Direct Care Personal

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DEPARTMENT OF HUMAN SERVICES

ADULT RESIDENTIAL LICENSING

Certificate of Completion

Direct Care Staff Training Course and Competency

Kelise Smith

10/26/2021

CCD7E509DADA471DBC1227B34BCAA774651806

This certificate certifies that the above named individual has successfully

completed the Department’s personal care home direct care training

course and competency test in accordance with 55 Pa.Code § 2600.65(d)(

This certificate does not permit you to provide training.

All training topics/materials must be approved by the

Department of Hurnan Service’s Adult Residential Licensing Director

Contact this candidate