The California Department of Health has issued an All Facilities Letter (AFL) temporarily waiving specified requirements for Certified Nurse Assistants (CNAs) due to the COVID-19 state of emergency. The letter allows CNAs in "employable during state of emergency" status to complete in-service or continuing education units and count them towards certificate renewal. Nurse assistants enrolled in certification training programs can continue to be employed throughout the declared emergency and may delay completion of the program until after the end of the declared emergency. The letter also states that CNAs seeking renewal may complete any of the 48 required hours of in-service or continuing education units at any time during the 2-year recertification period and may complete all of the required 48 hours through online or distance learning formats. CNAs whose certification expired no earlier than March 30, 2018, or whose certification will expire during the state of emergency, may work as a CNA for the duration of the declared emergency without renewal. Licensed vocational nurses (LVNs) or registered nurses (RNs) seeking certification and possessing a valid license issued by another state or foreign country may begin working as a CNA immediately upon submission of an application for certification to CDPH. This waiver is valid until the end of the declared emergency.

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