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Fresno is a particularly good city for Home Health Aide training because students can choose between dedicated California-approved HHA programs and broader CNA programs.
Existing California CNAs can add HHA certification through an approved 40-hour course, while students starting from scratch can choose CNA training or, in some cases, a full 120-hour HHA pathway.
Local tuition ranges from about $400 for an HHA add-on course to around $2,000 for comprehensive CNA training packages.
1 Pacific Health Education
Pacific Health Education offers both Certified Nursing Assistant and Home Health Aide training approved by the California Department of Public Health.
The HHA program is specifically designed for students who already hold current California CNA certification.
Training includes:
- Personal care
- Home safety
- Meal preparation
- Health observation
- Client assistance
- Home-care procedures
The program provides 20 hours of theory and 20 hours of clinical training.
Program Length
The HHA course contains 40 hours.
Classes can be completed in approximately one week of intensive training.
The school also offers a 160-hour CNA program for students who still need nurse assistant certification.
The daytime CNA program takes approximately 22 weekdays.
Evening and weekend schedules take longer.
Cost
The HHA program costs $800.
Fingerprinting is included.
For CNA students, current prices are approximately:
- Tuition-only package: $1,350
- All-inclusive package: $1,950
The $1,950 package includes tuition, registration, physical examination, textbook, Live Scan fingerprinting, and TB testing.
Admission Requirements
HHA students need:
- Current California CNA certification
- Social Security card
- California driver’s license or identification
- CNA students generally need:
- Minimum age of 18
- Government-issued identification
- Social Security card
- High school diploma or equivalent
- Vaccination records
- Ability to read, write, and communicate in English
What Makes This Program Worth Considering?
Pacific Health Education is one of Fresno’s strongest options because students can complete both CNA and HHA education through the same school.
The HHA program is fast, and the school offers frequent 2026 classes.
Students can also take the California CNA certification examination through the school’s testing facilities.
Address: 5108 E. Clinton Way, Suite 115, Fresno, CA 93727
2 Clovis Adult Education
Clovis Adult Education offers a dedicated California-approved Home Health Aide program for existing CNAs.
The curriculum focuses specifically on caring for clients in their homes.
Students study:
- Health and safety
- Personal grooming
- Meal preparation
- Client assistance
- Light housekeeping
- Residential care
The program includes equal amounts of classroom and clinical training.
Program Length
The HHA course contains 40 hours.
Students complete:
- 20 hours of theory
- 20 hours of clinical training
The program is scheduled over approximately 4 weeks, with classes generally meeting two days per week.
HHA training is normally offered only once per year.
Cost
Current expenses include approximately:
- HHA class fee: $350
- Additional fees: $200
- Books: $73.73
That creates a basic program cost of $623.73.
Students should budget separately for health requirements, uniforms, and American Heart Association BLS certification.
Admission Requirements
Applicants must:
- Be at least 18 years old
- Hold active California Nurse Assistant certification
- Provide government-issued identification
- Provide a Social Security number or ITIN
- Hold American Heart Association BLS certification
- Complete required health documentation
A computer and reliable internet connection are also required.
What Makes This Program Worth Considering?
Clovis Adult Education offers one of the least expensive dedicated HHA programs in the Fresno area.
For an existing CNA, spending around $624 before variable health expenses is considerably cheaper than enrolling in another long healthcare program.
The main limitation is scheduling because the HHA course is generally offered only once each year.
Address: 1452 David E. Cook Way, Clovis, CA 93611
3 Acclaim Education
Acclaim Education offers two different Home Health Aide pathways.
The first is a 40-hour HHA program for students who already hold California CNA certification.
The school is also approved to provide a full 120-hour HHA training program for students who do not already have CNA certification.
This makes Acclaim particularly unusual because students can potentially pursue California HHA certification without first completing a separate CNA program.
Program Length
The CNA-to-HHA program takes 4 class days.
Current 2026 classes are scheduled over two consecutive weekends.
The full HHA pathway for students without previous medical training has been offered in an approximately 16-day format.
Students should confirm the next available start date for the full program before enrolling.
Cost
The 40-hour HHA course costs $400.
That price includes the course requirements.
The full HHA program for students starting without CNA certification has been priced at approximately $1,800.
The school describes the full-program price as all-inclusive.
Admission Requirements
For the 40-hour course, students need active California CNA certification.
Students entering the full HHA program do not need previous medical training but must satisfy the health, identification, and background requirements associated with California HHA certification.
What Makes This Program Worth Considering?
Acclaim offers one of Fresno’s cheapest HHA add-on programs.
At $400, an existing CNA can add HHA training for roughly half the price charged by some competing private schools.
The availability of a full HHA program for students without CNA certification also makes Acclaim one of the area’s most interesting options for someone focused specifically on home health.
Address: 4011 North Fresno Street, Suite 103, Fresno, CA 93726
4 Fresno Adult School
Fresno Adult School offers a Certified Nursing Assistant program that provides a broader route into home health employment.
Students receive classroom, skills, and clinical instruction covering:
- Resident care
- Feeding
- Grooming
- Bathing
- Vital signs
- Confidentiality
- Social and emotional support
Graduates are prepared to take California’s CNA certification examination.
Program Length
The current program takes approximately 9 weeks.
A Fall 2026 cohort runs from August 17 through October 16.
Theory classes and clinical shifts are held during the week.
Cost
The current program fee is approximately $455.
That amount includes major school charges such as the application fee, certification examination, Live Scan fingerprinting, and program supplies.
Students should budget another approximately $400 for items such as:
- Uniforms
- Shoes
- Blood pressure equipment
- Watch
- Gait belt
- Physical examination
- TB testing
- Other supplies
Estimated complete cost: $855.
Sponsorship opportunities may be available through local workforce programs.
Admission Requirements
Students need:
- Government-issued identification
- Social Security card
- Criminal background clearance
- Required health documentation
Applicants need either a recent high school diploma or equivalent credential or qualifying eighth-grade-level reading performance.
What Makes This Program Worth Considering?
Fresno Adult School is one of the least expensive ways to become a CNA in Fresno.
An estimated complete cost of around $855 is substantially lower than many private schools charging $1,300 to $2,000 before every additional expense.
It is particularly attractive for students who want the wider employment options that come with CNA certification.
Address: 2500 Stanislaus Street, Fresno, CA 93721
5 Nursing Assistant Training Academy
Nursing Assistant Training Academy offers California-approved CNA training with both traditional and online/hybrid options.
Students complete classroom and laboratory education along with hands-on clinical training in skilled nursing facilities.
The course prepares graduates for California’s CNA certification examination.
Program Length
The program can be completed in 30 weekdays.
Full-time, part-time, evening, weekend, and online/hybrid schedules are available.
Cost
Current tuition is $1,050.
The non-refundable application fee is $250.
Total tuition and application cost is $1,300.
The price does not include several additional expenses, such as:
- Books
- Uniforms
- State examination
- Malpractice insurance
- Clinical supplies
Students should therefore budget above the $1,300 advertised school cost.
Admission Requirements
Applicants must:
- Be at least 16 years old
- Provide California identification
- Complete Live Scan fingerprinting
- Complete TB testing
- Complete a physical examination
- Be able to read and write English
- Attend mandatory orientation
A high school diploma or GED is preferred but not required.
What Makes This Program Worth Considering?
The number of schedule options is the biggest advantage.
Students can choose full-time, part-time, evening, weekend, or hybrid training.
The school also helps students schedule their California CNA competency examination after completing the program.
Address: 3636 N. First Street, Suite 129, Fresno, CA 93726
6 Synergy Health Care Education
Synergy Health Care Education offers a California-approved Nurse Assistant program.
Students receive theory, skills, and clinical training, preparing them to provide basic patient care and take California’s CNA certification examination.
The curriculum includes:
- Bathing
- Grooming
- Feeding
- Vital signs
- Basic nursing care
- Patient safety
- Clinical skills
CNA certification can subsequently be used when applying for qualifying home health positions.
Program Length
California CNA programs require extensive classroom and clinical preparation, and Synergy provides the state-approved curriculum.
Students should request the current 2026 cohort schedule directly because class length can vary by session.
Cost
The complete Nurse Assistant program costs $2,000.
The price includes several expenses other schools frequently charge separately for:
- Uniform
- Shoe voucher
- Wristwatch
- Textbook
- Fingerprinting
- State certification examination
Scholarships may also be available.
Admission Requirements
Students must:
- Be at least 16 years old
- Have a high school diploma or equivalent
- Attend mandatory orientation
- Complete a health screening
- Complete a physical examination
- Obtain TB clearance
- Satisfy vaccination requirements
- Complete criminal background clearance
What Makes This Program Worth Considering?
Synergy is one of the more expensive Fresno options, but the $2,000 price is much closer to an all-inclusive figure.
Uniforms, shoes, a watch, textbook, fingerprinting, and state examination costs are already included.
That makes comparison with cheaper tuition-only programs more reasonable, particularly for a student who wants one predictable price rather than paying numerous separate fees.
Address: 740 Fresno Street, Fresno, CA 93706
Schools Summary Table
| Rank | School | |
|---|---|---|
|
#1 | Pacific Health Education |
|
#2 | Clovis Adult Education |
|
#3 | Acclaim Education |
|
#4 | Fresno Adult School |
|
#5 | Nursing Assistant Training Academy |
|
#6 | Synergy Health Care Education |
Read the full guide: How to Become a Home Health Aide
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HHA Schools by State