to bring up those search options Choose the training entity or home care services entity by finding the desired entity in the list and clicking on it Then click the Search button Registrant Search Registry Num
19. there has been no continuous period of 24 consecutive months during which the aide performed no home health aide services for compensation raider 1 Retrieve Training Programs Date g g n 1 Z The aide is added successfully Agency Aide Information Training Entity Aide added successfully Home Care Registry User Manual 3 0 107 Separate an Aide Jump to my Agency s gt Aides gt Enter Date gt Save 1 Jump to my Agency s Welcome To The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Em iS an active registry and changes can occur at any given time Use These Quick Links To Get Started Search for a Registrant Search for a Training Entity Search for a Home Care Agency Jump to my Training Entity s Jump to my Agency s A a mim 2009 NYS Department of Health Home Care Registry 2 Click the Aides tab Agency General Informati General Training Entity f Z Test LHCSA License 8888Z888 Type Licensed Home Care Service Agency Open Date 01 01 1990 Address 800 North Pearl Street Closed Date Albany New York 12204 County Albany Facility ID 4444 Phone 518 473 1808 Home Care Registry User Manual 3 0 108 Enter the separation date to the right of the aide s name and click Save Agency Aide Information General Training Entity Aides Z Test LHCSA License 8888Z8
20. 3 0 92 Section 3 Home Care Agency Procedures Instructions for Home Care Agencies 94 Search for an Agency 95 Add an Aide 97 Entering a Home Health Aide with an Unlisted Training Program 102 oeparate an Aide 108 Data Correction for Agencies 110 Changing an Aide s Personal Data 112 Add an Employer 118 Hemove Employer 121 Invalid Duplicate Employment Information 123 View Training History 124 View Employability 127 View Employment History 130 Home Care Registry User Manual 3 0 93 Instructions for Home Care Agencies What you need to use the HCR v Computer v HCS access and account v Roles assigned by HCS Coordinator v Written policies and procedures regarding the HCR gt Dont forget check your role Notes Home Care Registry User Manual 3 0 94 Search for an Agency Search for a Home Care Agency gt Search gt Check Agency View selected Results s 1 Click Search for a Home Care Agency Use These Quick Links To Get Started search for a Registrant Search for a Training Entity Search for a Home Care Agency Jump to my Training Entity s M Jump to my Agency s Enter the information you have and click Search Siti York paie Home Care Registry p UEITUUT E A i AiR T kal Home Care Registry User Manual 3 0 95 3 You can select how many results you want to see at once DISPLAY RESULT PREFERENCES sh s Display 25S Display 50 2 Display 100 O Display All CO Checked On
21. Corrections Only Bratt Tras Extiy Prae Punt Poop Claas Liste Demographic Information nain el Pags Birgetiu 123 ta 51 ey oe Pea j frr Treated Iran Eni remises PM D i E E Yaad LAESA Tierang Enity Aban 12 Teac Pegs Storey Edncanes hence s nw Ema inene imam eec one Last Wen E I fae ti i Far inci rm Ll Zip Postal x mme Ceca d Country numen STATES Petia cuamiubi am rou D ua biden hirea Faja rura nih pen garw t Bass Diuderi Ayorvias niurmgic Securitv Information Last 4 chgeta eH r me ERN aa x itl Mothers Wigicars gran ami Cy of Drm kir Elgin l art iame 7 cot ae riortipirieid amd approved Erg onam Ui Supervise V Cares Speers Cav wi eighe Ww Loccedadul Cormgieton ahii 182777 Home Care Registry User Manual 3 0 Training Class Roster Program General Program Classes Class Roster Senior Official e Student Saved successfully e The saved changes affect the existing Certification Form Please Recertify e The Certificate has been successfully regenerated for the Student Z Test LHCSA Training Entity Z Test LHCSA Training Program HHA Core Training English DOB MM ipD vvvy tatus 02 12 1961 Certified 09 01 1959 Certified 03 26 1960 Enrolled General Programs Certification ReCertification Print Certificates Supervising Nurse Nurse Instructor Director Coordinator Official Agency Designee
22. E j i 2x NEWYORK STATE DEPARTMENT OF HEALTH I Office OMspng Term Care Home Care Registry Certification Form Training Entity Z Test LHCSA Training Entity 800 North Pearl Street Albany NY 12204 Certifying Official Cyrus Mi Crawford By executing this document hereby certify that 1 Lama senior official of the above named training entity as defined in 10 NYCRR 8403 2 j 2 The persons listed below have successfully completed the identified training program 3 The true identity of each of the persons listed below has been verified by this training entity as required by Public Health Law 83613 and 10 NYCRR 8403 4 and 4 Iwill promptly notify the New York State Department of Health in the event that any of the statements made in this Certification are no longer accurate Training Program Z Test LHCSA Training Program 800 North Pearl Street Albany NY 12204 Name of Person Successful Completing n Training Person s Address Date Type of Training Training Methodology 950 JENNINGS STREET Matilda LUNA BRONX NY 10460 09 01 1959 04 04 2010 Home Health Aide Competency Evaluation English Home Care Registry User Manual 3 0 IV Important Reminders about Certificates Two certificates must be printed One original certificate must be signed and given to the student within 10 business days of execution of the Certification Form The other original certificate is signed and kept on file for 6 years 7 years fo
23. Gender DOB Hire Date Separation Date Print Agency Profile First MM DD YYYY MMIDD YYY Y MM DDPPYYY selected Agencies l Male 08 014975 0813 2010 Save memme 7 Female 0326 1961 09 24 2010 Patricia Test Female 03 15 1980 05 22 2009 Ts Natasha Quality Assurance Tester Female 086 1880 OB 7 2010 Save 121 4 From the Registrant General Information page click on the Employment tab Registrant Genergie eeaation General aining Employability Determinations John Doe Registry Number 3406 Address 1 Main St Approved for Employment Unknown Schenectady NY 12303 DOB 03 26 1960 Date Approved for Employment 01 14 2010 Gender Male Determination s of Abuse Neglect or other Misconduct No Additional known Names Ma names found 9 On the Registrant Employment page click Remove to remove an employer Registrant Employment Training Employment Employability Determinations John Doe Registry Number 3406 E Employer Z Test LHCSA Start Date 01 04 2010 Address 800 North Pearl Street End Date Albany NY 12204 Employer ABUNDANT LIFE AGENCY INC Start Date 09 11 2008 Address 4912 CHURCH AVENUE End Date 12 01 2008 BROOKLYN NY 11203 Home Care Registry User Manual 3 0 122 Invalid Duplicate Employment Information When entering employment information on an aide the HCR does not allow duplicate employment information to be entered Cn New York
24. LHCSA Training Entity Z Test LHCSA Training Program License HHA English Class TN MM DDIYYYY HH MM AM PM Methodology Registered Nurse Created By Action Roster 06 01 2010 09 00 AM Core Training Irma 5i Instructor jin 4 Edit 057 2010 08 15 AM Core Training Irma Si Instructor cxf12 Edit 05 13 2010 08 00 AM Competency Evaluation Irma Si Instructor gti 05 10 2010 10 00 AM Core Training Irma Si Instructor Cxf12 Edit 05 05 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor cxfi2 Edit 04 18 2010 10 00 AM Competency Evaluation Irma Si Instructor 04 0 2010 09 00 AM Competency Evaluation Irma Si Instructor 03 30 2010 10 00 AM Competency Evaluation Irma Si Instructor 03 20 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor 9 Make the changes in the boxes provided and click Save Edit Training Class Programs Certification ReCertification Print Certificates Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency De Z Test LHCSA Training Entity Z Test LHCSA Traming Program License HHA English Class Start 0418 2010 10 00 AM MM DDP PrYY HH MM AM PM Methodology Competency Evaluation Registered Nurse Irma Si Instructor End Date Cancel Close Class Home Care Registry User Manual 3 0 43 1 V A message will appear that the training class has updated successfully Training Classes Programs Certification Prog
25. PROG ANT zirple o Jute m 118 remove EmplOoVeLr oiim eoe odia ia a ende utu itis ecd ope ddanetaicg edes 121 Invalid Duplicate Employment Information 123 View Training HISLOLV oscura ata chen eats e uev punt abrasa URN RE 124 MIGW zin mEEE 127 View Employment History ccccccceccsecceeceeeeeeseeceeceeeeeseeseeeeeeseeseeeaees 130 Section 4 General Public Procedures e eere eere eene nennen nnn 133 How the General Public Can Access the Home Care Registry 134 Section 5 APPENDIX New York Certified Aide Registry and Employment c Re E RETE EI E NE EE 137 Section 6 Additional Resources eeeeeee esee eee eee enean anna nnn nns 141 Section 7 Contact Information 1 ecce eese eene eene nennen nnn nani 143 Home Care Registry User Manual 3 0 3 HCR User Manual Introduction This Section HCR User Manual Introduction In this introductory section of the HCR User Manual you will learn more about the purpose and goals of the HCR This section also provides a list of common terms and abbreviations and a table of HCR timeframes The Home Care Registry HCR User Manual is divided into seven main sections rome Care Registry Data Entry gt Quick Tips are found in boxes like this Training Entity Procedures Home Car
26. Pearl Street Albany Ny 12204 Z Test LHCSA Training Program 1 N A PCA English North Pearl Street Albany Nr 12204 ai Cancel The admin personnel has updated successfully Edit Admin Personnel jp e oo oo E 7 70 Teper Prarie Cifiza Recesitilicalksan Prink Derkificates Adash IP ah d Z Test LHCSA Traming Entity License E Firmi Hare Charis Mickie Name Last Name Senat Senior Offecral Official Agency Desigaee Start Date T Date Start Date End Date MMO MMO KMMIDYYYYY MMUDDTYYY 2 Test LHCSA Training Program DSO 1 7 HHA Engish BOD North Peart Street Albany Nv 12204 Z Test LHCSA Training Program PCA Engin En B00 North Peart Sire Albany NY 12204 Home Care Registry User Manual 3 0 87 Edit a Senior Official or Official Agency Designee Start Date End Date or Removal Jump to my Training Entity gt Admin Personnel gt Select gt Go gt Edit gt Save 1 Jump to my Training Entity s Use These Quick Links To Get Started search for a Registrant search for a Training Entity search for a Home Care Agency Jump to my Training Entity s e Jump to my Agency s From the Training Entity General Information page click the Admin Personnel tab Cece Hii Paya Teeny Zone Pro Er Few sty Cua Lair Cuti AEgeng Apes Babe Depari lepine af Lens i
27. Print Certificates Course Start Date End Date baler Language ERST ye H 0301 1900 1001 2010 HHA English 800 North Pearl Street Albany NY 12204 Z Test LHCSA Training Program Test Regen 03 044900 10 01 2010 PCA English 600 North Pearl Street Albany NY 12204 Home Care Registry User Manual 3 0 51 4 Click Edit next to the class you want to close Training Classes Programs Certification Recertification Print Certificates Program General Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency De Z Test LHCSA Trammg Entity Z Test LHCSA Training Program License HHA English aa EM HH MM AMPHI Methodology Registered Nurse Created By Action Roster 06 01 2010 09 00 AM Core Training Irma Si Instructor jinoa 5 05 17 2010 09 15 AM Core Training Irma Si Instructor cxt2 Show 05 13 2010 08 00 AM Competency Evaluation Irma Si Instructor gti 05 10 2010 10 00 AM Core Training Irma Si Instructor cxf 05 05 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor cxH2 04 18 2010 10 00 AM Competency Evaluation Irma Si Instructor Ixf11 04 10 2010 09 00 AM Competency Evaluation Irma Si Instructor ber Show 03 30 2010 10 00 AM Competency Evaluation Irma Si Instructor cxfl2 Sh 03 20 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor Ixf11 Edit Sh 5 Click the button Close Class Edit Training Class Programs Certification Program General Progra
28. SED approved training program it will also include the number of training program hours Position for which the recipient is qualified personal care aide or home health aide Date the aide successfully completed the training program Name and address of the training program responsible for issuing the certificate Signature and license number of the Nurse Instructor or Supervising Nurse and Signature of the Director Coordinator or Official Agency Designee Certification Form This is the statutorily required written sworn statement printed from the HCR that lists at any given time the names of aides who have successfully completed training and the type of training program PCATP or HHATP that they completed It also includes home address date of birth and the date of successful completion This Certification Form must be signed by a Senior Official and notarized within 10 business days of the day on which the aide successfully completed the training program Certified An aide is considered certified when the Senior Official has signed and notarized the Certification Form attesting to the aide s identity and his her successful completion of the training program Director Coordinator The PCATP Director Coordinator has oversight responsibility for the Personal Care Aide Training Program and ensures that the personal care aide has successfully completed all training requirements The PCATP Director Coordinator must be a r
29. Select gt Save 1 Jump to my Training Entity s New York State D Home Care Registry Home Page ContactOLTC FAQs Rules amp Regulations Help Training Entities Registrants Agencies Welcome To The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Employers in New York State Please be mindful that while we believe this information is up to date the registry iS an active registry and changes can occur at any given time Use These Quick Links To Get Started Search for a Registrant Search for a Training Entity mpm Search for a Home Care Agency Jump to my Training Entity s 2009 NYS Department of Health Home Care Registry Jump to my Agency s 2 Click Programs Training Entity General Information General Programs 4 Certification ReCertification Print Certificates Z Test LHCSA Training Entity Address 600 North Pearl Street Type Home Health Agency Albany Ny 12204 County Albany Approving State Department Department of Health Phone PPP rrr rr Associated Agency License Number 88887888 Home Care Registry User Manual 3 0 36 Click Show Training Entity Programs Programs ReCertification Print Certificates Z Test LHCSA Training Entity Location Course StartDate End Date rd Language Ciosses THE F Z Test LHCSA Training Program 03017900 10 01 2010 HHA English 800 North Pearl
30. Street Albany NY 12204 Test LHCSA Training Program Test Regen 030171900 10 01 2010 PCA English 800 North Pearl Street Albany NY 12204 Click the Edit button next to the class needing the methodology change Training Classes General Programs Certification ReCertification Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA English Show Class Start MM DD YYYY HH MM AMPA Methodology Registered Nurse Select One we Created By Action Roster 01 01 2100 08 00 AM Personal Care Aide Upgrade Irma Si Instructor ajco4 07 01 2010 09 00 PM Competency Evaluation Irma Si Instructor cxt12 j 06 01 2010 09 00 AM Core Training Irma Si Instructor jn04 Show 05 10 2010 09 00 AM Competency Evaluation Irma Si Instructor cxf12 05 05 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor cxfl2 x Home Care Registry User Manual 3 0 37 Select the methodology from the drop down menu and click Save Training Classes General Cartification Z Test LHCSA Traming Entity Z Test LHCSA Traming Program HHA English ReCertification Print Covtrlicates Suberniing Mursa Huse Instructos Director Coordinator Official Agency De License Class Start 0410 2010 08 00 DD Au MUUDD Cr da VIAE ALERA Methodology Core training lige Registered Nurse ima 5t ingdrector 6 The training class has been updated Now all stud
31. Ww Employment a v Status AL Hide Advanced Search Training Entity Home Care Services Agency A amp A STAFFING HEALTH CARE SERVICES p 1ST CHOICE HOME CARE SERVICES INC l A amp A Staffing previously Staff Builders p s A amp A STAFFING HEALTH CARE SERVICES s DU Se NN A amp B HEALTH CARE SERVICES INC AATHEALTHCARELIC Sa o A amp D PERSONNEL SERVICES INC A amp T HEALTHCARE LLC A amp E HOME CARE INC A ROUND THE CLOCK TEMPORARY SERVICES INC A B J HOME CARE INC A amp T HEALTHCARE LLC A amp T HEALTH CARE INC AST HEALTHCARE LLC a A4 amp T HEALTHCARE LLC AAA SERVICE PROGRAMS INC ae A amp T HEALTHCARE LLC Iw Cen mm Select the correct individual from the list and then click View Selected Result s el Home Care Registry ome Pepe Contec LT rite Suim mepemocra O Trmzrurz Feritisu Hegis train Acne ie Registrant Search Results SEARCH CRITERIA kar AY REST PREF EE CED pe sut Ts TOOLBOX Cr Deis SC epy 50 C Dump 105 7 Dany C Chacket Guy CO Stare Adi ew A aegros Crete C gna aves 9 Darm hen Ad rmes Femi Search Renta 10 Septimanie Foe iepa al eye et u Bequiry i Hae Pppreven z Efnpierg mera I1 TIME lcd cua hia P arrudi i om r1 irit Deane Jine Hga ig li mI Tee anos je de h EI Geert ie bau Paria L a Denrtsur Mara Thet Fimta r1 Covey Baa news 1 pom H T fi a Goi oer prom C OenzxI biia erri Fi
32. YYYY KMMODDYYYY MMI DD YYYY Test LHCSA Training Program 04701 72011 HHA English Add 800 North Pearl Street Nw Albany N 12204 Z Test LHCSA Training Program WA PA English a n North Pearl Street Albany NY 12204 Save Cancel 6 The admin personnel updated successfully Edit Admin Personnel EE TET E a Piat Certifacates mom e xc mac es M m oHm mm mn aoc m mac m css eee mac a onum ee E NIOUN MUR R OL s sa Br a CAR UO MAC MAC MNA SON aen s Admin Personnel updated Successfully Home Care Registry User Manual 3 0 84 Additional Notes on Adding a Senior Official or Official Agency Designee Please note that when adding a Senior Official or Official Agency Designee the name being added can be edited before saving search Training Entity Personnel Certification ReCertification Print Certificates Admin Personnel Z Test LHCSA Training Entity Available Personnel License Make changes to the name enter the start date amp click Save Edit Admin Personnel Certification ReCertification Print Certificates Admin Personnel Z Test LHCSA Training Entity License First Name Middle Name Last Name Location End Date id Fu IDO MNIDD M MIDDI MM DDPPYTYY Test LHCSA Training Program 01 01 2009 07 01 2009 06 30 2010 HHA English 800 North Pearl Street Albany Nv 12204 Test LHCSA Training Program 01 01 2009 07 01 2009 PCA Engli
33. Z Test LHCSA Training Entity See e ARE Print Training Entity Profile First Name Chris Print training y Pro Return to Personnel Search Middle Name Remove Admin Personnel Last Name Certifier Location Start Date End Date Start Date End Date MM DDIYYYY MM DDIYYYY MM DD YYYY MM DDIYYYY Z Test LHCSA Training Program 01 01 2009 E Selected Training Entities HHA English dd 800 North Pearl Street Z Test LHCSA Training Entity PREVIOU Albany NY 12204 Z Test LHCSA Training Entity Albany Z Test LHCSA Training Program 01 01 2009 N A Z Test HHA Training Entity Albany PCA English Edit A 800 North Pearl Street Albany NY 12204 lt liil FA Home Care Registry User Manual 3 0 91 This will bring you to the Remove Admin Personnel page Click the check box next to the Senior Official you would like to remove and then click the Remove button below Remove Admin Personne Certification ReCertification Print Certificates Admin Personne Z Test LHCSA Training Entity License 999995 First Name Chris Middle Hame Last Name Certifier Location Senior Official Official Agency Designee Z Test LHCSA Training Program HHA English 800 North Pearl Street Albany My 12204 Z Test LHCSA Training Program PCA English 800 North Pearl Street Albany Ny 12204 WA Cancel You will get a notice that the role was removed Home Care Registry User Manual
34. from the drop down menu enter the name on the certificate and then enter any other certificates and the names on them M Important Reminder For LHCSAs only Process for inputting aides whose employment spans the course of two license numbers When you are adding an aide under your current license number but that license number differs from your previous license number enter the Hire Date and then use the close date of the previous license number as the Separation Date Use the current license open date as the next Hire Date for that employee This will reflect continuous employment with the same agency through license number changes gt The training program am looking for is not in the drop down list what should do Call the HCR Help Desk at 1 877 877 1827 or email HCReg health state ny us Home Care Registry User Manual 3 0 101 Enter a Home Health Aide with an Unlisted Training Program Jump to my Agency s gt Aides gt Add gt No Match gt Retrieve Training Programs gt Unlisted HHA Training Program gt Save gt User Agreement gt Save V Important Reminders for Entering a Home Health Aide with an Unlisted Training Program The following are the criteria for using this Unlisted HHA Training Program option 1 If the aide already exists in the Registry there shall be no Home Health Aide Training of any type recorded for that aide regardless of the status or currency of the training
35. on Name Change from the Tool Bar on the right This option is not for data entry errors but for updating any changed information Pama Test Registry Number 167207 Te Rare Broadway Appraved fue Employenaart Liar wen Miri lecum aant Prabir Adae My MY s Sach Gepentrare Tk Bart hae fate Approsedm hor mpiga See E al cere Crerechos feeder ramas Deter gp ot Abuse Eal Uaghertorather Misconduct fe eae qt Bei Ses ei 4 Enter the new name and click Save Registrant Change Name General Employment Employability Determinations Matching Patricia Test Registry Number 167207 Son SS sa New Prefix New First Name New Middle Name NND a p A DLL l Save Cancel Other Known Names Action Marie Patricia Test Also known as aka Add Other Known Name Suffix Action Unknown Home Care Registry User Manual 3 0 116 15 In order to remove an alias click on remove under Other Known Names Registrant Change Name General Training Employment Employability Determinations Matching Patricia Test Registry Number 167207 oo a SSS ees New Prefix i New First Name a New Middle Name New Last Name Test New Suffix Save Cance Other Known Names Acton Marie Patricia Test Also known az aka we Remove Lag Add Other Known Name Action i In order to add an alias ente
36. s Maiden Name da 3 gt Employment refers only to City of Birth z employment in a New York State home Question 3 Care agency Employment Information Hire Date 07 06 2009 ABC Certified Home Health Agency Separation Date Save Cancel 1 Enter the Certificate Date click Retrieve Training Programs and then select the appropriate program from the drop down list Don t forget to include the name on the certificate 2 Enter the demographic information 3 Enter either the last four 4 digits of the social security number SSN OR fill in the answers to all three questions Please note that providing the last four digits of the social security number is optional and cannot be required 4 Enter previous employment Hire Date and Separation Date click Retrieve Agencies Select the appropriate agency from the drop down list and then Save Repeat for each employment agency Home Care Registry User Manual 3 0 100 Agency Add Aide General Training Entity Add Aide Test LHCSA License 88887888 Se E a IE Certificate Information Certificate A Date o Program A amp A STAFFING HEALTH CARE SERVICES A AND A STAFFING HEALTH CARE SERVICES HHA Unknown b d Middle Name M Important Reminder Hames Last Name First Name Certificate Date Retrieve Training Prope Mx After you choose the appropriate agency
37. the class where the program needs to be changed Training Classes Programs Certification ReCertification Print Certificates Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency De Z Test Post Secondary Education School Z Test Post Secondary Training Program II License HHA English Class Start ee a i a ten MM DDIYYYY HH MM AM PM Methodology Registered Nurse Created By Action Roster Select One Ww Select One hull 07 29 2010 08 30 AM Personal Care Aide Upgrade ALLISON 5 RYAN jin 4 mm Edit 074 2010 08 00 AM Personal Care Aide Upgrade ALLISON S RYAN jin 4 05 25 2010 07 00 PM Personal Care Aide Upgrade ALLISON S RYAN jino4 Edit Home Care Registry User Manual 3 0 49 4 On the Edit Training Class page click the drop down arrow and select a different training program location Then click Save Edit Training Class Programs Certification ReCertification Print Certificates Admin Personnel Program Classes Supervising Nurse i r ina Official Agency De Z Test Post Secondary Education School Z Test Post Secondary Training Program II HHA English License Training Program ary Training Pro HHA English 03 01 1900 Class Start 07 28 2010 08 30 AM MMOD YY yY HH AMSPM Methodology Personal Care Aide Upgrade Registered Nurse ALLISON S RYAN vt End Date i Save Cancel Close Class Test Post Secondary
38. whats the risk TER amp Ww 10 c il Find NEW YORK STATE DEPARTMENT OF HEALTH Ss Office of Long Term Care Home Care Registry Certification Form Training Entity Z Test LHCSA Training Entity 800 North Pearl Street Albany NY 12204 Certifying Official Chris Mi Certifier By executing this document hereby certify that am a senior official of the above named training entity as defined in 10 NYCRR 8403 2 The persons listed below have successfully completed the identified training program The true identity of each of the persons listed below has been verified by this training entity as required by Public Health Law 3613 and 10 NYCRR 8403 4 and will promptly notify the New York State Department of Health in the event that any of the statements made in this Certification are no longer accurate Training Program Z Test LHCSA Training Program Test Regen 800 North Pearl Street Albany NY 12204 Name of Person Successful Completing Completion Training Training Person s Address D Type of Training Training Methodology Language 123 Anytown Street Personal Care Aja Lownes Anytown NY 12345 07 01 1982 11 15 2009 Aide Basic Training English 123 Anytown Avenue Personal Care Ana Winans Anywhere NY 12345 2 01 1971 11 20 2009 Aide Basic Training English Home Care Registry User Manual 3 0 35 Change the Methodology of a Class Jump to my Training Entity s gt Programs gt Show gt Edit gt
39. z010 10 05 AM i Carol Mi Cage 8 select the Senior Official verify the successful completion date and print the certification sheet Maik Entity ReCertifi RH Queue Z Test LHCSA Training Entity 05 13 2010 12 58 PM ReCertification Print Certificates Cyrus Mi Crawford er ey Cyrus MMi Crawford fs Successful ae Completion Class Start Approved Date MM DD rYTY George Harmon HH Competeqgrcv Evaluation 0448 2010 05 13 2010 05 13 2010 Training Methodolo f Print Certification Sheet Home Care Registry User Manual 3 0 39 9 Click Download Certification Download Certification Gener al Corti fica thon ReCertifice bon Print Certificates Z Test LHCSA Trammg Entity Piesse cick ihe Oownloed Certification button io dewrload the generated Certificaton Sheet A fier ddiahiiading the Certhestion sheet yas tma ink Retum to Lernificati n svallabss mn th tool bar to retum To th Traimng Class Certification Queue Click Open Trang ntibesn Download Certification e NEENEEENNE Z Test LHCSA Training Entity lile lipana Oo pou mai En open es Laws thee die x Mare Certification quf ee En lie Ajte Madii HEE Ea Porabi CONCER A Bn Ip Bai Ep geseriaz Lesa Suet hase pout computer Ul you ce not Ware thee eune do nor open oi barem Brat He yw hd p he nic gt Don t forget The Certificates must also be re printed Home Care Registry User
40. 0 09 00 AM Core Training Irma Si Instructor met 5 Edit E 057 2010 08 15 AM Core Training Irma Si Instructor cxf12 05 13 2010 08 00 AM Competency Evaluation Irma Si Instructor gtj01 05 10 2010 10 00 AM Core Training Irma Si Instructor cxfl2 05 05 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor cxfl2 04 10 2010 09 00 AM Competency Evaluation Irma Si Instructor Ixf11 Home Care Registry User Manual 3 0 9 Click the button Uncertify Training Class Roster Programs Certification ReCertification Print Certificates Program General Class Roster Supervising Nurse Nurse Instructor Senior Official Director Coordinat Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA Competency Evaluation English 04 18 2010 09 00 AM Registry Name DOB status Certificate Number Last First MMI DD YY YY i Printed o e m 3802 George Harmon Action 05 06 1960 Certified 05 13 2010 6 Now retrieve the original Certification Form and verify the date l Click the tab Certification Training Entities Registrants Agencies Reports Certification teCertificati Print Certificates 8 Click the link Reprint Certification Form from the Tool Bar on the right Training Class Certification Queue Certification ReCertification Print Certificates Z Test LHCSA Training Entity Z Test LHCSA Training Program HHA English Senior Official Select One vi
41. 33 Click Show Training Entity Programs Certification ReCertification Print Certificates Course Start Date End Date eae Lanquage oe bat greene J Tr 03 01 1900 10 01 2010 HHA English 03 014900 10 01 2010 PCA English 600 North Pearl Street Albany Ny 12204 Home Care Registry User Manual 3 0 56 Click Show across from the class which contains the approved student needing to be un approved Training Classes Programs Certification ReCertification Print Certificates Program General Program Classes Supervising Nurse Director Coordinator Official Agency Des Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA English Class Start mec m Ml MM DDIYYYY HH MM AM PM Methodology Registered Nurse Created By Action Roster 06 01 2010 09 00 AM Core Training Irma Si Instructor met0S a 05 16 2010 10 15 AM Core Training Irma Si Instructor jxs38 E 05 13 2010 08 00 AM Competency Evaluation Irma Si Instructor gti04 a 05 10 2010 10 00 AM Core Training Irma Si Instructor exfl2 05 05 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor cxf12 04 18 2010 10 00 AM Competency Evaluation Irma Si Instructor 04 10 2010 09 00 AM Competency Evaluation Irma Si Instructor med 04 01 2010 09 00 AM Core Training Irma Si Instructor cn T 03 30 2010 10 00 AM Competency Evaluation Irma Si Instructor cxt12 5 Click Edit across from the student s name Training Class Roster
42. 88 i Name Gender DOB Hire Date Separation Date Print Agency Profile Last First MM DD YYYY MM DD YYYY MM DDIYYYY et es NEM 3414 Peter Jamie Anka Male 09 09 1980 03 01 2010 v Z Test LHCSA Albany Z Test HHA Albany 3241 Betty Baker Female 11 11 1967 12 09 2004 2922 Edward A Black Male 04 18 1965 2921 Stephen Jamie Black Male 04 18 1965 2008 Edna J Bleary Female 11 25 1951 12 12 2008 3181 Bonnie Blue Female 02 27 1970 01 01 2009 4 The aide is no longer showing on the list of active aides To view inactive aides select Inactive Aides from the status drop down menu and click Show Agency Aide Information Z Test LHCSA ai License 88887888 Inactive Aides W G Gender DOB Hire Date Separation Date Humber First MM DD YYYY MM DD YYYY MRM DDYYYY 1194 Madina J Abdusattarova Female 071 1982 10 20 2008 01 23 2010 2743 LARRY AGREE Male 10 06 1970 01 01 2008 01 31 2009 3414 Peter Jamie Anka Male 08 05 1980 01 04 2010 02 01 2010 Home Care Registry User Manual 3 0 109 Data Correction for Agencies Jump to My Agency gt Aides gt Aide Name gt Data Correction gt Save 1 Click Jump to my Agency s w New York State Wi we Home Care Registry p Training Entities Registrants Agencies Welcome To The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Employers in New York State is an a
43. County Albany Approving State Department Department of Health Phone TU EEEE Associated Agency License Number 288387888 Home Care Registry User Manual 3 0 20 3 From the Training Programs page click Show next to the program to which a student is to be added Training Entity Programs Programs Certification ReCertification Print Certificates Admin Personnel Z Test LHCSA Training Entity Location Course Start Date End Date aoe Language Classes Fee Z Test LHCSA Training Program 0301 1900 4 10 01 2010 HHA English 600 North Pearl Street Albany Ny 12204 Z Test LHCSA Training Program 03 01 1900 10 01 2010 PCA English 800 North Pearl Street Albany Ny 12204 4 Click Show next to the class to which a student is to be added Training Classes Programs Certification ReCertification Print Certificates Admin Personnel Program General Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency De Z Test LHCSA Training Entity Z Test LHCSA Training Program License Registered Nurse Created By Action Roster Select One ol Select One wt 07 02 2010 09 30 AM Core Training Irma Mi Instructor 09 25 2009 09 00 AM Personal Care Aide Upgrade Irma Mi Instructor cxf Edit Home Care Registry User Manual 3 0 21 5 Enter the student last name first name date of birth and click the Add Student button Training Class Roster Programs Certification ReCertific
44. English si Class Start Print Training Entity Profile Print Entity Ciass Listing Print Program Class Listing MM DD YYYY HH MM AM PM Methodology Registered Nurse Created By Roster 01 01 2500 03 00 AM Johnny Approver sxy03 Show gt 12 02 2010 08 10 AM Johnny Approver ajc04 Show Selected Training Entities ECONDARY EDUCATION 12 01 2010 08 00 AM Johnny Instructor ajc04 Show 12 12 2009 08 00 PM Johnny Approver ajc04 Show 11 03 2009 08 00 PM Core Training lil Johnny Instructor ajc04 Show 11 03 2009 08 56 PM Nurse Aide Transition Johnny Approver ajc04 Show 11 03 2009 06 33 PM Core Training Johnny Approver ajc04 Show 11 02 2009 08 30 AM Personal Care Aide Upgrade Johnny Approver ajc04 Show 10 22 2009 10 00 PM Nurse Aide Transition Johnny Approver sxy03 Show 10 10 2009 11 00 PM Personal Care Aide Upgrade Johnny Instructor sxy03 Show 09 11 2009 10 00 AM Core Training Johnny Instructor ajc04 Show 09 11 2009 08 00 AM Personal Care Aide Upgrade Johnny Instructor ajc04 Show MUN lt A lv The Training Class has been added successfully Nei York Sila Home Care Registry hetim Pass Carisa GLIC Fame Tua Ree Hegi Horgau ht act hgencim Pee EE as Enid Pel eit od ficial iprocp Design Z TEST POST SECONDARY EDUCATION SCHOOL Z TEST POST SECONDARY EDUCATION SCHOOL License HHA English Mu Jur wi m ani ir a ce Metheny Geqri
45. Entity mbH search for a Home Care Agency Jump to my Training Entity s a Jump to my Agency s 2 Click the Programs tab Training Entity General EE Print Certificates Address 800 North Pearl Street Type Home Health Agency Albany N Y 12204 County Albany Approving State Department Department of Health Phone FTTyrTT TTTT Associated Agency License Number 3888624606 Home Care Registry User Manual 3 0 63 Click Show across from the appropriate training program Training Entity Programs Programs Certification ReCertification Print Certificates Z Test LHCSA Training Entity Training License Course Start Date End Date Language Classes ib TT Z Test LHCSA Training Program 03 01M4900 10 01 2010 HHA English 800 North Pearl Street Albany Ny 12204 Z Test LHCSA Training Program Test Regen 030171900 10 01 2010 PCA Ans 600 North Pearl Street Albany N 12204 Click Show across from the class containing the student who needs to be uncertified Training Classes Programs ReCertification Print Certificates Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA English Class Start MM DDIYYYY HH MM AMI Methodology Registered Nurse Created By Action Roster 01 01 2100 08 00 AM Personal Care Aide Irma Si Instructor ajco4 07 01 2010 09 00 PM Competency Evaluation Irma Si Instructor cxfl2 it 06 01 201
46. Manual 3 0 40 1L print off the certificates for the students in a class where the methodology has changed access the class roster and click on the first aide s registry number on the left Training Class Roster General Progr anm Retertification Print Certificates Soperviding Harea Nares Instructor Duiector Conardinat Senior Official Z Test LHCSA Traming Entity Z Test LHCSA Trammg Program License 04 18 2010 10 00 AM Doa Statue Certificate L1 ro 4 Printed Deu 1 Bd Certifwed 05 13 2010 B plor afa Egi rr m rmm Tien Regrstry Number 3802 EE E bcr Begby Holis Jo Dath Regains Dx pros aee fate Agpgproemni for Lenploprmeem DUS Sohh Federici biam Cartesii pow w loo iege hixezhe 0r cmm ddiaptenthnt tii 13 Click Print Original and the certificate for this aide will print To access other aides in this class double click on the names in the Selected Registrants tool bar on the right Registrant Training em EM f mpra i mging mbola y i aparen p g George Harmon Registry Number 3802 Cartificanon pow mia Ad E aimee ane Aims Ta arum biiy Elm LERA Terms ribs Covticwe Make Date genig nien FX Fiant Pet bee Abe NY 12564 Pregan ani Te Lec A Taar Progra Hrt Date accu Daioni Barwa Sab Es fuper ape Tarup Crificiat Cyne M Crane ar Home Care Registry User Manual 3 0 41 Update Class St
47. New York State Department of Health Home Care Registry User Manual HCR User Manual version 3 0 Contents 670 9 1 Esiste ne ee nr ene OMNI ca MTM eee a MI 2 HCR User Manual Introduce lOD coocceoeria ta Pitti opo Rari iR ERE ERR AR OHIO EE Eoneh tu Cab 4 Introduction to the New York State Home Care Registry 5 Common Terms and Abbreviations ccccccececeeeeeeeeceeeeeeeeteeeeeseeseeetenees 8 Section 1 Home Care Registry Data Entry eere eee 11 Section 2 Training Entity Procedures eeeeeeeee rennen enne nnn nnns 13 Instructions for HHA and PCA Training Programs 14 Search for a Registrant sessesssssssssseseneenneeeee nennen nnn nnns 15 Add aC Io I MEE D E E 17 Add a Student to a Class ssessesssessessssseeneeennee enne nnns 20 A Drove a Studeni END E OO D 25 Enter the Successful Completion Date for Certification 28 Reprint Certification FORMS ooi deb seta d ape eet ua a eee uela RR ptus 31 Edit Certification FOUN ocscssd eno nae vas eo R EROS MSIE CH o prER UD QUI HO ET r OBS aE 33 Change the Methodology of a Class cccccccccecceeseeteneeeeeteeeteeeteeeeneeeeas 36 Update Class Start Date amp Time eseeseeseeeseeeeeerrenes 42 Update tne Class Instructor
48. RE Ling Hora Diw Deren ey Frier Grp ETU ERI e Sietla Har Liew Cith Hia Ha eei Eri does OSes te Fics Cerne Hire Cae Carthel ie Parthi d pec iT Tie Burm 3 TES PAA Cathe lore Pagi Sperry LEES ram Gila inte me MST LHCSA Lr rre Cim Sere bey DnRETEAE ome Oar ae T RESULTS TOOLBOX View Selected Result s 9 Click View Selected Result s Home Care Registry User Manual 3 0 96 IV Important Reminders for Adding an Aide Always search the HCR to access the aide s information prior to the aide beginning to provide home care services An aide who successfully completed a DOH or SED approved training program in a class that started on or after September 25 2009 may not provide services unless the aide s training and personal information has been posted to the HCR by the training program Add an Aide General Aides No Match Add Aide 1 Click Jump to my Agency qe Home Care Registry Sarr fou ie goin Home Care Registry User Manual 3 0 97 2 Click the Aides tab Wew Work Sige Home Care Registry Ir 1r ar ue I rer b EIE un Z TEST HHA Carted tips Hapi Jerry P Prnt amp aency Erates Bidan iS he Pear Shee CEHA Often Albay lies vari 12204 Delected Agencia le s CEES i 3 Enter Last Name First Name DOB and Hire Date then click Add Pe Wake duc fe Home Care Registry iF lilae Hote Peng eT Fata Bidders ep Treron it
49. Show gt Edit gt Select Training Program gt Save 1 Jump to my Training Entity s Use These Quick Links To Get Started search for a Registrant search for a Training Entity A m m Search for a Home Care Agency Jump to my Training MP Jump to my Agency s m m 2 Click on the Programs tab Training Entity Gereral Information General Programs Certification ReCertification Print Certificates e uet Z Test LHCSA Training Entity Admin Personnel Address 600 North Pearl Street Type Home Health Agency Albany Ny 12204 County Albany Approving State Department Department of Health Phone TTWTI TPTT Associated Agency License Number 688624666 Home Care Registry User Manual 3 0 48 From the Training Entity Programs page click Show Training Entity Programs Programs Certification ReCertification Print Certificates Admin Personnel Z Test Post Secondary Education School Location Course Start Date End Date Training License Language Classes Type Z Test Post Secondary Training Program Il 0301 1900 10 01 2010 HHA uu 800 North Pearl Street Albany Ny 12204 Z Test Post Secondary Training Program 03 01 1900 10 01 2010 HHA English 800 North Pearl Street Albany NY 12204 Z Test Post Secondary Training Program 03 01 4900 10 01 2010 PCA English 600 North Pearl Street Albany Ny 12204 4 From the Training Classes page click Edit next to
50. State T Home Care Registry HomePage ContactOLTC FAQs Rules amp Regulations Help Training Entities Registrants Agencies Reports Home gt Search Registrant Search Registrant Results Registrant Employment Edward A Black Registry Number 2922 Veget Print Registrant Profile E Recistrant E Add Employment Employer Z Test LHCSA Start Date 11 02 2009 Address 800 North Pearl Street End Date 11 18 2009 Selected Registrants Albany NY 12204 SPREE SELF a ena Edward A Black 2922 Employer Z Test LHCSA Start Date 09 30 2009 Address 800 North Peari Street End Date 11 19 2009 Albany NY 12204 Remove Employer A amp A STAFFING HEALTH CARE SERVICES Start Date 03 26 2006 Address 175 MAIN STREET End Date 05 19 2007 WHITE PLAINS NY 10601 lll A amp A STAFFING HEALTH CARE SERVICES 03 03 2003 175 MAIN STREET 04 03 2003 WHITE PLAINS NY 10601 09 NY S Department of Health Home Care Registry System Information ill E If an identical span of dates is chosen for the same employer an error message will appear Registrant Add Employment Information e Duplicate Employment Information entered Please check if the Agency and Hire Dates already exist Edward A Black Registry Number 2922 O RENI Employment sogi Print Registrant Profile Search Registrant Selected Registrants Peter Jamie Anka 3414 Betty Baker 3241 Orly Best 3407 Edwar
51. Training Program Il HHA English 03 01 1900 Select One Test Post Secondary Training Program Il HHA English 03 01 1900 Z Test Post Secondary Training Program HHA English 0301 190 Please note the following conditions A class can only be moved to an open training program f certification forms and certificates exist certificates are automatically regenerated and students must be recertified Additionally the class can only be moved to a training program that Is open Is of the same certification type Has the same instructor Has the same roles assigned Home Care Registry User Manual 3 0 50 Close a Class Jump to my Training Entity gt Programs gt Show gt Edit gt Close Class gt Enter Date gt Save 1 Jump to my Training Entity s Use These Quick Links To Get Started Search for a Registrant Search for a Training Entity Ra m Ea Search for a Home Care Agency Jump to my Training Entity s dd Jump to my Agency s 2 Click the Programs tab Training Entity General Information General Programs Certification ReCertification Print Certificates Z Test LHCSA Training Entity Address 800 North Pearl Street Type Home Health Agency Albany NY 12204 County Albany Approving State Department Department of Health Phone CPPP PR P F PEE Associated Agency License Number 8888578606 3 Click Show Training Entity Programs ReCertification
52. added to the registry over time and may not be complete at the time of your search Instructions Exact O Starts With Gender All hal County All xij Twe HHAorPCA E Search by Registry Number DOH Registry Number Search by Registry Number Home Care Registry User Manual 3 0 134 Step 2 From the search results select the name you want gt Health Care Professionals amp Patient Safety gt Home Care gt New York State To go back please use the Start Over button instead of your browser s back button Search Results Home Care Home Page 2 results for First Name jane Last Name doe Frequently Asked Questions State Approved Training Sort by Registry Number iv Help Desk s Registry Number Name Gender County Approved for Employment 167008 Female Schenectady Yes Tools 167268 Jane Dae Female Albany Unknown B Printable version Notice The Home Care Registry provides limited information about home care workers who have successfully completed a state approved training program in New York State Information contained in the registry may be entered and updated by third parties and the Department of Health does not guarantee the accuracy of third party information provided nor endorse any individual listed herein Individuals listed on the registry may not be currently certified or may be unemployable or the information related to those individuals may be outdated It
53. an D Gera Mae Bang Har li C bnrraer Wate lopech Hai ii Ci Omerawr Wana Terr Ferran i E LlonraEkr Ware Thera Peru Ci Gasraer bang Therf a Fea li Li Dengir berii Thgridhd TemA 5 1254 Gonraez kara Therma Feu C 123465 ee Wi Jose TT Fi Pari Dosrwer Eras Vara Penis Home Care Registry User Manual 3 0 125 From the Registrant General Information page click the Training tab New Wowk Siite Tw Home Care Registry Vigil ccme Home Pape Conna LTG Fada Rues amp Re guasons Hep Tren Entipeas Hegistranis Agencies 5nnrp Zenmimnt Seats SS ee eee ee eS ee Emplog alils by Eg temna oe Mana Theresa Gonzalez Registry Number 123456 pareas O Approved torEmpioymemt Y bany NY 12205 poa fate Approved for Employment 00 14 2008 Gender teu Determinationis of Atuar Heglect or oiher Misconduct hn sdeibsngal krssyun Armas Nie names eund Registrant Training history displays here oy Home Care Registry Hime Pese Gaa LTC 1 F Q Poe sommo H Hp pini a Romie Eras PLS Hoe Mana Theresa Gonzalez Registry Number 125456 Certfication Hes Heath Aine Certificate Banus A l7 Traeumg Entity ITEST POST SECA EDULATION SCHOOL Certiheste f atum Date bees A Search Regen Ahiri E05 Hana Prini Sines Contificate 8 J Albany Mv 12254 amp elected Regratrarts Program fame 2 TEST POST SECONDARY EDOCATIOR SCHOOL Training Mathodc
54. art Date amp Time Jump to my Training Entity gt Programs gt Show gt Edit gt Enter Date gt Save 1 Jump to my Training Entity s Use These Quick Links To Get Started search for a Registrant search for a Training Entity search for a Home Care Agency Jump to my Training Entity s Jump to my Agency s 2 Click the Programs tab Training Entity General Information General Certification ReCertification Print Certificates Z Test LHCSA Training Entity Address 600 North Pearl Street Type Home Health Agency Albany Ny 12204 County Albany Approving State Department Department of Health Phone CPPP PR I II Associated Agency License Number 88887888 Click Show across from the appropriate training program Training Entity Programs Certification ReCertification Print Certificates Training 10 01 2010 HHA Course Start Date End Date 03 011900 Language MIT E Tr English 800 North Pearl Street Albany NY 12204 Z Test LHCSA Training Program Test Regen 0301 1900 10 01 2010 PCA English 600 North Pearl Street Albany Ny 12204 Home Care Registry User Manual 3 0 42 4 Click Edit across from the class which needs the start date or time corrected Training Classes Programs Certification ReCertification Print Certificates Program General Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency De Z Test
55. ated to the registry 7 a Members of the public may access and obtain information in the registry through the department s website except information specified in paragraphs b and d of subdivision three of this section The department shall also provide toll free telephone access for members of the Home Care Registry User Manual 3 0 138 public to access and obtain information from the registry except information specified in paragraphs b and d of subdivision three of this section b A home care services worker may access or obtain any information in the worker s own listing in the registry c A home care services entity may access or obtain any information in the registry relating to any home care services worker the entity engages or is considering engaging to provide home care services d The department shall include security mechanisms in the registry to implement this subdivision and to maintain a record of accessing or obtaining information from the registry by every home care services entity 8 The department shall provide reasonable and appropriate timetables notices and phase in mechanisms for applying various provisions of this section to state approved education and training programs home care services entities persons becoming home care services workers and persons already engaged as home care services workers Persons employed as home care services workers on the effective date of this section shall be registere
56. ates Supervising Nurse Nurse Instructor Director Coordinator Official Agency De License MMIDDYYYY HR MM Anup Methodology Registered Nurse Select One al Select One Ww Created By Action Roster Add Class 04 10 2010 09 00 AM Competency Evaluation Irma Si Instructor Ixf11 Note when closing a class the close date must be greater than or equal to all of the approval and successful completion dates for the students in the class Home Care Registry User Manual 3 0 53 Reopen a Closed Class Jump to my Training Entity gt Programs gt Show gt Closed gt Show gt Reopen 1 Jump to my Training Entity s Use These Quick Links To Get Started Search for a Registrant Search for a Training Entity Ra m E Search for a Home Care Agency Jump to my Training Entity s di Jump to my Agency s 2 Click the Programs tab Training Entity General Information General Certification ReCertification Z Test LHCSA Training Entity Print Certificates Address 800 North Pearl Street Type Home Health Agency Albany NY 12204 County Albany Approving State Department Department of Health Phone aie Associated Agency License Number 638662383 Click Show Training Entity Programs Certification ReCertification Print Certificates Course Start Date End Date Training Type 03 01H800 8 10 01 2010 HHA L License m _ anguage asso English 800 North Pearl Street
57. ation Print Certificates Program General Program Classes Class Roster Supervising Nurse Senior Official Admin Personnel Nurse Instructor Director Coordinat Z Test LHCSA Training Entity Z Test LHCSA Training Program HHA Core Training English License 07 02 2010 09 30 AM Certificate re Last First MMDDryYy tus Printed p TIE 152451 Jahnn Doe Name DOE Add Student 11711197T Certified OF 062010 6 If aide is not found click No Match Matched Aides Jane Doe Registry Number 04 18 1960 County Select No matching aides found No Match Return to Roster Home Care Registry User Manual 3 0 22 T On the Training Programs Student page click Save W Nay Work Sigte TUS Home Care Registry Training Eritibiea Heqiatrants ees Cita HomePage CowactOLTC FAQs Rues amp ReguMbona Hep Training Programs Student Program General Program Claezes Z Test LHCSA Trammg Entity Z Test LHCSA Trainmg Program HHA Core Traming Enghsh Official Agency Dasignaa Demographic Information Regiatry Prefer Street Marne Cy iL aut f D LL Code _ E Gane al Prep am Corti fica tien Print Cmrtitizalau Reports Adrminiatration Admin Parsonsa Nurge instrus teu Cina bae Coordinator License Z 07 02 2010 09 30 AM Prnt Training Entity Profi Prnt Program Class Using
58. ation Queue Canes al Moppe Ca bike bom Pial Castiferatez EE i Z Test LHCSA Trammg Entity Reena sll Print Trini Entity Pro fie Trainin Methodology Class Start Approved NUR Ent Clans Labh Humber S ty ert tale E Euy 3 quo Aen io Rape Cartificatien Foo 3022 Ap Lownes PCA Banc Training TOROS TIERS qieg 3027 Ana Wien PEA Bader Treg TANS Tien s n 1 1202509 elected Training Entities Print Certification Sheet Home Care Registry User Manual 3 0 34 Click the Download Certification button Download Certification Certification ReCertification Print Certificates Z Test LHCSA Trammg Entity Download Certification Please cack the Downed Certificabon buthon to download the generated Certificabon Sh Aner downioadng the Certification sheet use the ink Rehum to Certification avaiable in the tool bar to r tum to the Train 25 Class Certification Queue Click Open or Save Training Entities Registrants Agencies Download CertificEzi dm nn Z Test LHCSA Train Do you want to open or save this file Mame CertificationForm pdF E Type Adobe Acrobat Document Please click the Download Certif From evalcommerce health state ny us After downloading the Certificata Traming While files from the Internet can be useful some fides can potentially ham your computer IF vou do not trust the source do not open or save this file
59. ber t l First Hame DOB MM DDAYYYY City ii Approved for a TI Hide amp dvanced Search Training Entity A amp A STAFFING HEALTH CARE SERVICES s A amp A Staffing previously Staff Builders p s A amp THEALTHCARE LLC reum E AATHEALIHCARELIC ESS A amp T HEALTHCARE LLE A ROUND THE CLOCK TEMPORARY SERVICES INC A amp T HEALTHCARE LLC ART HEALTHCARE LLC AAA SERVICE PROGRAMS INC emm NECEM Middle Name n LastName Gender jal vw Aide Type ll m State alse Zipcode L1 Employment Dir Status e Home Care Services Agency 18T CHOICE HOME CARE SERVICES INC l A amp A STAFFING HEALTH CARE SERVICES s A amp B HEALTH CARE SERVICES INC A amp D PERSONNEL SERVICES INC A amp E HOME CARE INC A amp J HOME CARE INC A amp T HEALTH CARE INC A amp T HEALTHCARE LLC L A T HEALTHCARE LLC iv 3 Select the correct name from the search results and then click View Selected Result s Registrant Search Results t ARCH m TERA mm ram L i PRIFE HE f hs T LT A 2L BOX Registry 2 Certificate i Par Pag S tispury 25 CODapay 34 Coray 106 CO Dapary Ad 7 Mars All hemes Griera Darfur feras Search Adelnen a seu Adimas S Dont Show Adis Fry Sect HEHA IO H espairanss Four diem adi et hele tat Debel Oniy 6 tror Ad Beciniry E hare Gonzales Ene Man Gonzaef Jose W
60. bject to the provisions of this subdivision b Any entity that offers or provides a state approved education or training program shall provide the department the following documentation for every person who successfully completes any program provided by the entity in the form and manner provided by the department i a written sworn statement by the senior official of the entity that offers or provides such program made under penalty of perjury certifying that each person has in fact successfully completed the identified program identifying each such person by name address date of birth and date on which such program was completed and describing the nature of the education or training covered in such program and ii proof that such entity has verified the true identity of each person who has successfully completed the identified program c A home care services worker employed by a home care services entity shall only be required to provide for the registry that information specified in paragraphs a b c d and e of subdivision three of this section and to the best of their knowledge and recollection paragraph f of subdivision three of this section d The registry shall be updated at least monthly Any person or entity required or choosing to provide information to the registry shall promptly submit updated information whenever such information changes 6 No charges shall be imposed on any person or entity for any costs rel
61. blic health law is amended by adding a new section 3613 to read as follows 3613 Home care services workers 1 As used in this section the following terms shall have the following meanings a Home care services entity means a home care services agency or other entity providing home care services subject to this article or exempt under section thirty six hundred nineteen of this article b Home care services worker or worker means any person engaged in or applying to become engaged in providing home health aide services as defined in subdivision four of section three thousand six hundred two of this article or personal care services as defined in subdivision five of section three thousand six hundred two of this article c Home care services worker registry or registry means the home care services worker registry established by this section d State approved education or training program or program means a program that provides education or training for persons to meet any requirement established by the department for providing home health aide services or personal care services which program is approved by the department or the state education department 2 The department shall develop and maintain a home care services worker registry of persons who have successfully completed a state approved education or training program Information in the registry shall be readily accessible on the department s website by the pub
62. ctive registry and changes can occur at any given time Use These Quick Links To Get Started Search for a Registrant search for a Training Entity M2 E2 Search for a Home Care Agency mm Z Test LHCSA Type Licensed Home Care Service Agency Open Date 01 01 1850 Address 00 North Pearl Street Closed Date Albany New York 12204 County Albany Facility ID 4444 Phone 518 473 1809 Home Care Registry User Manual 3 0 110 Click on the Registry Number of the aide whose information needs to be edited Test LHCSA License 88882888 status Gender DOB Hire Date Separation Date Print Agency Profile MM DD YYYY MMIDD YYY Y MMIDDPYTYYY Selected Agencies Male 08 01 4975 08 13 2010 save J Z TesttHeSA AIbany Female 03 25 1961 09 24 2010 Registry Name Last First 167207 Patricia Test Female 035 5980 08 22 2008 166927 Natasha Quality Assurance Tester Female 09 16 1980 087 2010 Click on Data Correction from the Tool Bar on the right Registrant General Information General Employment Employability Determinations Edward Black Registry Number 2922 Address M a Ms Approved for Employment Unknown Print Registrant Profile DOB 04 18 1965 Date Approved for Employment 11 04 2009 3 Bus EXAM Gender Male Determination s of Abuse Selected Registrant pu E ines No elected Registrants Tami Ace 3142 Pe
63. d A Black 2922 Stephen Jamie Black 2921 Bonnie Blue 3578 Separagion Date 04 03 2003 Agency A amp A STAFFING HEALTH CARE SEgilff Es WHITE PLAINS 175 MAIN STREET v Home Care Registry User Manual 3 0 123 View Training History search for a Registrant gt View Selected Results s gt Training 1 Click Search for a Registrant Welcome To The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Employer is an active registry and changes can occur at any given time Use These Quick Links To Get Started search for a Registrant TEntity search for a Home Care Agency To search for a Registrant enter the information you have such as Registry Number DOB Last Name etc and click Search Registrant Search a VN E Danh M Certificate F i Registry Number L Certificate Eni All w DOB D MM DD YYYY Gender All se Aide Type All City State All Zip Code Approved for Employment F Employment ias i Status n bd Home Care Registry User Manual 3 0 124 If you wish to search by the training entity or the home care services entity click Show Advanced Search to bring up those search options Choose the training entity or home care services entity by finding the desired entity in the list and clicking on it Then click the Search button Registrant Search
64. d as soon as practicable but not later than twelve months after such effective date 9 The commissioner shall make rules and regulations reasonably necessary to implement the provisions of this section 3 This act shall take effect one year after it shall have become a law Provided however that the commissioner of health is authorized to promulgate rules and regulations and take any other measures reasonably necessary to implement this act on its effective date on or before such date Home Care Registry User Manual 3 0 139 gt Section 6 Additional Resources Dear Administrator Letter HCBS 09 13 https commerce health state ny us hpn hha dals DAL DHCBS 09 13 Ch 594 pdf FAQ https commerce health state ny us hpn hha training HCR FAQ pdf Public HCR https apps nyhealth gov professionals home care registry HCR on the HCS HPN https commerce health state ny us doh2 applinks hcswr To Locate Advisories and Dear Administrator Letters on the HCS 1 At the top of your page on the HCS click on Documents weapon _ SN Home i C Documents gt gt Applications 1 HCS a Add ta Fav F Print Health Commerce Sytem r5 New York Slate Home Care Registry a Welcome 2 Click on Long Term Care from your list of groups Health Commerce System Documents My Groups t View All Document Groups Getting Started Long Term Care ilie M9 NYSDOH m Home Care Registry User Manual 3 0 141
65. der Male Determination s of Abuse Neglect or other Misconduct No Additional known Names Ma names found J Select the appropriate button Registrant Training General Training Employment Employability Determinations John Doe Registry Number 3406 a ena a ROMPE CUENTE Program Name Z Test LHCSA Training Program Test Regen Training Methodology Alternative Competency Demonstration hae Start Date 1143 2009 State Department DOH Director Coordinator Dennis Coordinator Instructor Irma Instructor Certifier Chris Certifier Certification Date 014 2010 Date Certificate ug Print Original _ Print Duplicate Regenerate Certificate Certification Home Health Aide Certificate Status Training Entity Z Test LHCSA Training Entity Certificate Status Date 0114 2010 Address 600 North Pearl Street Certificate 3214 E Albany NY 12204 Program Name Z Test LHCSA Training Program Training Methodology Core Training Start Date 12 21 2008 State Department DOH Registered Nurse Susan Supervisor Instructor Irma Instructor Certifier Carol Cage Certification Date 01 14 2010 Date Certificate Printed 0114 2010 Print Original Print Duplicate Regenerate Certificate Certification Home Health Aide Certificate Status Inactive x Please note that these buttons will appear only for HCR certificates Home Care Registry User Manual 3 0 1 Print Original Training program certificate printer can print a certi
66. e Agency Procedures General Public Procedures Appendix IV Important reminders look like this Additional Resources Contact Information NOOR WD Section 1 Home Care Registry Data Entry This table provides details on entering information on students and aides Section 2 Training Entity Procedures This section contains step by step instructions for completing tasks commonly performed by training entities in the HCR Important reminders are found in boxes at the beginning of sections Also look for Quick Tip boxes that contain valuable hints and additional information Section 3 Home Care Agency Procedures This section contains step by step instructions for completing tasks commonly performed by home care agencies Section 4 General Public Procedures This section contains information on how the general public can use the HCR Section 5 Appendix The appendix includes the New York State statute that mandates the HCR Section 6 Additional Resources This section contains links to other HCR related information Section 7 Contact Information Here you will find the toll free number and email address to the HCR Customer Service Home Care Registry User Manual 3 0 4 Introduction to the New York State Home Care Registry The Law Chapter 594 of the Laws of 2008 establishes the HCR a web based regisiry of all personal care and home health aides who have successfully completed a personal care or home health aide trai
67. e of Gender Change 09 28 2010 MMOD YYY Ces Gender Date on file is 08 28 2010 New Gender Effective Date must be after Gender Date on file 9 HCR will generate a message indicating that the aide s gender has been updated Registrant General Information General Training Employment Employability Determinatioans Matching Gender Information changed successfully Home Care Registry User Manual 3 0 114 10 In order to update an aide s security information click on Security Change from the Tool Bar on the right gm mm c m A mu Patricia Dest Lith F Zu d E 4 Acie wea me Eusian Appt too Emone Pret hegi Pon fm ikary Hy tee O TepcCh Sept hi Fui in Dnt Aperi Tor rmployrnmermt Gai Ss Date Cor ciue Er Gonder NL UDartermonadionia oT Arr Wsglect or ofver Migonnedgrt Mz rua 11 Enter the new security information and click Save Patricia Test Registry Number 167207 Last 4 digits of SSN Mothers Triaj Maiden Mame City of Birth Mothers First TIERS D Harme m det ian i 12 HCR will generate a message indicating that the aide s security information has been updated Registrant General Information General Training Employment Security Information changed successfully Employability Determinations Matching Home Care Registry User Manual 3 0 115 i In order to update an aide s name click
68. e the Certification Form is executed Print and sign a second set of certificates to keep on file Retain the Certification Form and all original signed certificates as well as documentation that each trainee s identity has been verified Home Care Registry User Manual 3 0 14 Search for a Registrant search for a Registrant gt Search gt View Selected Results 1 From the home page click Search for a Registrant Siw Work Simie ye Home Care Registry Irmnirg Entities Begistranis ESTEE cite a The Home Care Registry P plir cui Sci ejui nn 1 d mpleysrs in Te Welcome To regum 45i Empire Use These Quick Links To Get Started Search for a Registrant o Search far a Training Enmity mam Search for a Home Care Agency Number DOB Last Name etc and click Search Registrant Search Registry Number L Certificate 3 First Name Middle Name DOE MODY YY Gender All w City State Al vi Approved for Employment i Employment ha Ed Status in Home Care Registry User Manual 3 0 2 To search for a Registrant enter the information you have such as Registry Aide Type All Ivi Zip Code 15 If you wish to search by the training entity or the home care services entity click Show Advanced Search to bring up those search options Choose the training entity or home care services entity by finding the desired entity in the list and clicking
69. e two years experience as a registered professional nurse one of which is in the provision of home health care services in an Article 36 or 40 approved agency or its equivalent for out of state home care agencies HHATP Nurse Instructors must be approved by the Regional Office Official Agency Designee Only HHATPs have an Official Agency Designee whose signature appears on all HHATP certificates HHATPs may have more than one Official Agency Designee Senior Official Both HHATPs and PCATPs must designate at least one Senior Official This person must be authorized to execute a legally binding instrument on behalf of the operator of the home care agency or owner of the training entity The Senior Official is required to sign a written sworn statement made under penalty of perjury and notarized certifying that each person listed on the Certification Form has successfully completed the training The Certification Form identifies each aide by name address date of birth and date on which such training was successfully completed It also indicates whether the training was PCA or HHA Training programs are required to keep the signed Certification Forms on file and provide them when requested by the DOH or SED Home Care Registry User Manual 3 0 9 Supervising Nurse The Supervising Nurse is the registered nurse responsible for the supervised practical portion of home health aide training HHATPs may have more than one supervising Nurse The m
70. ed for I Employment Employment an fae Status a J m Show Advanced Search Es e 2009 NYS Department of Health Home Care Registry System Information 2 View Selected Result s Registrant Search Results ACM CTA i at PREP ee Oe Oy ee eee C Checun Oei 9 Serer Al x em Selected Resuma 7 EAUCIULUTPDILT C Shaw dtes 2 Doet Zhu dene Cu o Pept Daasc Rasmus Ej Hepa irani Toe ur Arce uly 4 E a a ea 3 Click Training Registyssemmeral Information Gener Registry Number 3406 SS SSS SSS ee ee ee c 23 Address 1 Main St Approved for Employment Unknown Schenectady NY 12303 DOB 03 26 1960 Date Approved for Employment 01 14 2010 Gender Male Determination s of Abuse Neglect or other Misconduct No Additional known Names jon n doe Unk Home Care Registry User Manual 3 0 3 4 Click Remove to remove a non HCR certificate To add a certificate click Add Certificate to the right Registrant Training Training Employability Determinations John Doe Program Name Registry Number 3406 Alternate Staffing Inc Training Methodology Unknown Start Date State Department DOH E dn dope Search Registrant Director Coordinator B Add Certificate Date Certificate P lohn Doe 3406 Certification Home Health Aide Certificate Status Inactive Training Entity ACCESS NURSING SERVICES INC Certificate Status Da
71. een HHA Personal Care Aide Upgrade 01 01 2100 fryin ryan HHA Personal Care Aide Upgrade 01 0 03 03 2010 ryan ryan m V Enter the successful completion date gt Check the spelling of all names before printing the Certification Form Names on certificates will be spelled the way they are 4 spelled on the Certification Form Click Print Certification Sheet Print Certification Sheet From the Certification page click the Download Certification button Bt Tork ELS Cerne CR Home Care Kegistry am Lua t Ende 0 aiaia enl Downkias Ce rtificat alion Print Cani oc Earn TEST POST SECONDARY EDUCATION SCHOOL Ig Bis ow Peri Temes Ey a ed 1E Caer enii Cerificsbon Phy cia bua Gaiti Carte bar ip Bee IPs pee Cette See Seve Trin Cites Afr Gove res ee Ceri hes ap us Bn eres i Cerca abe amp mea ar jp rein o ma Tignprg Oa Certgheatug Quit Save the file and then Open to verify the name s on the Certification Form and print this form must be signed by the Senior Official and notarized 2 Per Yark Smile cy Home Care Registry Trang Eri Bearin Hems fra Cama FAGs Pues amp emdmneew me Download Certification Print Ce Hifa bea Do pou wani La open on save thii ike Z TEST POST SECONDARY EDUCATION SCHOOL E Mame CerfiicstionForm pal T me Aste frohe Docunam Pener cock Pa oz wan orb Tram n ptem do ew rcge Se patrie Cer
72. egistered professional nurse a social worker or a home economist who has at a minimum a bachelor s degree in an area related to the delivery of human services or education Home Care Registry User Manual 3 0 8 Home Care Registry HCR Chapter 594 of the Laws of 2008 establishes the HCR a gt The following abbreviations appear throughout this User Manual web based registry of all NYSDOH DOH New York State Department of personal care and home Health health aides who have NYSOLTC OLTC New York State Office of successfully completed a Long Term Care personal care aide or home NYSED SED New York State Education health aide training program Department approved by either the New HCR Home Care Registry York State Department of HCS Health Commerce System Health DOH or the New HCSA home care services agency York State Education PCA HHA personal care aide home health aide Department SED PCATP personal care aide training program HHATP home health aide training program Nurse Instructor PCATPs and HHATPs may have more than one Nurse Instructor For PCATPs the Nurse Instructor is the registered nurse who teaches personal care skills She he must be currently licensed and approved by the Home Care Registry program For HHATPs the Nurse Instructor is any registered nurse who teaches a portion of the HHATP curriculum other than the Supervising Nurse The minimum qualifications of an HHATP Nurse Instructor ar
73. ents in the class must be recertified since the methodology has changed Training Classes Programs Certification ReCertification Print Certificates Progr am Ciasses Se he Tee Director Coordinator Official Agency De Training Class updated successfully The saved changes affect the existing Certification Form Please Recertify The Cenificate s have been successfully regenerated for the Training Class Z Test LHCSA Training Entity Z Test LHCSA Training Program HHA English Class Start MMIDDIYYYY Hi MM AMPM Methodology jones beniun License Created By Action Roster Select One 01 01 2100 08 00 AM Personal Care Aide Upgrade Irma Si Instructor ajc 4 07 01 2010 09 00 PM Competency Evaluation Irma Si Instructor cxH2 1 06 01 2010 09 00 AM Core Training Irma Si Instructor jind4 show Sh 05 10 2010 09 00 AM Competency Evaluation Irma Si Instructor CcxT12 Edit 05 05 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor cxH2 5 9 Home Care Registry User Manual 3 0 38 T Click the ReCertification tab and then click ReCertify across from the date the methodology was changed ReCertification Form Queue Cert fication ReCertitication Print Certificates Z Test LHCSA Training Entity Jate Senior Official os Fi 2010 42 58 PN t yrus Sh Hi Craw 4 ford 0542 2010 11 16 AM Carol Mi Cag mee 04 26 2010 10 31 AM D4f22
74. erced ture Created pP Rogier 1 4 MDOT pee uer MeInodosom hri M genda JN eee w Print Trumng Est Prete Seance eg Sane Oak fraerr 8 y LI Y oe fp oum RET cy cU rumes next pul Con Trains Ashii Aopeiymr apt Weta UE Ali acc Lark Ace Ll pa irre hp LT IE dB d PH Munbe dde Traian ihnen aera yes EE Gee Th 96 PM aon Care Ade Lipgrace bsr ingitructor pet Home Care Registry User Manual 3 0 19 Add a Student to a Class Jump to My Training Entity gt General gt Programs gt Show gt Program Classes gt Show gt Class Roster gt Add Student gt No Match gt Student gt Roster 1 From the landing page click Jump to my Training Entity s Mew York State 4 Home Care Registry HomePage Contact OLTE FAQs Rules amp Regulations Help Training Entities Registrants Agencies Welcome To The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Employers in New York State Please be mindful that while we believe this information is up to date the registry is an active registry and changes can occur at any given time Use These Quick Links To Get Started Search for a Registrant Search for a Training Entity Search for a Home Care Agency Jump to my Training Entity s Jump to my Agency s ReCertification Print Certificates Admin Personnel Address 800 North Pearl Street Type Home Health Agency Albany NY 12204
75. ervices UpJohn Health Care Services PCA English 271 Madison Avenue UpJohn Health Care Services UpJohn Health Care Services PCA English 19 Chestnut Street UPJOHN HEALTHCARE SERVICES UPJOHN HEALTHCARE SERVICES HHA English 2024 WEST HENRIETTA ROAD UPJOHN HEALTHCARE SERVICES UPJOHN HEALTHCARE SERVICES HHA English 106 JOHN STREET UPJOHN HEALTHCARE SERVICES UPJOHN HEALTHCARE SERVICES HHA English 271 MADISON AVENUE UPJOHN HEALTHCARE SERVICES UPJOHN HEALTHCARE SERVICES HHA English ONE PENN PLAZA SUITE 168 UPJOHN HEALTHCARE SERVICES UPJOHN HEALTHCARE SERVICES HHA English 23 SOUTH STREET US ETHICARE ERIE US ETHICARE ERIE HHA English 210 FRANKLIN STREET US HOME CARE US HOME CARE HHA English 141 SOUTH CENTRAL AVENUE US Home Care US Home Care PCA English 800 North Broadway US HOME CARE CORPORATION BROOKLYN US HOME CARE CORPORATION BROOKLYN HHA English 50 COURT STREET US HOME CARE CORPORATION OF BRONX INC US HOME CARE CORPORATION OF BRONX INC HHA English 67 METROPOLITAN OVAL US HOME CARE CORPORATION OF MANHATTAN INC US HOME CARE CORPORATION OF MANHATTAN INC HHA English 221 WEST 41ST STREET US HOME CARE CORPORATION OF QUEENS INC US HOME CARE CORPORATION OF QUEENS INC HHA English 1611 17 NORTHERN BOULEVARD US HOME CARE OF WESTCHESTER US HOME CARE OF WESTCHESTER HHA English 1075 CENTRAL PARK AVENUE UTOPIA HOME CARE Utopia Home Care B
76. es Bev i wje Reporim Agency Aide Information E pee Erit ET emp Comm aat ABC Certihed Home Health Agency x 81 Hire Parte Bep aie 59e CHMA TTT pum mnm iun corri Higg Pyece Vat nous gpr ITTE MaaE n car birisi Hmp Lan Lam Acum Gi Home Care Registry User Manual 3 0 98 a Poa Weir k D LINE 2L Home Care Registry ere ala Matched Aides M Important Reminder for Verifying Information Please remember that the HCR does NOT replace the process for verifying identity Additionally if the aide s certificate was not generated by the HCR you must verify that it was issued to the aide by an approved training program gt What about aides who were already employed on September 25 2009 All aides in the employ of an agency on September 25 2009 must be submitted to the HCR even if the aide no longer works for the agency at the time of submission Home Care Registry User Manual 3 0 99 Agency Add Aide ABC Certified Home Health Agency Opcert 1066 Certification Information Certificate Date Retrieve Training Programs Demographic Information i Date of Prefix Street 1 Birth MALDD YYYY First Name Street 2 p Gender Select One Middle Name l City Ethnicity Select One i Last Name State NY Mj Race select One w Print Agency Profile Suffix Security Information ABC ealth Agency 1066 Last 4 digits amada of SSN or Mother
77. ficate marked Original or Corrected Original if one exists Print Duplicate Training program certificate printer can print a certificate that is marked with Duplicate or Corrected Duplicate if one exists Regenerate Certificate Training program certificate printer can use this button to correct certain features of a certificate and then Print Original Regenerate certificate is used for the following e Certificate formatting e Director Coordinator changes e Training Entity Program name and address changes corrections Important This functionality Does NOT enable the training program to change or correct the spelling of the aide s name s available ONLY to the training program that issued the certificate and gt Will eventually be available for only 30 days after the date of successful completion that appears on the certificate Home Care Registry User Manual 3 0 2 Remove or Add a Certificate search for a Registrant gt View Selected gt Registrant General Information gt Training gt Remove Add search for a Registrant using the Registry ID Registrant Search Registry Humber 3406 Certificate EM All v First Hame Middle Hame Last Hame i DOB MMOD Y Y Y Gender Al A Aide Type All v City State Al v zip Code Approw
78. he start date you chose to edit When you are done click the Save button below Edit Admin Personnel Certification ReCertification Print Certificates Admin Personne Z Test LHCSA Training Entity License 999995 First Name Chris Middle Name Last Name Certifier Senior Official Official Agency Designee SSIES Start Date End Date Start Date End Date MDY YY MM DD YYYY MDY MDO YYY Test LHCSA Training Program 01 01 2009 HHA English ILLA Ada 800 North Pearl Street a Albany Ny 12204 Z Test LHCSA Training Program 01 01 2008 WA PCA English Edi Add 800 North Pearl Street car as Albany NY 12204 You will get a notice that the information was updated successfully To add an end date for the Senior Official or Official Agency Designee click the Add button below the appropriate title and under the End Date heading Edit Admin Personnel General Programs Certification ReCertification Print Certificates Z Test LHCSA Training Entity NE ele EUN LOOINQ NZIESUNNSI E LOGS INLGSXINZ4ZL DAXDIIIIXgO ALAE License 999995 First Name Chris Print Training Entity Pro Return to Personnel Search Middie Name Remove Admin Personne Last Name Certifier Location Start Date End Date Start Date End Date MM DD YYYY MM DDIYYYY MM DD YYYY MM DD YYYY
79. icial Agency Designee agaBno3 DOH A 473 08 08 RN Number nist dnb E Specie ches tk Ep dede TE St SED m yt Home Care Registry User Manual 3 0 69 Reprint Certificates search for a Registrant gt View Selected gt General gt Training 1 Click Search for a Registrant Use These Quick Links To Get Started search for a Training Entity search for a Home Care Agency Jump to my Training Entity s mm Jump to my Agency s 2 Enter the certificate holder s search information Tertii Sarina Fr v efeitos Lanvin Last blies d WD Genten aa a Ahdi Typs ad v Wate EF Tip Cose 3 Click View Selected Results s Registrant Search Results Registry Certificate Per Page 9 Display 25 Display 50 Display 100 Display All b First Name Last Name Doe Selection Q Checked Only 9 Show All 3 View All Search Criteria Perform New Search Address O Show Address 9 Don t Show Address Print Search Results One Registrant found Registry Gender Approved for Employment 3406 Doe John 03 26 1960 Male Home Care Registry User Manual 3 0 70 From the Registrant General Information page click the Training tab Employability Determinations Registry Number 3406 i eae Address 1 Main St Approved for Employment Unknown Schenectady Ny 12303 DOB 03 25 1960 Date Approved for Employment 01 14 2010 Gen
80. ick the Aides tab Z Test LHCSA License 88887888 Type Licensed Home Care Service Agency Open Date 01 01 2006 Address 800 North Pearl Street Albany New York 12204 Closed Date County Albany Facility ID Phone 51873 1809 3 Click on the Registry Number of the aide whose information needs to be updated Z Test LHCSA License 8888Z888 Print Agency Profile Status Active Aides Registry Name Gender DOB Hire Date Separation Date Humber Last First MDA YY MRD YY YY MMI DD PTYY 166687 Selected Agencies 08 13 2010 Save Z Test LHCSA Albany Male 08 01H975 167172 167207 Patricia Test 166927 Natasha Quality Assurance Tester Female 03 26 1961 Female 03 5 1980 Female 056 1280 Home Care Registry User Manual 3 0 08 24 2010 08 22 2008 087 2010 112 For address changes see steps 4 6 For Gender changes see steps 7 9 For Security information changes see steps 10 12 For Name changes or Alias updates see steps 13 17 In order to update an aide s address click on Address Change from the Tool Bar on the right This option is not for data entry errors but for updating any changed information Registry Number 167207 Aides ac Ep tee dy Jip tor Linen LARE uii TIU Xx ia Bnet Heenan Denis SO amnesia DO DNE EE Dajt Appts for mpkiermmant 537n9gg12 Gender era Ua borer a ot Ao Heke c
81. ide Upgrade 01 01 2100 03 03 2010 ryan ryan HHA Personal Care Aide Upgrade 01 01 2100 01 26 2010 lt MT iv Z Test LHCSA Training Program Test Regen PCA English Senior Official Select One v Home Care Registry User Manual 3 0 33 3 On the Reprint Certifications page click the Edit button across from the date of Original certification Reprint Certifications General Cestification ReCertification Print Certificates Z Test LHCSA Training Entity Display 25 Display 50 Display 100 Tool Bar isplayi Prev 1 2 3 4 5 6 7 UTILIS z WE F 169 Forms found displaying 1 to 25 First Prev 1 7 Next Last Print Training Entity Profile Return to Certification ill Certification Senior Official Status Successor Form Action Date Date Print Cerna e tm D 05 10 2010 10 34 AM Carol Mi Cage 04 26 2010 01 34 PM Cyrus Mi Crawford 04 22 2010 10 05 AM Carol Mi Cage 04 21 2010 01 54 PM Carol Mi Cage 04 21 2010 11 56 AM Carol Mi Cage Lg Z Test LHCSA Training Entity Albany 04 16 2010 02 17 PM Chris Mi Certifier Regenerated 04 21 2010 11 56 AM E ORR O S 04 16 2010 02 16 PM Chris Mi Certifier Regenerated 04 16 2010 02 17 PM 04 16 2010 02 12 PM Carol Mi Cage Regenerated 04 16 2010 02 16 PM 04 13 2010 04 35 PM Carol Mi Cage Regenerated 04 16 2010 02 12 PM D lt n Ai 4 Make the changes needed and then click Print Certification Sheet Training Entity ReCertific
82. iew all of the training program information that it contains In addition this person can print the DOH created certificates for students who have successfully completed their classes Home Care Agency Employer Roles Home Care Registry Agency Updater An individual designated by a home care services agency to access the HCR and view all agency information that it contains In addition this person will have the ability to add personal certificate and employment information for any aide employed by the agency who is not already listed in the HCR They will also be able to enter employment information for aides already listed in the HCR This person will also have the ability to modify any information on aides that the agency entered into the HCR Home Care Registry Agency Viewer An individual designated by a home care services agency to access the HCR and view all of the agency information that it contains Home Care Registry User Manual 3 0 6 Additional Information Obtaining an HCS Account DOH approved training programs that are not associated with an agency and either do not have or are unsure if they have an HCS account should contact 1 866 529 1890 SED approved training programs that do not have an HCS account should contact the HCR Customer Service at 1 877 877 1827 Sources of Information on Aides Personal care aides home health aides and trainees may submit information to a training program or employer for inclusion i
83. ify Training Class Roster Programs Certification ReCertification Senior Official Director Coordinat Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA Competency Evaluation English 04 18 2010 09 00 AM Registry DOB ere Certificate Action Humber Last First MMI DD Y YY Printed UE D 3002 George Harmon 05 06 1960 Certified 05 13 2010 Home Care Registry User Manual 3 0 61 6 The student now shows a status of enrolled Training Class Roster Programs Certification Senior Official Student Saved successfully lt 4 Z Test LHCSA Training Entity ReCertification Print Certificates Supervising Nurse Nurse Instructor Director Coordinat Test LHCSA Training Program License HHA Competency Evaluation English 04 18 2010 09 00 AM DOB ded Certificate MM DDIYYYY Printed Action George Harmon 05 08 1960 Enrolled gt Don t forget The new certification form must now be reprinted signed and notarized Home Care Registry User Manual 3 0 62 Reprint the Certification Form after Uncertifying a Student Jump to my Training Entity gt Programs gt Show gt Show gt Uncertify gt Certification gt Reprint Certification Form gt Locate Date gt Print Certification gt Open gt Print 1 Jump to my Training Entity s Use These Quick Links To Get Started search for a Registrant search for a Training
84. iggi lenrzawr Hau les Daniar bang Theis Gonraw Ban The i onnar Bana Tie aks Donzawr Bana Ther ER Gonz Dan These Gonzar Lagos Josep Gone Aone Vaca Home Care Registry User Manual 3 0 Apprases Tor Lrrepieer ment 128 4 From the Registrant General Information page click the Employability Determinations tab Registrant General Information General Training Employment Employability Determinations 0 0A A LLIZXXN Ana Maria Gonzalez Registry Number 123463 Tool Bar Address Approved for Employment Y um qum Test7 NY 12845 ad Print Registrant Profile J Search Registrant DOE Date Approved for Employment 08 21 2008 Selected Registrants Gender Female Determination s of Abuse durius cella Neglect or other Misconduct No Ana Maria Gonzalez 123453 Additional known Names Mo names found 9 This page displays employability if known Date of Background Investigation and Determinations if any The initial Employability field is set to unknown and can stay unknown for quite a while iad Yark Siiki Trening Eribiliais Regiairanta Canes al Registry Number 123463 Poni Regatrent ero rie Carm Hmsgmirant Aes ro of Background investigation M LI E 1 P a g i Selected Relat Aie Responses 5 i Determinations Disciummer reganirig Abuse Negiect Misappropriabon Misconduct in a patient care setting Home Ca
85. ily established proceedings subject to the state administrative procedure act or other similar law that the person engaged in physical abuse mistreatment neglect or misappropriation of a patient s property while serving the patient as a home care services worker or in another capacity the name of the governmental agency case number if a number is assigned and date of determination together with any statement concerning such determination submitted by the person that may not identify any other person and may not exceed one hundred fifty words and h A record of any determination of the department regarding the approval or disapproval of a prospective employee pursuant to subdivision five of section eight hundred forty five b of the executive law together with any statement concerning such determination submitted by the person that may not identify any other person and may not exceed one hundred fifty words a b C d e of 4 The registry shall include a comprehensive list of all state approved education or training programs The list shall be updated at least monthly by the department and the state education department The respective departments shall promptly submit updated information whenever such information changes 5 a The department shall specify which information for the registry shall be submitted and updated by the state approved education or training program home care services worker and home care services entity su
86. in the class Home Care Registry User Manual 3 0 44 Update the Class Instructor Jump to my Training Entity gt Programs gt Show gt Edit gt Select Registered Nurse gt Save 1 Jump to my Training Entity s Use These Quick Links To Get Started Search for a Registrant Search for a Training Entity a m Ea Search for a Home Care Agency Jump to my Training Entity s dd Jump to my Agency s K m 2 Click Programs Training Entities Registrants Agencies Reports Administration Home Training ReCertification Print Certificates Address 800 North Pearl Street Type Home Health Agency Albany Ny 12204 County Albany Approving State Department Department of Health Phone Frr rT rTTT Associated Agency License Number 888872588 Home Care Registry User Manual 3 0 45 From the Training Entity Programs page click Show Training Entity Programs Programs Certification ReCertification Print Certificates Admin Personnel Z Test LHCSA Training Entity Training License Course Start Date End Date Um Language Classes pe ba 7 Test LHCSA Training Program 03 014900 10 01 2010 HHA English 800 North Pearl Street Albany My 12204 Z Test LHCSA Training Program 03 01M900 8 10 01 2010 PCA English 800 North Pearl Street Albany Ny 12204 4 On the Training Classes page click Edit next to the class where the instructor needs to be changed Training Classes Program
87. inimum qualifications of a Supervising Nurse are 2 years experience as a registered professional nurse of which one year is in the provision of home health care services in an Article 36 or 40 approved agency or its equivalent for out of state home care agencies Supervising Nurses must be approved by the Regional Office Home Care Registry User Manual 3 0 10 section 1 Home Care Registry Data Entry What Data Must Be Entered By When By Whom 1 Trained in a class starting on or after 9 25 09 and not listed in HCR 2 Trained in aclass Starting on or after 9 25 09 and not listed in HCR 3 Trained in a class starting on or after 9 25 09 and listed in HCR 4 Trained in aclass that started before 9 25 09 employed on 9 25 09 and not listed in the HCR 5 Trained in a class that started before 9 25 09 not employed on 9 25 09 and not listed in the HCR 6 Trained in a class that started before 9 25 09 not employed on 9 25 09 and listed in the HCR Class information trainee s name and date of birth Rest of personal information on aide other than name and date of birth Only employment information Aides in this group are already listed in the HCR f the aide is not listed in the HCR the training program must be told to enter the aide s personal and training information The employer cannot do it Personal training and employment information Personal training and employment inf
88. ining Classes Laut i last Baas ame i ed ts Ce i um dixi tw eee Hiaml Agi 0 pH Z Test LHCSA Trammg Ents Z Test LHCSA Tramung Program License 8 HHA English Rete 0o BT T Bl IMRAY YY p EAA Ala 1T SII L1 0 TES SPE el urbe Lies Sy ACM Boe let ert Dar n mci Dna w end Cuna guzrciz6 ig au Pera mew iae nate rm 5 arc ichi prn 20D DpH P Drrgearawy Esaki mma d eatur marly mus L20 0 0 0H An Core rana rra Ta og gs pus rDD Op ad Dens Thre pem mpm rur eeu dt bir EO Add tomer E wvalunmes LL BR ST zu Esa fri CSS 19 D AN Core Tren am Le eamuci raft Es te etuced3010 T6 00 AM Ferner Care Aste tirada ima Lee cette te Home Care Registry User Manual 3 0 Un approve a Student Jump to my Training Entity gt Programs gt Show gt Show gt Edit gt Save 1 Jump to my Training Entity s Use These Quick Links To Get Started search for a Registrant search for a Training Entity Ra m Ea search for a Home Care Agency Jump to my Training Entity s 4 Jump to my Agency s K m 2 Click the Programs tab Training Entity General Information General Programs Certification ReCertification Z Test LHCSA Training Entity Print Certificates Address 800 North Pearl Street Type Home Health Agency Albany Ny 12204 County Albany Approving State Department Department of Health Phone Pre yr irr rr Associated Agency License Number 636828
89. ion oe Rent Regenant Profe Ernie meist Spr Dare Search Desa acs BDE TY Erlectrd BRegisiraris l Enter the employment separation date Select the appropriate agency from the drop down box and click Save Repeat as needed Registrant Add d Information x Rel EE Taing Fp elit Ueterminations Melissa Smith Regstry Number 3161 Ls Employment Information Pond ngwiraer Prati A anha Beati Ereployment iar Date erum apa atis Dura Leichen Begiatranta Agency AE ASTAFFhGHEALTH CARE SERVES MATE PLAECS TTE MAIN STREET Home Care Registry User Manual 3 0 120 Remove Employer Jump to my Agency s gt Aides gt Aide s name gt Employment gt Remove Use A I 1 Click Jump to my Agency s These Quick Links To Get Started search for a Registrant search for a Training Entity search for a Home Care Agency Jump to my Training Entity s Jump to my Agency s we 2 Click on the Aides tab Z Test LHCSA Type Address County Facility ID Phone Status 187172 167207 166927 Home Care Registry User Manual 3 0 License 88887888 Licensed Home Care Service Agency Open Date 01 01 2006 800 North Pearl Street Albany New York 12204 Closed Date Albany 518 473 1808 3 Click on the Registry Number of the aide Z Test LHCSA LActve Aides v License 8888Z888 Tool Bar
90. is the responsibility of thase accessing the registry to verify the credentials employability and competency of any individual listed in the registry Information on home care workers is being added to the registry over time and may not be complete at the time of your search Step 3 Click on the name and then the aide s information will be displayed Information is available on employability determination the type of training program certification status convictions and findings Click on the tabs for further information To print the entire profile click on Printable version located in the Tools menu on the right 7 z To go back please use the Return to Results button s or the Start Over button instead of your browser s back button Learn More Personal Jane Doe CHEECHE aa ae Registry Number 167008 Approved for Employment Yes Frequently Asked Questions nfo rn latio n Gender Female As of 09 24 2010 State Approved Training County Schenectady Reason Help Desk Aide Response Convictions and Findings Sts 4 rker has received and the date of those certifications The Department of 35 no information for agffiorker after the status date listed in this section Certifications raining Program Certification Date Status O Status Date i i Z Test LHCSA Training Entity September 2 2010 Active September 3 2010 EI iployt lent 4 800 North Pearl Street Albany NY 12204 777 777 7777 The Home Care Reg
91. istry provides limited information about home care workers who have successfully completed a state approved a a FI nd n S training program in New York State Information contained in the registry may be entered and updated by third parties and the Department of Health does not guarantee the accuracy of third party information provided nor endorse any individual listed herein Individuals listed on the registry may not be currently certified or may be unemployable or the information related to those individuals may be outdated It is the responsibility of those accessing the registry to verify the credentials employability and competency of any individual listed in the registry Information on home care workers is being added to the registry over time and may not be complete at the time of your search Home Care Registry User Manual 3 0 135 Section 5 APPENDIX New York Certified Aide Registry and Employment Search Act THE LAWS OF STATE OF NEW YORK 2008 CHAPTER 594 AN ACT to amend the public health law in relation to home care services worker training and registration became a law September 25 2008 with the approval of the Governor Passed by a majority vote three fifths being present The People of the State of New York represented in Senate and Assembly do enact as follows Section 1 Short title This act shall be known and may be cited as the New York certified aide registry and employment search act 2 The pu
92. lic home care services workers and home care services entities subject to subdivision seven of this section A home care services entity shall obtain information relating to a home care services worker pursuant to paragraph c of subdivision seven of this section prior to the worker beginning to provide home care services for that entity except that a home care services worker employed by any entity prior to the effective date of this section may provide home care services as provided in subdivision eight of this section No employer of a home care services worker other than a home care services entity shall be required to obtain information from the registry 3 The registry shall include but not be limited to the following information concerning each person who has successfully completed a state approved education or training program that is listed in the registry Home Care Registry User Manual 3 0 137 Full name including pre marital name and any other names currently or previously used Current home address Gender Date of birth Name of each state approved education or training program successfully completed the name the entity providing the program and the date on which the program was completed f History of work in home care services through any home care services entity including dates of employment and name of entity providing the employment g Final findings made in accordance with the provisions of statutor
93. ly 9 Show All Selection Address Show Address Don t Show Address gt Clicking Show Address helps to differentiate agencies with multiple branches 4 Check v the agency you want i cu Fork DbiE Home Care Registry rere Eribtes rem E ISP le ETTTITIDM SPL AY i UAT PREPAY RTIA AF SULTS TEH Bx hama i Ciar 28 Cte 9 ODagwy 108 I Dee Al Fait hit C tteches Dey C Gear Ad view breed Heaumal umi dE ear Creer T Pre Beeta Bnet CT Giga Agi C Exe Dew Acree Laf Ci ANS WA CREE W Pa CHAAN Lite Poo are A Aganry omg On UTOVU C IG uu CARE AHIT SSR A WEH Lees Hur Care erga ariy iad 3 MIL HORF DARE RDENCI BERSOQOEHATA Lite He Care rre e elie i Fin see ey UFe OO CARE ALENI FOREST MLLI Lined resp Care Service deni fp r1 UL LTE sou CARP AIG Lac ed Gee ae Serie Jerem Lite Tis dines Dia B i uoR iH CAMPUS amp DULT HOUE ne eT Limes Hure Larw gre Agen ou dps JUEINE C MOBE TATION FIA TECATE HEALTH AEERVXCES HE HHA Linstead fae Dare Sere Agee Lis TI od Cie UGEET 1 UT mosse Care Agancy CLE Lice ome Cars Serene doe Late T m a ai C BY FR PCS HICA See ACHI ATT CIUS BIL MAA Ler es jop LEE marya ec Ame Osan per ee 3 apormveag Bu gm vw SERO CITZTN he dC HABRA Lach Har an Seco eric haus ni ITEL OA 3 BOD See EEMOH Ee HRS G RRA Lian Hite Care Servier Ameis noc Chi et a 3 ET ELREABE TM BOUE LARE Liceerppd H ma Care SHa amp gentcy it i ia Oa Quarc EF ELIZABE TM HOLL CA
94. m Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency Desi ReCertification Print Certificates Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA English Class Start 04H 8 2010 10 00 AM MM DD rYYY HR MM AM FM Methodology Competency Evaluation Registered Nurse Irma Si Instructor End Date Home Care Registry User Manual 3 0 Enter the end date in the box provided and click Save Close Training Class Programs Certification Program General ReCertification Print Certificates Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency Des Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA English Class Start 04 8 2010 10 00 AM Methodology Competency Evaluation Registered Nurse Irma Si Instructor End Date h m Cancel A message appears indicating the training class has been updated successfully Training Classes General Programs Certification ReCertif Program General Program Classes Supervising Nurse Training Class updated successfully J The class will disappear from the list of open training classes To view closed classes select Closed from the drop down menu and click Show Training Classes Programs Certification Program General Program Classes Z Test LHCSA gen Egit ReCertification Print Certific
95. ms Certification gt Reprint Certification Form gt Print Certification gt Open gt Print From the Training Class Certification Queue page click Reprint Certification Form from the Tool Bar on the right 1 Click Certification 2 Click Reprint Certification Form Training Class Certification Queue Certification Print Certificates Test LHCSA Traming Entity Test LHCSA Training Program HHA English Cenifier Select One wt dh Successful Print Training Entity Profile aes Completion Training Methodology Class Start Approved Date z Temm ETEN ILLE RTT E PCA PCA HHA Competency Evaluation 01 06 2070 01 28 2010 Tom George HHA Core Training 02 21 2010 D2 01 2010 rubel ryan HHA Competency Evaluation 05 01 2010 01 25 2010 ryan ryan HHA Personal Care Aide Upgrade 01 01 2100 01 25 2010 Selected Training Entities Test Bu ez Training Entity Albany Test Post Secondary Education Schoo On the left locate the date of the certification that needs to be reprinted and click Print Certification on the right Reprint Certifications Certification Print Certificates Z Test LHCSA Training Entity Date Certifier 01 28 2010 02 47 PM Carol Mi Cage Print Certification Prnt Training Enfly Profis 01 28 2010 10 14 AM Carol Mi Cage Print Certification 3 Return to Certification 01 28 2010 09 52 AM Carol Mi Cage Print Certification J 01 27 2010 02 55 PM Carol Mi Cage
96. n the HCR Retaining Documentation DOH approved training programs must establish maintain and retain such records to show compliance with HCR requirements for six 6 years after the successful completion of training unless otherwise directed by the DOH 7 years for SED programs Home care agencies must establish maintain and retain such records to show compliance with HCR requirements for six 6 years after the termination of a worker s employment unless otherwise directed by the DOH Policies and Procedures Each training program and each home care agency must have written policies and procedures that set forth how it will ensure compliance with HCR requirements Effective Date The Home Care Registry became effective on September 25 2009 Additional Assistance Call toll free 1 877 877 1827 Or send questions and receive information from HCReg health state ny us Also be sure to consult the HCR Alerts and Dear Administrator Letters DALs that are posted on the HCS Home Care Registry User Manual 3 0 Common Terms and Abbreviations Certificate The certificate printed from the HCR indicates that the aide whose name is printed on the certificate has successfully completed a training program It contains the following information Unique certificate number in the top left corner Aide s name and registry number Title of the training program and whether it is a DOH or SED approved training program If it is an
97. ning program approved by either the New York State Department of Health DOH or the New York State Education Department SED Content The HCR provides identifying information certifications past home care agency employment in New York administrative findings if any of the New York State Department of Health and the Department of Health s determination of employability of each aide as a home care worker The HCR makes this information available to both home care agencies and the general public Information Sources Training programs and home care agencies are the sources for most of the information in the HCR on specific aides The HCR is located on the Health Commerce System HCS Training programs and home care agencies submit the required information on trainees and aides to the HCR through the HCS Therefore in order to use the HCR all home care agencies and SED training programs must have Health Commerce System HCS accounts and HCS Coordinators Updater Roles Only staff assigned to the appropriate role on the HCS may submit the required information on trainees and aides to the HCR Each training program and home care agency must designate at least two such persons to access and enter data in the HCR These persons must be designated on the HCS by the HCS Coordinator The HCS Coordinator must submit the name position and contact information for each person to the New York State Department of Health through the training program s
98. nnel Select Ome s 1 OR License 2 OR First Name Last Name 3 4 After clicking search a long list of names will appear Please note that when searching personnel results are listed in alphabetical order according to last name Once you find who you are looking for click Select next to his name If you do not find the person you are looking for you may click Add New Person at the bottom Available Personnel Beletong o M OR License a OR First Name Aaron Last Name 8 m 573098 AARON JOM MOORE Select a 488802 AARON RICHARD NEWMAN F 601375 AARON FRANCES QUARLES select B25873 AARON ISAAC ROMAIN select 582087 AARON Louis SCARANI select 451404 AARON HOWARD SCHNEIDER 501717 Aaron M Smith B20694 ABBEY M SMITH select 387910 ABBY SUE SMITH 631160 ABIGAIL A SMITH 351822 ADAIR THERESA M SMITH Select 431245 ADASSA SMITH 573802 ADELADE CYNTHIA SMITH Select Cra new Perso Cancel Home Care Registry User Manual 3 0 83 9 On the Edit Admin Personnel page you can correct his name if needed and enter in the appropriate dates for the role you which to assign him in Be sure to click Save at the bottom of the page Edit Admin Personnel Z Test LHCSA Tramuing Entity License 591717 First Hame Middle Hame Last Hame Senior Official Official Agency Designee Start Date End Date Start Date End Date MMDDVYYTY MM DD
99. on it Then click the Search button Registrant Search Registry Number Certificate Certificate T XEEEEEES Status LEN JE First Name Middle Name ii Last Name DOB wioperyyy Gender All Aide Type Al m City State AIL v Zip Code 1 Approved for ae Tous Emptoyment sa Employment All vl Status jar Ea Hide Advanced Search Training Entity Home Care Services Agency A amp A STAFFING HEALTH CARE SERVICES 1ST CHOICE HOME CARE SERVICES INC P A amp A Staffing previously Staff Builders s A amp A STAFFING HEALTH CARE SERVICES e A amp B HEALTH CARE SERVICES INC A amp D PERSONNEL SERVICES INC A amp E HOME CARE INC A ROUND THE CLOCK TEMPORARY SERVICES INC A amp J HOME CARE INC ART HEALTHCARE LLC A amp T HEALTH CARE INC A amp T HEALTHCARE LLC A amp T HEALTHCARE LLC AAA SERVICE PROGRAMS INC iv A amp T HEALTHCARE LLC Click on the top box to remove the checks from all the search results Then click on the check box next to the registrant you wish to view Click on View Selected Result s to bring up the registrant s profile Registrant Search Results SEARCH CRITERIA IPEA RESINE Eee EAE Registry Certificate Per Page Display 25 CO Display 50 CO Display 100 C Display All First Hame Last Name Test Selection d Checked Only C Show All View All Search Criteria 4 Perform New Search Addre
100. or home care agency s HCS account in the form of roles Home Care Registry User Manual 3 0 5 Training Program Roles One individual may be assigned multiple roles Home Care Registry Training Program Updater An individual designated by an organization with a DOH or SED approved personal care or home health aide training program to access the HCR and view all of the training program information that it contains This person can add classes and students to the HCR and can also modify any information on aides that the training program entered into the Registry Home Care Registry Training Program Viewer An individual designated by an organization with a DOH or SED approved personal care or home health aide training program to access the HCR and view all of the training program information that it contains Home Care Registry Certification Form Printer An individual designated by an organization with a DOH or SED approved personal care or home health aide training program to access the HCR and view all of the training program s information that it contains In addition this person can assign a senior Official to a list of students and produce the hard copy Certification Form in a written sworn statement to be signed by the Senior Official Home Care Registry Training Program Certificate Printer An individual designated by an organization with a DOH or SED approved personal care or home health aide training program to access the HCR and v
101. ormation Current employment information Home Care Registry User Manual 3 0 Within ten 10 business days of start of class Day one 1 is first day of class Within ten 10 business days of successful completion of the training program Day one 1 is the day the aide successfully completes the training program Within ten 10 business days of employment Day one 1 is any day between the day that the employer is reasonably sure it is going to hire the aide and the first day that the aide works for pay for the employer By 9 25 10 Prior to providing home care services Within ten 10 business days of employment See Group 3 for definition of day one 1 Only the training program can enter training information for this group of trainees Only the training program can enter training information for this group of aides Employer Employer of record on 9 25 09 First employer on or after 9 26 09 Current employer 11 Section 2 Training Entity Procedures Instructions for HHATPs and PCATPs 14 Search for a Registrant 15 Add a Class 17 Add a Student to a Class 20 Approve a Student 29 Enter the Successful Completion Date for Certification 28 Reprint Certification Forms 31 Edit Certification Form 33 Change the Methodology of a Class 36 Update Class Start Date and Time 42 Update Class Instructor 45 Update the Class Location 48 Close a Class 51 Reopen a Closed Clas
102. proved by and then click Save Sew York State Home Care Registry Same Pepe Cnr art OLTC F s Eakad Papiroa He ramen Cette Hegiatrants Training Programs Student a inal Agency Dagignas Z TEST POST SECONDARY EDUCATION SCHOOL Z TEST POST SECONDARY EDUCATION SCHOOL License 2 HHA Core Trainmg English 00 24 2009 9400 AM HHA PTI ee A Demographic Information Pret Trina Estty Pra fie Dres her oor imas oe mas arti iar a Pref fatty Caan Laing luni anms Prot Frogrars Ciees Laing Pret Caga Dope Prete Street NA mu rti Shannon gi eet i Gandar graj Lag Li Midi m A i ime Cy Emmy Sees Ine M Grsecis Training Entities TARE Code Il County seee nes F Tem wailed ss P9 see remped fc agua Caden Pirai Feits ranec wih T are requires te arm Stuoent Zaproval prionomabos Training Pr Security Information T TEST POST SECONDARY II asi 4 digits of 33H l t bother Atpeden haima and Cin of Bir are isthers Firat c Marne Home Care Registry User Manual 3 0 26 3 The student status now shows Approved Mew York State V riccme Home Care Registry Rome Pace ConclOLTC FAQs Rues amp Reguiers Heb Training Entities Registrants Training Class Roster regiam Cir ti eg tig Print Certificates Programi Claiseni Ulxss Renken Hurting Instructor Deractor Cosedinabo
103. pte Certificate Printed Print Original orrected Certificate Duplicate Regenerate Certificate Don t forget The student must be re certified Click the link Return to Class Roster and then click on the ReCertification tab On this page click the ReCertify button to the right of the date of the original certification ReCertification Form Queue Senior Official 04 1172010 02 52 PH Carel Mi Cage 0310 2010 12 12 PM Carol Mi Cape 03 03722010 12 59 PM Carol Mi Cage nz FF 2n a a ai pud Carc T r yg Chris L Certifier Home Care Registry User Manual 3 0 9 T On the ReCertification page select the senior official verify the successful completion date and click Print Certification Sheet Sea Forh iiite TE Home Care Registry Hem FE i bitin LTE Pia AS Aegis i Tr mera ff rity Training Entity ReCertification Queue Cmm al Pre nma fan tel mc wq uim Test LHCSA Training Entity 04 13 2010 GESE PM Trans rhein Dimna Sait ia Sore Trang OUI Prini Certina het 8 Click Download Certification Download Certification Z Test LHCSA Traming Entity Gamer al Print Certificates Please chek the Download Certification bution to downoad the generated Certificaten Shear Download Certificanon ABar downloading the Certiiestion sheet ise ihe ink Helim to Certiheatien available in the tool bar ip return fo the Training Cla
104. r Official Agency Deines Cartii Student Saved successtully Z TEST POST SECONDARY EDUCATION SCHOOL TEST POST SECONDARY EDUCATION SCHOOL License HHA Core Trammg English 00 24 2009 09 00 AM HHA PTI 5 h d meguiry lumber e STIS i358 Ll Last MMe yy E Prin Training Entity Profe Deherty Shannen 019 1963 un espe T Home Care Registry User Manual 3 0 2 Enter the Successful Completion Date for Certification Certification gt Senior Official gt Successful Completion Date gt Print Certification Sheet To certify to a student s successful completion the Home Care Registry Training Program Updater clicks on Certification Certification The next steps are to select the Senior Official enter the date the student successfully completed the training program and then click Print Certification sheet 1 Click Certification Training Class Certification Queue Please select a Senior Official Print Certificates m Select a Senior Official Z Test LHCSA Training Entity Z Test LHCSA Training Program HHA English Senior Official Successful Completion Date MM DD YYYY David Smithers HHA Core Training 02 11 2010 03 04 2010 03 04 2010 rubels ryan HHA Competency Evaluation 05 01 2010 01 26 2010 Training Methodology Class Start Approved John Deer HHA Personal Care Aide Upgrade 01 01 2100 colleen coll
105. r SED programs Print a Certificate Print Certificates gt Certificate Signer gt Check box gt Save 1 Click Print Certificates Training Certificate Print Queue a Certification ReCertification Z Test LHCSA Training Entity Z Test LHCSA Training Program HHA English Print Certificates Certificate Signer David Mi Designee Class Start Approved 09 25 2008 07 02 2010 07 02 2010 07 08 2010 Methodology Personal Care Aide Upgrade Training Registry Number Is E Lisa France 152483 Jane Doe HHA Core Training Check the box next to the student whose certificate is to be printed t Click Print Certificates at the bottom of the screen Print Certificate s Home Care Registry User Manual 3 0 68 14 d ds de def de deb deb de def 23 XT i SUA i an ats aa De mI TA CERTIFICATE OF COMPLETION Jonathan Smith has successfully completed Core I raining Ej T a LEN P rs m program approved by the New York State Department of Health and is qualified as a Nurse Instructor descente Lr PCA Director Coordinator os HHA Official Agency HHA Supervising Nurse uo E ee Certificate Awarded by Desig n ee Test LHCSA Training Entity est LHCSA Training Program 600 North Pearl Street anapnT Albany NY 12204 Susan Supervisor RN Number David Designee Supervising Nurse Off
106. r the alias information in the Add Other Known Name section and click Add Registrant Change Name General Employment Employability Determinations Matching Patricia Test Registry Number 167207 ooo TI New Prefix E New First Name PatricH New Middle Name p New Last Name New Suffix l Save Cancel Other Known Names Action Marie Patricia Test Also known as aka Add Other Known Name Type Action unon T Ass D 17 HCR will generate a message indicating that the aide s name has been updated Home Care Registry User Manual 3 0 117 Add an Employer search for a Registrant gt Search gt View Selected Result s gt Employment gt Add Employment gt Retrieve Agencies gt Save 1 Click Search for a Registrant Welcome To The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Employer is an active registry and changes can occur at any given time Use These Quick Links To Get Started search for a Home Care Agency 2 To search for a Registrant enter the information you have such as Registry Number DOB Last Name etc and click Search Registrant Search E T Certificate Registry Number L Certificate rabo All hu DOB D MM DDIYYYY Gender All v Aide Type All Ivi City S
107. raining Entity Programs Programs Certification ReCertification Print Certificates Z Test LHCSA Training Entity Course Start Date End Date imeem Language License asses yb Tr Z Test LHCSA Training Program 03 01 1900 10 01 2010 HHA UMEN 800 North Pearl Street Albany NY 12204 Z Test LHCSA Training Program Test Regen 03 01 1900 10 01 2010 PCA English 800 North Pearl Street Albany N 12204 Home Care Registry User Manual 3 0 60 4 Click Show across from the class containing the student who needs to be uncertified Training Classes Programs ReCertification Print Certificates program Class Director Coordinator Officia Agency 0 Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA English Methodology Registered Nurse 01 01 2100 08 00 AM Personal Care Aide Upgrade Irma Si Instructor ajc 4 he 07 01 2010 09 00 PM Competency Evaluation Irma Si Instructor cxt12 3 MM DDPPYYY HH MM AM PM raroa dela Md Select One 06 01 2010 09 00 AM Core Training Irma Si Instructor mets Edit 05 17 2010 09 15 AM Core Training Irma Si Instructor cxft12 05 3 2010 08 00 AM Competency Evaluation Irma Si Instructor gtj 1 05 10 2010 10 00 AM Core Training Irma Si Instructor exfil2 05 05 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor exfi2 04 10 2010 09 00 AM Competency Evaluation Irma Si Instructor txf11 9 Click the button Uncert
108. ram General Program Classes Supervis Training Class updated successfully de The class now appears in the class listing with the new start date and time Training Classes Programs Certification ReCertification Print Certificates Program General Program Classes Supervising Nurse Director Coordinator Official Agency De Training Class updated successfully Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA English status Class Start g UE Te MMUDD HH MM AMPM Methodology Registered Nurse Created By Action Roster 1 Select One e Select One Add Class 01 01 2100 08 00 AM Personal Care Aide Upgrade Irma Si Instructor ajc04 07 01 2010 09 00 PM Competency Evaluation Irma Si Instructor cxf Edit E 06 01 2010 09 00 AM Core Training Irma Si Instructor met05 E 05 18 2010 10 15 AM Core Training Irma Si Instructor jxs38 05 13 2010 08 00 AM Competency Evaluation Irma Si Instructor gti 05 10 2010 10 00 AM Core Training Irma Si Instructor cxf 05 05 2010 10 00 AM Personal Care Aide Upgrade Irma Si Instructor cxf Competency Evaluation 04 10 2010 09 00 AM Competency Evaluation Irma Si Instructor Ix 1 Edit Please note that to change the start date or time the class cannot already exist for that date time and methodology Also the new date and start time must be less than or equal to all of the approval and successful completion dates for the students
109. rc oer Iis coreckmti LE r3 Laut Guages Mias Chase V Enter the new address information and click Save Registrant Change Address General Training Employability Determinations Matching Patricia Test Registry Number 167207 Date of Address Change 05 28 2010 MM DD PvYY Street1 22 First Ave Street2 City Albany state New York iw Zip Postal Code 12203 d Save L ancel Address Date on file is 08 28 2010 New Address Effective Date must be after Address Date on file HCR will generate a message indicating that the address has been updated Registrant General Information General Training Employment Employability Determinations Matching Address Information changed successfully Home Care Registry User Manual 3 0 113 lj In order to update an aide s gender click on Gender Change from the Tool Bar on the right This option is not for data entry errors but for updating any changed information Patricia Test Regmtry Sumber 167207 Ahi enal 1 Erkgrewgy Approve fn Binsin Landa Aimy AP Te et Une aes Inm Doi OIN LEE Duis AppraseegforZmpoymenm 07257015 Dander Fram Dee Bj ot Alea liege or pilher Hipirini Ea i P n zu m 20 hy d B a7 8 Enter the new gender information and click Save Registrant Change Gender General Training Employability Determinations Matching Patricia Test Registry Number 167207 Dat
110. re Registry User Manual 3 0 129 View Employment History search gt Registrant General Information gt Employment 1 Click Search for a Registrant Welcome To Ihe Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Employer is an active registry and changes can occur at any given time Use These Quick Links To Get Started ati mg Entity search for a Home Care Agency To search for a Registrant enter the information you have such as Registry Number DOB Last Name etc and click Search Registrant Search Registry Humber L Certificate 3 Smee All ka First Name Middle Name Last Name FT DOB D MM DDPYYYY Gender All ise Aide Type All m City State All Zip Code ahaa All m Eoi n All lv Home Care Registry User Manual 3 0 130 If you wish to search by the training entity or the home care services entity click Show Advanced Search to bring up those search options Choose the training entity or home care services entity by finding the desired entity in the list and clicking on it Then click the Search button Registrant Search i T B Certificate Pr ENES Registry Number i d Certificate amp LI Al iv First Marne T s E Middle Hame Last Harne DOB ls apo Gender jal vw Aide Type ll Iv City a mM State alse Zipcode Ff Approved for i Employment I ed 7
111. rint the Certification Form Certification 2 pdf Adobe Reader PES x File Edit View Document Tools Window Help Ta 2 amp 100 lE ij NEW YORK STATE DEPARTMENT OF HEALTH Office of Long Term Care Home Care Registry Certification Form Training Entity Z Test LHCSA Training Entity 800 North Pearl Street Albany NY 12204 Certifying Official Chris Certifier By executing this document hereby certify that 1 lam a senior official of the above named training entity as defined in 10 NYCRR 403 2 j 2 The persons listed below have successfully completed the identified training program 3 The true identity of each of the persons listed below has been verified by this training entity as required by Public Health Law 3613 and 10 NYCRR 403 4 and 4 Iwill promptly notify the New York State Department of Health in the event that any of the statements made in this Certification are no longer accurate Training Program Z Test LHCSA Training Program 800 North Pearl Street Albany NY 12204 Name of Person Completing Training Training Person s Address Date of Birti Type of Training Training Methodology Language John Ball Albany NY 12000 09 19 1970 01 19 2010 Home Health Aide Core Training English Home Care Registry User Manual 3 0 32 Edit Certification Form Jump to my Training Entity s gt Certification gt Reprint Certification Form gt Edit gt Print Certification Sheet gt Download Ce
112. rooklyn PCA English 26 Court Street UTOPIA HOME CARE INC Utopia Home Care Riverhead PCA English 180 Old Country Road UTOPIA HOME CARE INC Utopia Home Care Kings Park PCA English 1 Village Plaza UTOPIA HOME CARE INC Utopia Home Care Bronx PCA English 708 Lydig Avenue Utopia Home Care Inc Utopia Home Care Inc PCA English 60 East Main Street UTOPIA HOME CARE INC Utopia Home Care Patchogue PCA English 116 East Main Street UTOPIA HOME CARE INC Utopia Home Care Babylon PCA English 120 Deer Park Avenue UTOPIA HOME CARE INC Utopia Home Care Rockville PCA English 73 North Park Avenue UTOPIA HOME CARE INC Utopia Home Care Elmhurst PCA English 91 31 Queens Blvd gt m K Home Care Registry User Manual 3 0 105 Enter the aide s name complete the rest of the Agency Add Aide page and click Save n Pav York Simie SAR Cg Home Care Registry HomePage ComacOLTC 1 Fate Riesi Repina d Hepi T riire Erith Rexestranra Achninea t ratecn Agency Add Aide DHH if Timmi La iEy 4 Z Test LHCSA License B88B8Z585 Certificate Information Prid Ageecy Pec the Cernficzin Date Deine Program UNLETED USLISTED His TRANG PROCUL HHA Under Unicorn x Bele teu Aer a ar L j Tua A zs Z Tesi HHA aaa Tarihe Dale Demographic Information i r p i i u
113. rri HL i i i ain s NET l of er I 4 T I i er uero i Domus first aye Bree n Gender Ferme ina Mara i ike City a Ben dih ii ay TIFN im Pres Hd os z hunt Pract dnm 1 Wen pr ae Racc lied Premie 3 aie ima Ho Coemi unes STATES x Security Information iz Loot ipis of 55H 22 om city a Tert End others Weide dane E sitara Tiras Mime Employment Information hire ey ation dugency harmer Bate Caie Me Dor Tre Lr rrr D2uZETD Home Care Registry User Manual 3 0 106 D Because you have selected the Unlisted HHA Training Program option from the drop down menu you will be asked to accept the User Agreement Agency Add Aide Training Entity Aides Add Aide You have selected an Unlisted Training Program Please accept the User Agreement Accept the User Agreement by checking the box under User Agreement Next click Save Certificate Information Certificate Program UNLISTED UNLISTED HHA TRAINING PROGRAM HHA Undetermined Unknown gt Name Last Name First Hame Middle Name User Agreement By checking this box the user declares the aide was born on or before December 31 1975 the date the aide successfully completed home health aide training is prior to August 14 1990 the aide has not received any Home Health Aide Training on or after August 14 1990 and
114. rtification gt Open Save gt Print 1 Jump to my Training Entity s Welcome To The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Empli is an active registry and changes can occur at any given time Use These Quick Links To Get Started Search for a Registrant Search for a Training Entity Ra n Search for a Home Care Agency Jump to my Training Entity s 2 Click the Certification tab and then click the Reprint Certification Form link from the Tool Bar on the right Training Class Coss Z Test LHCSA Training I Z Test LHCSA Training Program HHA English Senior Official Select One v a m Print Training Entity Profile Methodology Class Start Approved ng mes s Print Entity Class Listing MM DD VYYY Reprint Certification Form colleen dwyer HHA Core Training 01 13 2010 05 03 2010 2008 Edna J Bleary HHA Core Training 02 11 2010 04 12 2010 p rubels ryan HHA Competency Evaluation 03 01 2010 01 26 2010 Foxy Samantha HHA Competency Evaluation 07 01 2010 03 22 2018 bert cert HHA Competency Evaluation 07 01 2010 05 05 2010 Selected Training Entities John J Deer HHA Personal Care Aide Upgrade 01 01 2100 03 09 2010 fF d Z Test LHCSA Training Entity Albany colleen colleen HHA Personal Care Aide Upgrade 01 01 2100 03 02 2010 Z Test Post Secondary Education Schoo fryin ryan HHA Personal Care A
115. rtifier 06 04 2010 01 18 PM Chris Mi Certifier Edit 06 03 2010 03 57 PM Cyrus Mi Crawford Edit J m 05 20 2010 08 56 AM Carol Mi Cage Edit 05 20 2010 08 52 AM Carol Mi Cage Previous 05 17 2010 01 31 PM Chris Mi Certifier 05 13 2010 02 22 PM Carol Mi Cage Previous Click Open Training Entities Registrants Agencies hime Reprint Certifications General Certification Z Test LHCSA Training Entity PDF Mame Certification pdf isplay 100 202 Forms found displaying 1 to 25 ps Type Adobe Acrabat Document Mext Last Certification Senior Official Date CB 072010 09 05 AN File Download Do you want to open or save this file From evalcommerce health state ny us Carol Mi Cage 05 08 2010 01 21 PM Carol Mi Cage 05 08 2010 04 23 PM Carol Mi Cage 06 08 2010 10 36 AN Chris Mi Certifier 0 While files from the Internet can be useful some files can potentially 5 cma HETA Tc harm your computer IF vou do not trust the source da nat open or D5 08 2010 10 22 AM Cyrus Mi Crawford save this file Whats the tisk 05 04 2010 01 24 PM Cyrus Mi Craw ford Fucan d O47 004 72 nd Prim E Pee Tirma sina fumum xm xn a Ii Home Care Registry User Manual 3 0 Click the Print icon in the top left corner This new Certification Form now needs to be signed and notarized a Certification 1 pdf Adobe Reader DBR Fie Edit View Document Tools Window Help l E aja 26 19 M
116. s 54 Un approve a Student 56 Un certify a Student 60 Reprint the Certification Form after Un certifying a Student 63 Print a Certificate 68 Reprint Certificates 70 Remove or Add a Certificate 39 Data Corrections for Training Programs 76 Add a Senior Official or Official Agency Designee 82 Edit a Senior Official or Official Agency Designee 88 Home Care Registry User Manual 3 0 Instructions for HHA and PCA Training Programs What you need to use the HCR v Computer v HCS access and account Y Roles assigned by HCS Coordinator v Written policies and procedures regarding the HCR M Important Reminders for Setting up a Class Only for classes that begin on or after September 25 2009 enter class start date time and methodology and choose the corresponding instructor from the drop down menu in the HCR Then enter name and date of birth for each person in the class within 10 business days of class start date Day one is class start date Print and execute the Certification Form within 10 business days of the day that the student successfully completes the training program Day one is the day the student successfully completes training The Certification Form is a list of students who have successfully completed training Print sign and present certificates to each aide listed on the Certification Form within 10 business days of the date the Certification Form is executed i e printed signed and notarized Day one is the dat
117. s Certification ReCertification Print Certificates Admin Personnel Program General Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency Des Z Test LHCSA Training Entity Z Test LHCSA Training Program License HHA English MM DDIYYYY HH MM AM PM Methodology Registered Nurse Created By Action Roster Select One Ayr Add Class 06 15 2010 09 00 AM Nurse Aide Transition Irma Mi Instructor Edit 06 15 2010 09 00 AM Core Training Irma Mi Instructor Ixf11 Home Care Registry User Manual 3 0 46 9 Select a different instructor from the dropdown menu next to Registered Nurse and click Save Edit Training Class Programs Certification Recertification Print Certificates Program Classes Supervising Nurse Nurse Instructor Director Coordinator Official Agency De Z Test LHCSA Traiming Entity Z Test LHCSA Training Program License HHA English Training Program Test LHCSA Training Program HHA English 03 01 1900 wi Class Start 06 5 2010 09 00 AM MM DD YYYY HH MM AM PM Core Training Registered Nurse Irma Mi Instructor cave Cancel Close Class 6 The training class has been updated successfully Training Classes Programs Certification Program Classes Supervi Training Class updated successfully Home Care Registry User Manual 3 0 47 Update the Class Location Jump to my Training Entity gt Programs gt
118. sh 600 North Pearl Street Albany Nv 12204 Save Cancel Home Care Registry User Manual 3 0 85 Please note also that when searching personnel search results are listed in alphabetical order according to last name If the name you are searching does not appear you now have the ability to add a new person Click the button Add New Person search Training Entity Personnel ReCertification Print Certificates Admin Personnel Z Test LHCSA Training Entity Available Personnel OR License e First Name Last Name 523078 MARIA CIELO ANDAL CAACBAY J 403834 FELICISIMO FRANCIA CAAGBAY 597238 MAC ALVIN MENESES CAALIM 597023 CHRISTINA FELISA CAAMANO 523155 SUSIE LIN CAAMANO 304547 JOSEPHINE VILLAREAL CAAMPUED 600635 KAROLINA E CABA Select 563547 LINDA 5 CABA 563420 RACHEL CHRISTINE CABA Select 406940 CECILIA CABA BAJANA 238989 CAROLYN CELESTINO CABACCANG Select 611255 MARIE DARLENE SANTOS CABACCANG Select Home Care Registry User Manual 3 0 Add New Person hal Cancel 86 Enter the name and start date and click Save Add Admin Personnel Certification ReCertification Print Certificates Admin Personne Z Test LHCSA Training Entity First lame Middle Name Last Name Smith Senior Official Location Start Date End Date Start Date End Date MM DD YYYY MM DD YYYY MM DDYYYY MM DD YYYY Z Test LHCSA Training Program HHA English 800 North
119. ss C Show Address Don t Show Address Print Search Results RESULTS TOOLBOX View Selected Result s 10 Reo str2 o round displaying all Registrants 1 Registry Hanne Gender Approved for Employment 187207 Test Patrick 03 15880 Male U a L Test sample 01 01 1856 Female H jarrr Testa Sarah 04 24 1554 Female Y Home Care Registry User Manual 3 0 16 Add a Class Jump to my Training Entity gt Programs gt Show gt Add Class 1 Click Jump to my Training Entity s New York State Home Care Registry Training Entities Registrants Agencies Welcome To The Home Care Registry Use this site to find information about Home Care Service Workers Training Programs and Employers in Hew York State Please be mindful that while we believe this information is up to date the registry is an active registry and changes can occur at any given time Use These Quick Links To Get Started Search for a Registrant Search for a Training Entity Search for a Home Care Agency ma Jump to my Training Entity s Jump to my Agency s 2009 NYS Department of Health Home Care Registry 2 Click the Programs tab i p Pie Tork spade TECHN fp Home Care Registry a NE CH TEE EI Pe Trey feet Fans gt Incorrect information here Contact your Regional Office or SED contact Home Care Registry User Manual 3 0 17 3 Click Show
120. ss Certheation Ouais Home Care Registry User Manual 3 0 Verify the information on the Certification Form sign and notarize NEW YORK STATE DEPARTMENT OF HEALTH Office of Long Term Care Home Care Registry Certification Form Training Entity Z Test LHCSA Training Entity 800 North Pearl Street Albany NY 12204 Certifying Official Carol Mi Cage By executing this document hereby certify that 1 lam a senior official of the above named training entity as defined in 10 NYCRR 403 2 j 2 The persons listed below have successfully completed the identified training program 3 The true identity of each of the persons listed below has been verified by this training entity as required by Public Health Law 83613 and 10 NYCRR 8403 4 and 4 Iwill promptly notify the New York State Department of Health in the event that any of the statements made in this Certification are no longer accurate Training Program Z lest LHCSA Training Program 800 North Pearl Street Albany NY 12204 Name of Person Successful Completing Completion Training Training Person s Address Type of Training Training Methodology Language 123 Main St Ann Black Schenectady NY 12303 02 12 1961 04 05 2010 Home Health Aide Home Care Registry User Manual 3 0 81 Add a Senior Official or Official Agency Designee Jump to my Training Entity gt Admin Personnel gt Search gt Select gt Enter Date gt Save 1 Training Entities Registrants
121. stry The general public can access the HCR from the Department of Health website at this location www health state ny us Click on the button at the right that says Health Care Professionals amp Patient Safety Health Care Professionals amp Patient safety Next click the link on the main page that says Home Care Then click on the New York State Home Care Registry link Members of the general public should then follow these steps Step 1 To search for a home health or personal care aide enter the information you have in the boxes provided and click Search by Name If you have the DOH registry number enter it in the bottom box under Search by Registry Number and click the Search by Registry Number button New York State Home Care Registry Notice Home Care Home Page mE ds are mus rus stry provides limited information oan home care workers who have successfully completed a Frequently Asked Que astio jed ti ning program in New cos State Infor een Rober in the registry may 2 a updo ste d y y thi n p3 artie and the Departm isis s xu doe ehe pel heec of rpe ee State Approved Tra ai seed individu al fisted he Indiv ec a Help Desk may bet mem mo able o or their ese nation relate duo thos TE jals 2 lity be rtified or v bel utdared Tt is hee reno risibility of those erify the credentials ole rabi oe ser cmd individual listed in the Information on home c vorkers is being
122. tain Cani L daraek To Daebhcauss ange sas Was lee Taur ia Certficahes incl i Her eol Bi Ao Whe ler bon the niere can be uada rome ler can potenbaly UAE CAR KR diet nett ole efl x ne righ z eave Ih Be Home Care Registry User Manual 3 0 29 gt Don t forget The Certification Form must be executed within 10 business days of the day the student successfully completes the training program Certificates must be printed signed and given to aides within 10 business days of execution of the Certification Form gt What does successfully complete mean For purposes of executing the Certification Form and giving signed certificates to aides successfully completed or successful completion means in connection with personal care aide training the trainee has completed the forty hour home care curriculum and passed the home care curriculum evaluations or alternatively the trainee has passed the alternative competency demonstration administered by a DOH approved PCATP In connection with home health aide training it means the trainee has completed the forty hour home care curriculum and thirty five hour home care health related tasks curriculum and passed the home care curriculum and home care health related tasks curriculum evaluations or alternatively that the trainee has passed a competency evaluation program administered by a DOH approved HHATP Notes Home Care Registry User Manual 3 0 30 Reprint Certification For
123. tate Al v Zip Code Approved for Employment Employment ion af Status P bed Home Care Registry User Manual 3 0 118 If you wish to search by the training entity or the home care services entity click Show Advanced Search to bring up those search options Choose the training entity or home care services entity by finding the desired entity in the list and clicking on it Then click the Search button Registrant Search Registry Number Certificate amp i co E ivl First Hame re Middle Name ig Last Name B DOB mwbpnrvyy Gender a vw Aide Type ll m City i i State Al v Zip Code Approved for Eg HZ Employment Employment an se Status Al jM Hide amp dvanced Search Training Entity Home Care Services Agency A amp A STAFFING HEALTH CARE SERVICES 15T CHOICE HOME CARE SERVICES INC l A amp A Staffing previously Staff Builders B A amp A STAFFING HEALTH CARE SERVICES El amp amp T HEALTHCARE LLC 5 A amp B HEALTH CARE SERVICES INC ASTRAL 0E 700003 A amp D PERSONNEL SERVICES INC ARTH A amp E HOME CARE INC A ROUND THE CLOCK TEMPORARY SERVICES INC A amp J HOME CARE INC AST HEALTHCARE LLC A amp T HEALTH CARE INC AGT HEALTHCARE LLE P A k T HEALTHCARE LLE E AAA SERVICE PROGRAMS INC Il A amp T HEALTHCARE LLE IM Click View Selected Result s Registrant Search Results SEARCH CRITERIA
124. te 06 03 2001 Address 20 EAST 46 STREET 4TH FLOOR Certificate NEW YORK NY 10017 Program Name ACCESS NURSING SERVICES INC Training Methodology Unknown Start Date State Department DOH Registered Nurse Instructor Senior Official Completion E Date Certificate Printed Note a certificate cannot be removed if it is the only certificate When removing one certificate to add another please add the certificate first and then remove the other certificate J Enter the date on the certificate and click Retrieve Training Programs Registrant Add Training Information DEL I Vovgiey alulilp Calne pem iaip Jolm Doe Registry Number 3406 Certificate Information Certes fae ar ppo very PE Agere Ayi s Cam legal Jahn Dos HH Home Care Registry User Manual 3 0 4 6 Select the appropriate program from the drop down and enter the name on the certificate and click Save Registrant Add Training Information Training Employability Determinations John Doe Registry Number 3406 Certificate Information Print Registrant Profile Certificate Date 04 18 1995 gt Search Registrant Program Selected Regist t A amp A STAFFING HEALTH CARE SERVICES A AND A STAFFING HEALTH CARE SERVICES HHA v Rx A E John Doe 3406 Name Unknown v Middle Name Last Name First Name Home Care Registry User Manual 3 0 5
125. ter Anka 3414 Edward Black 2922 Additional known Names Bonnie Blue 3181 Edit the information as needed and click Save Registrant Edit General Information Edward Black Registry Number 2922 Tool Bar Prefix Street 1 123 Main St e of 04 18 1985 s Print Registrant Profile 7 Search Registrant First Name Edward Street2 rm Male v Selected Registrants Middle Name City Ethnici m Schenectady Tami Ace 3142 Peter Anka 3414 b b 3241 Only Best 3407 Edward Black 2922 Bonnie Blue 3181 gangadhar bommasani 2821 Jillian Brown 3184 cc 3320 were rier msm e Last Name Black State New York x Race tone vw Suffix Zip Postal 12303 Code Country UNITED STATES Save Cancel HCR will generate a message indicating that the demographic information has been updated Home Care Registry User Manual 3 0 111 liil Change an Aide s Personal Data Jump to My Agency gt Aides gt Registry Number gt Address Change Gender Change Security Changes Name Change gt Save 1 Jump to my Agency s Use These Quick Links To Get Started Search for a Registrant Search for a Training Entity mmdg Search for a Home Care Agency Jump to my Training Entity s Jump to my Agency s _ Iv 2 Cl
126. ti ij F PF l a 1454 Geechee Brad hub Vernm Home Care Registry User Manual 3 0 131 4 From the Registrant General Information page click the Employment tab y Yarik CU Home Care Registry Trai rui d rez anreani Super ades Ey i Tied nen re na bonn Mana Theresa Gonzalez Registry Number 123456 Ama ea Apei tor mpioyment Ay We DI2T Ln Pate Anpneedfarfrnphkcymaemt Godse arrears Fra Drin minisd a of Alnor Minchect nec odfurr Eiseceducs Ez Agp Ej a 5 The Registrant Employment page displays the history of the individual s employment in New York State home care agencies cvy Tork siiig Home Care Registry Mana Theresa Gonzales Bezstry Sumber 123456 Ermy Typai i di E 4 amare comer aed Ae ee Ms hipt pga Jipa traf hte LHC iire Amat lv 12204 V pnipiceg amp r opt rd Dip DE ker 121 Cow Drm Cred niter SCETTET Wr 12204 gt Don t forget to consult the FAQs located on the upper toolbar of the HCR Home Page Contact OLTC Rules amp Regulations Help Home Care Registry User Manual 3 0 132 Section 4 General Public Procedures In this section of the User Manual you will learn how to use the Home Care Registry if you are a member of the general public and not a training program or home care agency Home Care Registry User Manual 3 0 133 How the General Public Can Access the Home Care Regi
127. tudent Only the designated Senior Official can approve a student s successful completion of a class and this must be done within 10 business days of completing the class All approved students names will be printed on the Certification Form The Certification Form must be signed and notarized by the Senior Official within 10 business days of the day that the student successfully completes the training program The Certification Form must be kept on file along with documentation that the aide s identity was verified Approve a Student Jump to My Training Entity gt General gt Programs Program Classes gt Class Roster gt Edit gt Student gt Approve gt Save 1 From the Class Roster page click Edit next to the student who is to be approved Mew Work State COM Home Care Registry onm Training Class Roster Director Cocedimaklnr Offirial Agency Desugnen Student Saed sucessfully EST POST SECONDARY EDUCATION SCHOOLI TEST POST SECONDARY EDUCATION SCHOOL License 8 HHA Core Traming English 09 24 2009 00 00 AM HHA PTI dha DOG mat hast lutuan z Prin Training Entity Pro tie Prrd Entity Gigs Lanting Prird Program Cats Lining Fred Clas date Hegistry Humber Home Care Registry User Manual 3 0 25 2 On the Training Programs Student page fill in all required fields select the appropriate name from the drop down menu next to Course completed and ap
128. y Tensa hme na d GaL Figa Pussb Spy wx App Trier rrt Eroiiiraim Worgporm Su aen Agency Add Aide lama gi Tommi Lei Z Test LHOSA License 8BBEZESS Certificate Information Cuctifesin Diis tie Ruinen Tram Program Den T phic Informu Mlon beth dugprcacnu Praclia ieri fi E Gr TN25 15951 CATE First 5 finest E Gender secs w irre s Lie cma t l i nuu aF Lat aue Srate 7 Ben Tork pj Base SEIZE DET E butta DpPosts Code County waren states m Security Information Lastdcgaa of SSH on Ciy of Burm seed Beta a Namsen Name E av Moie a Fouad Ham _ Luc Mme Employment Informatio Fri Tipini Hube Tha tae wo iape taena Dd M areia E Home Care Registry User Manual 3 0 104 From the drop down list provided select Unlisted Unlisted HHA Training Program HHA Undetermined Unknown UNLISTED UNLISTED HHA TRAINING PROGRAM HHA Uncetermined Unknown UPJOHN HEALTH CARE SERVICES UPJOHN HEALTH CARE x RVIC HA English 2117 CROMPOND ROAD UpJohn Health Care Services UpJohn Health Care Services PCA E UPJOHN HEALTH CARE SERVICES UPJOHN HEALTH CARE SERVICES HHA UPJOHN HEALTH CARE SERVICES UPJOHN HEALTH CARE SERVICES HHA English 71477 HYLAN BOULEVARD UPJOHN HEALTH CARE SERVICES UPJOHN HEALTH CARE SERVICES HHA English 700 EAST WATER STREET UpJohn Health Care S

HCR User Manual 3.0 - LeadingAge New York

Contents

Download Pdf Manuals

Related Search

Related Contents