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Multi-week Training for San Bernardino Caregivers

Free specialized training courses launched in January 2024 for caregivers in San Bernardino County. These multi-week, competency-based training programs are offered at no cost to the county’s In-Home Supportive Services (IHSS) providers by the Center for Caregiver Advancement (CCA) through a grant from the California Workforce Development Board (CWDB) and High Road Training Partnership (HRTP). 

San Bernardino care providers can enroll in one of three programs: IHSS Essentials, Alzheimer’s Disease and Related Dementia (ADRD), and Caregiver Resiliency / Emergency Preparedness. The sessions will be offered in English and Spanish.

Caregiver Classes For IHSS Care Providers in San Bernardino County

The Essentials course will teach caregivers about medication safety, nutrition, assistance with activities of daily living, and communication skills. Caregivers in the ADRD course will learn how to recognize signs of Alzheimer’s, as well as how to manage symptoms such as hallucination, sundowning, and behavioral changes. The Caregiver Resiliency course will help caregivers with climate-related emergency preparedness and response and how to recover from post-disaster trauma.

Henrene Barris, an IHSS provider in San Bernardino, is looking forward to the training. “It is important for in-home caregivers to have training programs available so we can provide quality care. CCA’s curriculum is so detailed and relevant. The multi-week format allows for more interaction, more time for learning, and more knowledge to be shared,” says Barris, who helped shape the project as a member of the Advisory Committee.

Researching the Impact of IHSS Caregiver Training

In addition to providing these three programs to San Bernardino’s IHSS caregivers, CCA will conduct a randomized control trial in partnership with researchers affiliated with the Abdul Latif Jameel Poverty Action Lab (J-PAL) North America at Massachusetts Institute of Technology (MIT). This will be the first RCT on IHSS training. Building on CCA’s existing research, the study will lay the foundation for policy change that will recognize worker specializations, improve worker retention, create advancement within the home care workforce, and secure long-term funding for caregiver training. 

“We are excited to be a part of the first-ever randomized evaluation of training for IHSS providers. We are looking forward to studying the impacts on the workforce of caregivers who receive the training as well as the individuals who are cared for by the caregivers. The IHSS program and the innovative training provided by the Center for Caregiver Advancement represent promising models for other states around the country that are considering new programs to support in-home caregiving,” says Matt Notowidigdo, Professor of Economics at the University of Chicago Booth School of Business and Co-Scientific Director of J-PAL North America.

UC San Francisco will conduct an impact study on the Alzheimer’s program. CCA is the only organization within California utilizing an evidence-informed curriculum that has already been tested and delivered to thousands of IHSS providers in California.

Advancing Care Workers Through Evidence-Based Studies

“We continually push to advance the caregiving workforce through an evidence-informed approach. Our goal is to shift the narrative on the professionalization and value of the workforce. Access to training provides IHSS providers with opportunities for advancement within IHSS. The specialized training on Alzheimer’s focuses on much-needed skills critical to providing care in under-invested communities where rates of Alzheimer’s are increasing. And our Caregiver Resiliency program gives IHSS providers an increased understanding of climate change impact and the skills they need to address climate-related emergencies that impact the consumers that they serve,” says Corinne Eldridge, President and CEO. 

CCA links skill development with increased wages: Caregivers will be paid their hourly wages for their time in training. Those who complete the program can earn between $700 and $1,400.

ABOUT CCA: The Center for Caregiver Advancement is the largest provider of training for caregivers in California and has trained more than 20,000 nursing home workers and in-home caregivers. Advancecaregivers.org

A Milestone Celebration for IHSS Caregivers

None of CCA’s IHSS caregiver training courses is complete without a virtual graduation ceremony. Each trimester culminates with this special celebration that, for some, will be their first-ever graduation.

It’s an occasion for IHSS caregivers to take center stage, to have their moment to shine and acknowledge their hard work and successes. Participants are given the chance to speak about their experiences in the course and discuss the impact of the skills acquired in the program with their fellow graduates. 

Tondaris Southward, an IHSS Provider who shared about her experience at her graduation, said, “I learned how to be more aware of client needs.” She mentioned that the lessons related to body mechanics, in particular, were the most beneficial for her and she was able to implement what she learned in the course right away in her role as a caregiver. 

IHSS Bilingual Mandarin Class Graduation photo with Sherry Wu

The CEO of L.A. Care Health Plan, John Baackes, attended one of the graduation ceremonies held this December. 

“This program is very important to your clients but also to you as the caregivers,” he told the class. “It gives you a leg up in your professionalism and your self-confidence. And if you have more confidence, your consumer will be confident in you!” 

“Whatever you learned here will help your client immensely,” he said. “I am convinced that during the pandemic, this program saved lives.”  

L.A. Care has partnered with CCA to provide free training to the IHSS providers who care for L.A. Care Health Plan members. Since the partnership began seven years ago, nearly 6,000 IHSS providers have completed the training under this program.

In addition to student success, another benefit to this partnership is caregiver satisfaction. According to post-training survey responses, 99% of the students believe that participating in the training was helpful to them in their roles as caregivers. 

IHSS Bilingual Spanish Graduation photo with Samuel Kwon

Resources beyond the classroom

Many graduates shared that the training equipped them with richer knowledge of how to communicate with their consumers. IHSS provider Arlene Alfaro said she learned “to have more communication with the consumer and to build more trust with [them]. Based on the skills you taught us and the things we learned in the book, I built a better relationship with my consumer,” Arlene told her instructors during her graduation. 

As a part of the material taught in class, participants are given additional resources that they may use in their caregiving careers beyond the classroom, such as nurse hotline numbers to call in case they need advice. “I learned about the other services that are available to us,” said Maria Martinez during her graduation speech. 

Additionally, the training provides caregivers a platform to meet others in the caregiving profession and establish connections that last beyond their time in the training. Another caregiver spoke about how she was positively surprised about how much she enjoyed the breakout rooms portion of the coursework because she was able to interact and establish connections with other caregivers. 

Related Reading: Pioneering Research on IHSS Training

Honoring the families who care for those with Alzheimer’s

Alzheimer’s is more than a mere diagnosis for countless families globally; it marks the beginning of a life-altering journey that exacts a toll on their emotional, mental, and physical well-being. The role of a caregiver is demanding, requiring immense patience and empathy. It often involves witnessing a loved one’s cognitive decline, which can be heart-wrenching. 

“There are times … my dad would wake up and knock on my door in the middle of the night and ask me, ‘How is your mom? You have any information about your mom?’ My mom has passed away for many years,” says Qi Zhen Louie, an In-Home Supportive Services (IHSS) provider who has taken CCA’s Alzheimer’s care training.

More than a quarter of the IHSS providers in the program take care of a parent with Alzheimer’s disease and related dementia. Like Qi Zhen, caregivers are often children, or even spouses or close friends, who step into this role out of love and commitment. And, often, they do so without the training necessary to help them adapt to the ever-changing needs of their loved ones.

The Alzheimer’s care training helped Qi Zhen understand the symptoms and stages of the disease. “Now, I am more patient, and it helps with my communication with my dad,” she says. “Before, as soon as he threw a tantrum, I felt very upset …But I learned from (CCA’s) teachers a lot, and also from the sharing of our peers, the students. After the training, I have a lot of positive energy. And I’m able to understand some things that I did not know before.”

(Note to reader: Qi Zhen did this interview with a Cantonese interpreter).

CCA Welcomes New Board Members!

CCA is proud to welcome four new members to our Board of Directors. They represent organizations that champion health equity, social justice, and workforce development. Their expertise in their respective fields, along with their commitment to the well-being of long-term care workers and the individuals they serve, will help guide our work of advancing the caregiving workforce.

Jennifer Schlesinger
Vice President, Healthcare Services & Professional Training, Alzheimer’s Los Angeles

Jennifer Schlesinger, Vice President Alzheimer's Greater Los Angeles

Jennifer Schlesinger is the Vice President of Healthcare Services & Professional Training for Alzheimer’s Los Angeles, a nonprofit organization committed to supporting, educating, and empowering local families as they face the everyday challenges of dementia. Jennifer works on state-level advocacy to improve dementia care within healthcare, especially for lower-income older adults. She oversees technical assistance to healthcare systems to improve their dementia capability, professional training, and outreach to healthcare professionals. She oversees multiple nationally-recognized and award-winning projects, including the Dementia Cal MediConnect Project, a project transforming healthcare in the State of California for low-income older adults with dementia, and ALZ Direct Connect®, a care coordination program, which connects families dealing with dementia to Alzheimer’s Los Angeles.

Jennifer says, “Caregivers are our backbone. They do the most precious work in our families and communities and yet are often unrecognized and underappreciated. CCA is a vehicle to elevate caregivers and hold them up with the dignity and respect that they deserve.”

Jennifer is a founder of The ReelAbilities Film Festival Los Angeles, which is dedicated to promoting awareness and appreciation of the lives, stories, and artistic expressions of people with disabilities.  In her free time, she continues to volunteer as a ReelAbilities steering committee member. 

Carmen Roberts
Executive Vice President, SEIU 2015

Carmen Roberts, Executive Vice President SEIU Local 2015

Carmen Roberts is the first from-the-ranks SEIU 2015 member to be elevated to the position of Executive Vice President of the statewide union representing California’s long-term care workers. A longtime member of the union’s Bargaining Committee for Los Angeles County IHSS providers, Carmen has served on the union’s Executive Board for nearly a decade, and became a Regional Vice President for L.A. County in 2017, and most recently became the union’s very first statewide member leader for home care: First Vice President, Home Care Industry. 

As Executive Vice President, Carmen draws on all her personal experience as a caregiver to this role. Carmen continues her commitment to building power and bringing structural change to the long-term care industry. 

Carmen is looking forward to bringing that dedication to CCA as a board member. “Too many care providers don’t have enough access to the quality, affordable training necessary to provide the best possible care. As a former care provider, I’ll work with CCA to provide increased availability of training. That’s key to ensuring long-term care is recognized as a real career…where young people will say ‘I want to go into long-term care work’ like others choose engineering, medicine, and law,” she says.

Padmini Parthasarathy
Principal and Founder, Sāmya Strategies

Padmini Parthasarathy, Principal & Founder Samya Strategies

Padmini Parthasarathy is a social sector leader with a deep understanding of the interconnectedness of health equity and economic, racial, and gender justice. She is committed to cultivating systems and structures that honor those interconnections. In 2021, Padmini founded Sāmya Strategies to more directly channel her passions and expertise toward these efforts.

“I am looking forward to learning more from CCA and my fellow board members about how to ensure quality jobs for direct care workers in California and working together to make that happen!,” she says.

Padmini has a proven record of success in advancing justice, equity, and well-being across philanthropy, the nonprofit sector, and local government. In addition to leading her consulting firm, she serves as the Bay Area Program Officer for Asset Funders Network. Prior to her current roles, she served as strategist for justice, equity, and learning and senior program officer for economic security at the Walter & Elise Haas Fund and as a program director at The California Wellness Foundation, overseeing statewide grantmaking to advance the Affordable Care Act and health care reform and promote employment and asset-building opportunities. Before that, Padmini was a program manager for Kaiser Permanente, where she managed its first nationwide Community Health Needs Assessment. She also led an initiative to incorporate asset building and social determinants of health approaches into maternal and child health programs for Contra Costa Health Services.

Zima Creason
Executive Director of the California EDGE Coalition

Zima Creason, Executive Director, California Edge Coalition

Zima Creason is the Executive Director of the California EDGE Coalition and President of the San Juan Unified Board of Education. At EDGE, her work seeks to address workforce shortages in high-road industries, create pathways to the middle class, and to advance shared prosperity for all Californians. She is committed to stakeholder empowerment and coalition building to establish and sustain thriving communities. Zima has worked in the policy field since 2001, and much of her work has focused on equity as it relates to mental health policy, as well as community outreach and engagement. She is dedicated to supporting people to avoid crisis outcomes, social justice, and for all Americans to have access and opportunity to achieve the American Dream, regardless of their zip code, culture, ethnicity, socioeconomic status, health/mental health status, gender identification, and/or who they love.

Zima is looking forward to making an impact on the long-term care workforce. “As a CCA board member, I am eager to champion the essential caregiver workforce that all Californians rely on. Their dedication not only improves the lives of those they care for but also uplifts the well-being of countless families, many of whom are part of the workforce. Together, we will enhance the value of caregiving and create pathways to economic advancement for this indispensable workforce,” she says.

These board members join our team of current CCA Board of Directors members Jeffrey Phillip Forrest of the Conrad N. Hilton Foundation, Kim Evon of SEIU 2015, Jim Mangia of St. John’s Well Child and Family Center, and Silvia Yee of the Disability Rights Education and Defense Fund.

Report: Alzheimer’s Care: Specialized ADRD Training, Year 4 Report

In 2019, UCSF was awarded a five-year, $3.2 million California Department of Public Health Alzheimer’s Research Award to study the impact of IHSS+ Alzheimer’s training in partnership with the Center for Caregiver Advancement (CCA) and Alameda Alliance for Health (AAH). The CCA provided an ADRD course, which was specialized training for caregivers to help them understand how to care for people with Alzheimer’s Disease and Related Dementias (ADRD).

Read our Year 4 Report:

Report: Impact of Climate Resiliency Caregiver Training

CCA is proud to share the outcomes of our Caregiver Resiliency Teams training program pilot, which we developed through a California Workforce Development Board (CWDB) High Road Training Partnership (HRTP). In just 13 months, we successfully trained over 500 long-term care workers in foundational knowledge on climate change and essential emergency planning and response techniques. 

As you can see in this Report, the In-Home Supportive Services (IHSS) providers and nursing home workers who completed the six-week comprehensive course showed substantial gains in skills and knowledge. These caregivers now possess the critical climate-resiliency skills needed to act swiftly and effectively during times of crisis, ensuring that our seniors and people with access and functional needs receive the assistance they need, when they need it most.

We also hosted an Impact Study Briefing to accompany this Report. During the presentation and subsequent panel discussion, we underscored the importance of investing in caregiver workforce training, which plays a pivotal role in building a climate-resilient California.

Our primary goal for the webinar and the Impact Report was to demonstrate, based on the outcomes of our Caregiver Resiliency Teams project, that investing in permanent, compensated training programs aimed at equipping caregivers with emergency preparedness skills can serve as a critical component of California’s response to climate change.

Note: The Caregiver Resiliency Teams pilot program was later renamed Emergency and Disaster Readiness (EDR).

Related Reading:
CCA Emergency and Disaster Readiness Course Highlighted in the News

CCA Training May Reduce ER Visits, Healthcare Costs

Report: L.A. Care Trimester 17

In addition to the annual impact report that the Center for Caregiver Advancement (CCA) prepares for the L.A. Care Health Plan, we provide an interim report after each trimester.

CCA regularly evaluates the value and impact of its training programs on the caregiver workforce and the quality of care they provide through impact studies. Many of these studies are conducted in partnership with academic institutions and research organizations. Once an impact study is complete, the Research and Policy team at CCA helps our program directors compile the data into impact reports.

The Learning and Instruction team at CCA designs curricula and programs based on the data resulting from these studies. They use the results from impact studies, qualitative research, and subject matter expert opinion, to guide and improve the training.

The findings from our research help to move the evidence base into actionable strategies and policies that help advance workforce development for long-term care workers.

The “IHSS+ Home Care Integration Training Interim Report, March 2023” is the result of an impact study. Please access the report via the button below.

Report: IHSS+ Training Decreases Consumer ER Visits and Inpatient Utilization

When Felipe Murillo suddenly became his mother’s full-time caregiver, everything seemed like an emergency and they made a lot of ER visits.

“Initially, after my mom came out of the hospital, I would get scared about everything that would come after that, like when she started coughing,” he said. Felipe’s initial reaction anytime his mother was experiencing anything out of the ordinary was to take her to the emergency room (ER).

However, after completing CCA’s 10-week caregiver training program, Felipe can now distinguish between a situation that requires an ER visit and those that can be handled via an urgent care facility. Through this training I am “… learning about the differences. [I learned that] maybe she doesn’t really need to go to the ER every time, maybe I could just take her to urgent care,” he said.

A new report from L.A. Care Health Plan shows that CCA’s IHSS+ training program reduces consumer emergency room visits and inpatient utilization. L.A. Care is CCA’s partner in delivering quality, evidence-based training to hundreds of IHSS providers whose consumers are L.A. Care members.

The utilization study, entitled Evaluation of In-Home Support Services (IHSS) Training on Health Care Outcomes and authored by Matthew Pirritano, PhD,says that.. among the consumers whose caregivers participated in the training, “there was a statistically significant decrease in ER utilization over time.” This trend was reported as decreasing prior to the end of the training and subsequently continued to decrease after graduation. Similarly, “inpatient utilization went from relatively flat prior to graduation to decreasing.”

Providing caregivers with high-quality training reduces the need for external medical care in certain situations. Caregiver Jennifer Ballesteros, who completed the multi-week training program, said, “The training is helpful to navigate the medical part of what I do for my mother.”

The material taught in the course may also be linked to the decrease in consumer ER visits and inpatient utilization. As part of the curriculum, students are instructed on how to distinguish between when their consumers need to visit urgent care and when they need emergency care. 

The report concluded that “there is a relationship between the training and a change in utilization.” These results are in line with the results of other prior evaluations of similar training programs. “This pre-post design which aggregated results across multiple classes bolsters the argument that the training might be causally related to the changes in utilization.” 

The sample population for the study was drawn from cohorts who completed the training between September 26, 2017 and August 6, 2021. The participants were only included in the analysis if the consumers they were caring for were continuously enrolled in L.A. Care within a year prior to and after graduation from the program.

Related Reading: IHSS Providers Are a Caregiving Lifeline for Californians

CCA Offers Hybrid CNA Training Program

CCA was approved to offer a hybrid CNA training and certification program as an official Nurse Assistant Training Program (NATP) provider by the California Department of Public Health (CDPH).

The NATP is offered in a hybrid format and consists of 160 hours of instruction, split between 60 hours of live instructor-led theory (online) and 100 hours of in-person clinicals. Participants take part in on-the-job training while being employed as a nursing assistant trainee at a partnering nursing facility. 

The training program is the first step for those interested in nursing and providing quality care for others. Participants are exposed to health care basics and have a chance to interact with residents at a skilled nursing facility and get hands-on experience. A CNA’s role typically involves assisting patients with activities of daily living, such as basic tasks that include bathing, grooming, toileting, eating, and moving. 

CCA’s NATP is a Registered Apprenticeship Program, which means participants get paid for their training and classroom hours and they earn a nationally recognized apprenticeship credential from the U.S. Department of Labor upon program completion.  

CCA’s CNA Registered Apprenticeship Program is offered through a unique partnership with the CDPH that enables CCA to provide generous support services. The CNA RAP is a short-term program that offers support to CNA trainees in the form of stipends. These support funds may include a child care expense stipend of up to $1,600, a grocery stipend of up to $400, and a transportation stipend of up to $100.

To ensure student success, CCA also offers mentorship from experienced CNAs. Participants are typically paired with a case manager, coach, and mentor who will be there to guide them throughout their training and the initial months as a working CNA. Upon completion of the program and passing the state CNA certification exam, graduates will be promoted to a CNA job with a guaranteed wage increase.

PLEASE NOTE: The CNA RAP training program ended in August 2025, and a different CNA training program was launched. The new program follows a slightly different training model. Please explore CCA’s CNA Training Pathway program for more information: https://advancecaregivers.org/cna-training-pathway-program/

If you have questions about our training programs, you can also email the Education Fund team at: edfund@advancecaregivers.org.

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