Home Health Aide (HHA) Training Program
Train to become a Home Health Aide in Just 75 Hours
Learn essential caregiving skills and make a meaningful impact in the lives of individuals and families.

Program Overview
The Home Health Aide (HHA) Program at A Better Tomorrow Services is a 75-hour training course designed to equip students with the knowledge and practical skills needed to assist individuals in home settings. This includes personal care, basic health support, household assistance, and emergency preparedness.
- Duration: 75 total training hours
- Care Setting: Private residences & non-medical home care agencies
- Delivery: Classroom-based instruction with practical demonstrations
- Certificate: Upon successful completion of the program, students will receive a certificate of completion.
What You’ll Learn
Skills and Topics Covered:
- Personal hygiene and patient safety
- Nutrition and hydration
- Infection prevention and control
- Emergency procedures and basic response
- Communication skills for caregiving
- Observation and documentation of client status
- Creating a healthy and clean home environment
Learning Objectives
By the end of the course, students will be able to:
- Understand and demonstrate proper communication techniques
- Respond to physical and emotional barriers in clients
- Apply infection control procedures in a home setting
- Assist with nutrition and hydration needs
- Maintain a clean and safe home environment
- Handle emergencies effectively
- Accurately document care and observations
Method of Instruction
The HHA program uses a variety of teaching methods to support student learning:
- Classroom Activities: Lecture, discussion, and self-study
- Library Research: Assigned reading and special assignments.
- Laboratory: Demonstration and return demonstrations will be part of lecture
Program Details and Requirements
Entrance Requirements
- High school diploma or its equivalent or Pass Pre-Entrance Exam with 100% score.
- TB test held within the last 12 months.
- Covid test.
- A physical examination.
- US citizenship and/or US residency status.
- Be at least 16 years of age to do the NAT and HHA Programs.
- Have proof of personal health insurance (requested but not required).
- Provide a valid government-issued picture ID (Passport, ID Card, Driver’s License, etc.)
Application Process
- All applicants are required to submit a completed application form with personal details, providing proof of high school diploma or equivalent, including:
- Personal information (name, address, contact details)
- Emergency contact information
- Educational background (high school diploma or equivalent)
- Previous healthcare experience (if any).
- All applicants are required to provide the following documents:
- Photo ID
- Proof of high school diploma or equivalent
- Immunization records (including TB test results)
- Applicants must undergo a physical examination and provide a letter from their primary physician that indicates medical clearance.
- All applicants will be called to attend an interview with the program coordinator to discuss their motivations and suitability for the course.
- After the student has been accepted to the program, all applicants will be required to pay full or partial payment to secure the spot in the training course and enroll.
Tuition & Fees
Below is the breakdown of tuition and associated program costs for the Home Health Aide (HHA) Training Program.
- Total Cost: $600 (Admin Fee: $30)
- Additional Costs:
- Uniform: $55 (purple scrub top, white scrub pants): $20-$30;
- White tennis shoes: $20-$50;
- Watch with second hand: $10–$20
- Textbook: $80
Program Progression Requirements
To maintain satisfactory academic standing, a student must fulfill requirements for theory, lab, skills, and clinical attendance, achieve the necessary grades and conduct standards, and meet financial obligations as agreed upon at the start of enrollment.
Theory Grade Requirements
Grading Scale
- A Satisfactory/Pass grade will be given to any student who successfully performs all clinical skills and achieves an average of 80% or higher on classwork.
- The assessment in the classroom will be based on individual presentation(s) tests, exams, and lab skills demonstration.
- Students will take all exams on the scheduled date and time.
- A minimum of 80% Average of all exams is required to pass the course.
- If a student does not take the exam on the day and time that was scheduled by the RN Instructor, the student must make arrangements with the RN instructor to take a Make-Up- exam.
- NAT students are responsible for 84 hours of theory, lab skills, and 38.75 hours of clinical practice, for a total of 122.75 hours of program training.
Testing Policy
Examinations
To help students prepare for the state competency exam, quizzes, midterm, final and comprehensive exams will be administered. In addition, students will need to demonstrate proficiency in all skills procedures and pass the clinical portion of the course.
Students are required to meet the minimum standards of academic progress to remain in the program. Any student who misses a scheduled exam will be allowed to take a makeup exam under the following conditions:
- The instructor must be notified of the absence before the scheduled exam date/time.
- The student must reschedule the exam with the instructor of the course within one week following the exam.
- Permission will be given only for legitimate excuses, and only when notification of absence was made.
- Any student who does not reschedule the exam within one week of returning to class will automatically receive a grade of zero (0) for the exam.
Lab Procedures Competency Requirements
Skills demonstration and practice are integrated in the program. Students are taught all the required skills by DPH, with other skills necessary to provide basic healthcare services.
There is time allotted for skills practice.
Students need to demonstrate competency of skills learned in the classroom.
Lab evaluation is graded as Satisfactory, Unsatisfactory or Needs Practice.
Students are expected to be able to satisfactorily demonstrate in class the skills before they will be allowed to perform these skills in the clinical setting.
Skills validation is done before the students go to clinical and at the end of the program.
Any student who fails to demonstrate successfully on the first attempt will be given a ‘Remediation’ slip, and will be asked to remediate before a retest may be given.
There are two additional chances to demonstrate competency. Failure to demonstrate competency on the third attempt may require additional learning activities or may be precluded from the program.
Clinical Grade Requirements
The following guidelines are used for clinical evaluation:
Each student will be evaluated on a Satisfactory, Unsatisfactory or Needs Improvement basis.
Students with ‘Needs Improvement’ have failed the clinical portion.
Satisfactory: Student consistently meets the criteria established for effective clinical performance.
Needs Improvement (Did Not Pass): Student inconsistently meets the criteria established for effective clinical performance. This is considered a failing grade for the clinical portion, however students will have the opportunity to discuss their performance with the instructor and work to improve to Satisfactory by the end of clinicals.
Unsatisfactory: Student consistently fails to meet the criteria established for effective clinical performance.
Students will be evaluated and provided feedback throughout the clinical experience. Each student will have a post conference with their instructor at the completion of the program to discuss clinical performance and receive a written evaluation.
Any student having difficulty meeting the standards will have a weekly conference with the instructor so that appropriate assistance can be provided, and minimum competency can be achieved.
Students will have the chance to complete a self-evaluation during the clinical experience and be able to review this with their instructors.
Students who receive a ‘Needs Improvement’ or ‘Did Not Pass’ evaluation during the clinical portion of the program will have the opportunity to discuss their performance with the instructor. When appropriate, the written evaluation will include a specific improvement plan.
If a ‘Needs Improvement’ evaluation is not elevated to a ‘Satisfactory’ level by the end of the clinical experience, it will be recorded as ‘Unsatisfactory’.
A ‘Did Not Pass’ evaluation in one or more areas at the end of the clinical portion will result in an ‘Unsatisfactory’ grade for clinical performance. In this case, the student will be unable to complete the program.
Upon completion, the original written evaluation will be submitted to the program office and placed in the student’s file, with a copy provided to the student.
Clinical Supervision
- Direct one-on-one observation of student skill performance is required when a skill is being performed for the first time with a client to ensure the client’s safety through direct supervision and assistance as needed.
- Guided independent practice occurs when a student performs a skill independently under supervision, with both the student and instructor confident in its safe completion.
- Periodic observation of student skill performance may take place at any point during a procedure when the student is expected to perform safely without continuous supervision.
- Independent skill performance without direct observation is permitted when the student has demonstrated the ability to perform the skill safely, as reasonably expected of all students. The method of supervision at any given time is determined by the instructor, taking into account the following factors:
- Ensuring the client’s safety at all times.
- Demonstrated safe performance of a skill in a simulated lab and/or clinical setting.
- The need for varying levels of observation based on strengths and areas for improvement identified by both the instructor and the student.
- Encouraging students to actively assess, evaluate, and discuss their strengths, challenges, and specific learning needs with the instructor.
Dress Code & Clinical Uniform
The NAT student uniform and the HHA student uniform is purple scrub top, white- scrub pants, and white shoes.
Shoes should be an athletic/tennis shoe, and must be closed toe and closed heel. Shoes may have some other small color or design, as long as they are mostly white.
A watch with a second hand is part of the uniform.
Students are expected to be in uniform every day of class, clinical, state exam days, the job fair, and graduation.
Failure to follow the dress code will result in a ‘Student at Risk’ filing, and if not corrected will result in dismissal from the program.
Permitted:
- Scarf or skirt (neutral colors) for those with religious necessity
- Small earring studs and rings with personal significance (limit one per hand)
- Natural makeup
- Nails trimmed not extending beyond tips of fingers. No colors or designs.
Not Permitted
- Cellphones. They must be put away and turned off during class and clinical.
- Hats or scarves (except for religious purposes).
- Dangling jewelry or visible facial piercings (nose, eyebrow, lip, chin, etc.).
- Long, loose hair, extreme hair color or styles.
- Acrylic nails or overlays.
- Heeled, open-back, or clogged shoes.
- Jackets over the uniform attire, unless they are professional scrub jackets. A long sleeve red, white, gray, or black shirt is allowed under the white scrub top.
- Openly visible tattoos for the clinical experience.
Full Learning Outcomes (Detailed)
Training will take place in a supportive environment designed to foster growth and provide students with the opportunity to succeed. Classroom instruction will include theoretical learning as well as diverse clinical experiences to prepare students for real-world healthcare settings.
By the completion of the program, students are expected to:
- Demonstrate a comprehensive understanding of training concepts and patient care using a holistic approach.
- Exhibit strong interpersonal skills when interacting with both patients and the healthcare team to ensure high-quality care.
- Apply sound decision-making skills while delivering safe and competent care under the direction of a Registered Nurse (RN) or Licensed Practical Nurse (LPN).
- Recognize the significance of their role as caregivers, upholding professionalism at all times.
- Prioritize and maintain safety in all aspects of patient care.
- Demonstrate proficiency in the six principles of care: dignity, independence, safety, communication, infection control, and privacy.
Attendance and Punctuality Policy
Students must satisfactorily complete all components of the course, including didactic instruction, lab, and clinical training.
- Punctuality is mandatory. Students are expected to arrive on time for class. The classroom clock will be the official timekeeper.
- Daily attendance is required. Missing any part of the program may affect completion.
- Tardiness will not be tolerated – students who arrive late will receive a ‘Student at Risk’ form and may be subject to dismissal from the program.
- If a student is unable to attend class due to an emergency, they must call the instructor and leave a message by 8:00 A.M. An emergency contact number for their local class will be provided on the first day of the NAT portion of the program.
- Clinical hours vary. Clinical schedules differ from classroom hours and depend on the assigned location. Students will receive their clinical schedule upon registration.
Attendance sheet must be signed by each student daily. NO EXCEPTIONS.
Student Support & Career Readiness
- Life skills development
- Resume assistance (during class workshops)
- Support in preparing for interviews with local care agencies
- No guaranteed job placement, but employer introductions available
General Conduct and Program Rules & Regulations
Students are expected to maintain professionalism and integrity throughout their training to ensure a safe, supportive, and inclusive learning environment, both within and beyond the institution.
All individuals must adhere to the rules, policies, and regulations from the time of admission to A Better Tomorrow Services Health Training (ABTSHT).
Violations of these policies may result in probation, suspension, or dismissal from the program for any of the following reasons:
- Academic dishonesty, including cheating, plagiarism, or deliberately providing false information.
- Forgery, alteration, or intentional misuse of official ABTSHT documents.
- Theft or intentional damage to institutional or student property while on-site.
- Use or threat of physical force against another individual.
- Unauthorized presence on or use of institutional property.
- Verbal abuse toward students, staff, or faculty.
- Harassment or intimidation, including any willful act intended to frighten, degrade, or disgrace another person.
- Disrupting classes or obstructing the learning environment.
- Discriminatory behavior, which violates ABTSHT’s commitment to equal opportunity for all students.
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