Guide · checked October 22, 2026
Federal rules require facilities to give aides 12 hours a year of in-service training (42 CFR 483.95(g)). That is the facility's obligation for its own compliance — it is not your personal renewal requirement in most states, and it does not move your registry clock. Your clock moves with paid work (and, in CE states like California with 48 hours per 2 years, your own filed CE). Aides lapse every year holding a folder of in-service certificates.
It depends on the state, and getting it wrong lapses you silently. California: you report your work, under penalty of perjury. Illinois and Connecticut: your employer reports — and if they don't, you wear it. Ohio: either, with signed statements as evidence. Your state page names your state's reporter.
Several states exclude private-duty or sitter work from the renewal count (Tennessee and Mississippi say so plainly; Louisiana warns that non-facility hours often go unreported). Hours that feel identical can count for nothing. Keep pay stubs for everything and check what your state counts.
Many states charge nothing to renew on a work-based registry. Calendar and license states charge: Florida escalates $55 on time → $105 late → $160 delinquent; Washington is $95 every year; Rhode Island $35; New Hampshire charges $66 to renew or reinstate ($38 state fee + $28 Professionals' Health Program fee), with fines up to $50 a month for working expired. Pennsylvania mails its continued-enrollment packet about 90 days before expiry — if your address is stale, you'll never see it. Keep your registry address current; it is the cheapest renewal step there is.
Your own renewal position — active, at risk, or lapsed, with dates — is one run of the status checker.
