Weekend Home Care Aide Candidate

THIS CERTIFICATE VERIFIES

Proctor Program Name:

Proctor Program Number:

Please select which exam(s) were administered and passed. Knowledge Exam:

Skills Exam:

Both Knowledge and Skills Exam:

Signature of Approved Proctor

_ __

Print Name I-Code

By signing, the instructor/proctor indicates they have verified the student has passed the written and/or skills exam for the home care aide certification.

has successfully

Passed DOH Approved Home Care Aide Certification Exam(s) Interpreter Language (If applicable):

I-Arisespark

Date

Florence Kamau-Muthui LSWAIC

Arise & Sparkle LLC DBA Sparkle Training Center

WA753957

X

06/29/2026

Lynndel Arquette

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