Free California HHA Practice Test 2026

Prepare for the California Home Health Aide competency exam with state-specific practice questions covering all CMS-required domains.

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California HHA Exam Facts

  • Training Hours Required: 120 hours (40 hours clinical)
  • Written Exam Questions: 75 multiple-choice questions
  • Time Limit: 90 minutes
  • Passing Score: 70% or higher
  • Exam Fee: Varies by approved training program
  • Retake Policy: 3 attempts allowed; must repeat training after 3rd failure
  • Certification Validity: 24-month renewal with 12 in-service hours
  • Governing Body: California Department of Public Health (CDPH)

Official registry: California Aide and Technician Certification Section (ATCS)

California HHA Exam FAQ

What are the HHA training requirements in California?

California requires 120 hours of HHA training through a CDPH-approved program, including at least 40 hours of supervised clinical training. This exceeds the 75-hour federal minimum and is mandated by California Title 22 regulations. The program must also comply with CMS 42 C.F.R. § 484.80.

How many questions are on the California HHA exam?

The California HHA competency exam has 75 written multiple-choice questions covering all 8 CMS-required competency areas. There is also a skills performance evaluation component.

What is the passing score for the California HHA exam?

You must score at least 70% on the written exam. For the skills evaluation, you must correctly demonstrate at least 5 randomly selected clinical skills.

How many times can I retake the California HHA exam?

California allows up to 3 attempts to pass the competency evaluation. If you fail all 3 attempts, you must complete the training program again before you can retest.

How is my California HHA certification tracked?

The California Aide and Technician Certification Section (ATCS) maintains the state registry. Once you pass your competency evaluation, your name is added to the CDPH registry, which is accessible to employers and the public.

Does California accept out-of-state HHA certifications?

California may accept out-of-state certifications if the training and competency evaluation meet CDPH and CMS standards. Contact CDPH's ATCS office to verify eligibility before assuming your prior certification transfers.