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2026 How to Become a Caregiver: Certification Requirements in Virginia

Imed Bouchrika, PhD

by Imed Bouchrika, PhD

Co-Founder and Chief Data Scientist

Table of Contents
  1. Education requirements for caregiver certification in Virginia
  2. Required caregiver training hours in Virginia
  3. What Virginia caregiver training programs teach
  4. Whether Virginia requires a state caregiver exam
  5. How to apply for caregiver certification or approval
  6. Expected caregiver certification costs in Virginia
  7. Renewal rules for Virginia caregivers
  8. Career advancement options for certified caregivers
  9. Continuing education requirements
  10. Certified caregiver salary in Virginia
  11. Jobs available with caregiver certification

What education is required to become a certified caregiver in Virginia?

Most caregiver jobs in Virginia do not require a college degree, but they do require enough education and training to protect clients’ safety, privacy, and health. Employers usually want caregivers who can read care plans, follow written instructions, document changes, communicate with families or supervisors, and respond appropriately when a client’s condition changes.

  • High school diploma or GED: Many employers prefer or require this baseline credential because caregiving involves reading instructions, recording observations, and solving everyday problems.
  • Minimum age: Applicants commonly need to be at least 18 years old to meet employment and responsibility requirements.
  • Role-specific training: Personal care aide, home health aide, CNA, assisted living, developmental disability, and family caregiver programs may each have different training expectations.
  • Additional coursework: Health science, human services, gerontology, dementia care, or disability support courses are not always mandatory for entry-level jobs, but they can make an applicant more competitive.
  • Credential review for international education: Applicants educated outside the United States may need their credentials reviewed by an agency approved by the Virginia Department of Education to verify U.S. equivalency.

If you want to stay in healthcare but prefer administrative work over direct care, you may also compare caregiving with medical billing and coding career requirements. That path uses healthcare knowledge in a records, reimbursement, and coding environment rather than in hands-on personal care.

Caregiver pathTypical education or training expectationBest fit for
Personal Care AideOften a 40-hour state-approved or employer-approved programPeople who want to provide non-medical support with daily living tasks
Home Health AideInitial training may include 75 hours of instruction with hands-on practiceCaregivers who want to work in home-based care, often with agency oversight
Certified Nursing AssistantAt least 80 hours of training, including at least 40 hours of clinical experienceStudents who want a more clinical role in nursing homes, hospitals, or facilities
Paid family caregiverProgram-specific documentation, eligibility review, training, and assessment may applyFamily members caring for relatives with documented medical needs

How many training hours are required for caregiver certification in Virginia?

Virginia caregiver training hours depend on the role. This distinction matters because a short online caregiver course may help with basic knowledge but may not satisfy requirements for a licensed agency, Medicaid-related work, home health employment, or CNA certification.

  • Personal Care Aide training: Prospective PCAs generally complete at least 40 hours in a state-approved program. Training focuses on safe personal care, infection control, client rights, and support for older adults or people with disabilities.
  • Certified Nursing Assistant training: CNA candidates must complete at least 80 hours of training. At least 40 of those hours must involve supervised clinical experience, allowing students to practice direct care skills before working independently.
  • Home Health Aide preparation: HHAs may complete initial instruction that includes 75 hours of training with hands-on practice, depending on the employer and setting.
  • Annual in-service education: CNAs, PCAs, home health aides, and similar caregivers often need at least 12 hours of continuing education each year to keep skills aligned with current care standards.
RoleInitial training hours statedHands-on or clinical componentAnnual training expectation
Personal Care Aide40 hoursProgram-dependent practical skills training12 hours of annual in-service training
Certified Nursing AssistantAt least 80 hoursAt least 40 hours of clinical experience12 hours of continuing education annually
Home Health Aide75 hoursHands-on practice included12 hours of yearly in-service training
Assisted living or nursing home administratorVaries by administrator credentialDepends on role and license requirements20 hours of approved continuing education yearly

What topics are covered in caregiver training programs in Virginia?

Caregiver training is designed to prepare workers for everyday care tasks, safety risks, communication challenges, and legal responsibilities. A strong program should teach more than how to help someone bathe or dress. It should also explain how to protect dignity, recognize warning signs, document concerns, and respond when a client’s needs change.

  • Personal care assistance: Students learn how to help with bathing, dressing, grooming, toileting, eating, mobility, and other activities of daily living while preserving the client’s independence whenever possible.
  • Infection prevention: Programs cover hand hygiene, protective equipment, cleaning practices, and safe handling of contaminated items to reduce the spread of illness.
  • Communication skills: Training addresses how to speak with clients, families, supervisors, and healthcare professionals, including strategies for clients with memory loss, hearing loss, vision limitations, or cognitive disabilities.
  • Home and facility safety: Caregivers learn to identify fall risks, unsafe walkways, poor lighting, fire hazards, and other environmental concerns.
  • Emergency response: Instruction may include first aid basics, fire safety, medical emergency procedures, and when to contact a supervisor or emergency services.
  • Medication support: Caregivers may learn safe reminder practices, documentation expectations, adverse reaction awareness, and consent boundaries. Medication administration rules vary by role and setting.
  • Abuse and neglect prevention: Training teaches caregivers how to identify possible abuse, neglect, exploitation, or unsafe conditions and how reporting responsibilities apply.
  • Client rights and privacy: Programs emphasize confidentiality, autonomy, respectful treatment, and advocacy for vulnerable people.
  • Mental health and dementia care: Caregivers learn practical approaches for clients with dementia, behavioral symptoms, depression, anxiety, or other emotional needs.
  • Chronic condition support: Instruction may address common long-term conditions such as diabetes and heart disease and how caregivers can observe and report changes.
  • Caregiver self-care: Good programs discuss stress management, boundaries, fatigue, and burnout prevention.
  • Cultural and generational awareness: Caregivers are trained to respect differences in language, background, beliefs, family structure, and expectations around care.
  • Virginia rules and documentation: Students learn the records, forms, policies, and state-specific standards that apply to their care setting.

If you are comparing direct-care work with other healthcare occupations, it may help to review the advantages and drawbacks of medical billing and coding before deciding which type of healthcare role fits your strengths.

Is there a state exam for caregiver certification in Virginia?

Virginia does not use one statewide exam for every person who calls themselves a caregiver. Instead, testing depends on the credential and work setting. This is one of the most important points to understand before choosing a training program.

For general non-medical caregiver roles, such as some private-pay personal care or companion positions, there may be no universal state certification exam. Employers may rely on agency training, competency checklists, background checks, CPR or first aid requirements, and documented skills reviews.

For Certified Nursing Assistants, the process is more formal. CNA candidates must complete a state-approved training program and pass a competency evaluation. The CNA exam includes a written or oral portion and a hands-on skills demonstration to confirm that the candidate can perform essential care tasks safely.

Caregivers working in licensed child and family care settings may also need preservice training plus CPR and first aid certification, including an in-person competency demonstration. Caregivers working through Medicaid programs or licensed home health agencies may not take one single statewide “caregiver exam,” but agencies must maintain training, competency, and compliance records.

QuestionAnswer
Is there one Virginia caregiver exam for all roles?No. Requirements depend on the job title, employer, program, and care setting.
Do CNAs take a formal exam?Yes. CNA candidates complete state-approved training and pass written or oral and skills components.
Do private-pay companion caregivers always need a state exam?Not necessarily. Employers may set their own training and competency requirements.
Can an online certificate replace CNA certification?No. A basic caregiver certificate is not the same as completing the CNA training and exam process.
how many caregivers in the family would quit to provide care

How do you apply for caregiver certification in Virginia?

The application process depends on whether you are applying for employment, CNA certification, a Medicaid-related role, a VA caregiver program, or another approved caregiving arrangement. The safest approach is to start with the exact role you want, then confirm the required forms, training provider, background check, and documentation.

  1. Identify the caregiver role: Decide whether you are pursuing personal care aide work, CNA certification, home health aide employment, direct support work, or paid family caregiving.
  2. Check eligibility: Applicants may need to be at least 18 years old and, for some programs, provide full-time care to a person with documented medical needs.
  3. Collect documents: Prepare identification, proof of the care recipient’s eligibility when applicable, medical records supporting the need for care, and any required employment or education records.
  4. Complete the correct form: Depending on the program, this could include VA Form 10-10CG or Medicaid provider enrollment documents.
  5. Submit the application: Applications may be submitted online, by mail, or in person, depending on the agency or program.
  6. Complete background screening: Expect criminal history checks and abuse registry reviews when working with vulnerable populations or licensed providers.
  7. Participate in interviews or assessments: Some programs review the care recipient’s needs and the caregiver’s ability to provide safe support by phone, telehealth, or in person.
  8. Finish required training: Complete the approved curriculum for the role, whether online, in person, through workbooks, or through employer-led instruction.
  9. Prepare for a home-care assessment if required: Some programs may evaluate the home environment and your ability to provide appropriate care.
  10. Wait for final determination: A review team may issue a decision after checking the application, eligibility, training, and supporting documents.
  11. Watch for official notice: For some caregiver program applications, notification may arrive by mail and phone within 90 days.

Some Virginia caregiving arrangements include additional conditions. For example, certain developmental disability services may require specific licensing or provider rules. For VA caregiver applicants, the care recipient may need a minimum 70% service-connected disability rating. Because these details can change by program, verify requirements directly before paying for training or submitting forms.

  • : "

    A Virginia caregiver who completed a local training program described the process as demanding but useful. She said the background check felt stressful because it required close review of personal history, but she understood that the screening protected vulnerable clients. She also said the training helped her feel more prepared for real care situations, not just paperwork. The home visit showed her practical safety issues she had not noticed before. Her main advice was simple: keep copies of every document, track deadlines, and ask questions early.

    "

How much does it cost to get caregiver certification in Virginia?

The cost of caregiver certification in Virginia varies widely because “certification” can mean a short introductory course, a personal care aide program, a CNA program, employer training, or an optional professional credential. Do not compare programs by tuition alone. A low-cost course may be useful for basic learning but may not meet the requirements for the job you want.

  • Training tuition: Costs can range from $59 for online introductory caregiver training to around $1,100 for in-person programs at private academies.
  • Books and materials: Digital materials may be included in some online courses, while in-person or advanced programs may require books or workbooks costing between $20 and $100.
  • Registration or application fees: Some providers charge additional fees from $0 to $150.
  • Background checks: Employers commonly require criminal background screening, often costing between $35 and $50.
  • CNA exam fee: CNA candidates should budget approximately $94 for the state competency exam.
  • Optional membership or renewal fees: Organizations such as the American Caregiver Association may charge annual fees around $50, but these are not state-mandated for every caregiver role.
  • Free or subsidized training: Some options, including VA Caregiver Support Program modules, may be free, although they may not satisfy all employment requirements.
Cost itemAmount statedWhat to verify before paying
Online introductory caregiver trainingFrom $59Whether the course is accepted by your target employer or agency
In-person private academy programAround $1,100Whether tuition includes skills labs, materials, and exam preparation
Books or workbooks$20 to $100Whether materials are included in tuition
Application or registration fees$0 to $150Whether fees are refundable if you withdraw
Background check$35 to $50Whether the employer pays or the applicant pays
CNA competency examApproximately $94Whether retesting fees apply if you do not pass
Optional annual credential feeAround $50Whether the credential is required or only optional

If you are exploring affordable healthcare training beyond direct caregiving, compare caregiver programs with short workforce options such as a 4-week online medical coding and billing course. The better choice depends on whether you want hands-on patient support or administrative healthcare work.

How often do you need to renew caregiver certification in Virginia?

Many Virginia caregiver credentials or employment approvals require annual renewal, especially when the caregiver works in a regulated healthcare or long-term care setting. Renewal is not just an administrative step. It confirms that the caregiver remains active, trained, and eligible to work with vulnerable clients.

Caregivers may need to submit a renewal application and required fee each year. Notices may come from the Virginia Board of Nursing at least 30 days before expiration. CNAs must also confirm qualifying nursing-related work within the past two years. If they cannot document that work, they may need to retake the state exam to become current again. Missing the renewal deadline by 90 days can lead to extra documentation, additional steps, or retesting.

Renewal checklist for Virginia caregivers

  • Track your expiration date instead of relying only on mailed notices.
  • Save proof of completed continuing education or in-service training.
  • Keep employment records showing nursing-related or caregiving work when required.
  • Submit renewal forms and fees before the deadline.
  • Confirm whether your employer, agency, or credentialing body has separate renewal requirements.

What are the career advancement opportunities for certified caregivers in Virginia?

Caregiver certification can lead to more than one job title. Many caregivers begin with personal care or companion work, then move into higher-responsibility roles through experience, additional training, and specialized credentials. The best advancement path depends on whether you want to stay in direct care, supervise other caregivers, enter clinical healthcare, or shift into an allied health profession.

Advancement directionWhat it may involveGood fit for
Specialized caregivingDementia care, hospice care, disability support, or chronic disease support trainingCaregivers who want deeper expertise while staying in direct client care
CNA pathwayCompleting state-approved CNA training and passing the competency examCaregivers who want more clinical responsibilities under licensed nursing supervision
Team lead or supervisorScheduling, mentoring new caregivers, documenting performance, and coordinating careExperienced caregivers with strong communication and reliability
Program coordinationSupporting agency operations, client intake, care plans, or compliance documentationCaregivers interested in administration and service coordination
Allied health educationAdditional schooling for a licensed or therapy-related healthcare roleCaregivers ready for a longer education path and expanded scope of practice

For a longer-term clinical or rehabilitation-focused route, some caregivers explore how to become an occupational therapist in Virginia. That path requires substantially more education, but caregiving experience can help clarify whether therapy, rehabilitation, or patient support is the right professional direction.

What continuing education is required for caregivers in Virginia?

Continuing education helps caregivers maintain safe practices, update knowledge, and meet employer or state documentation rules. It is especially important as more clients receive care at home while managing dementia, disability, chronic illness, mobility limitations, or complex family needs.

  • Certified Nursing Assistants: CNAs must complete 12 hours of continuing education each year. Topics may include infection control, communication, resident rights, and patient safety.
  • Personal Care Aides: PCAs must complete 12 hours of annual in-service training after their initial 40-hour preparation. Training may include hygiene, safe transfers, observation, and reporting changes in client condition.
  • Home Health Aides: HHAs must complete 12 hours of yearly in-service training after initial preparation that includes 75 hours of instruction with hands-on practice.
  • Assisted living and nursing home administrators: Administrators must complete 20 hours of approved continuing education every year. At least 10 hours must be live, and 2 hours must address cognitive impairments. Excess hours may be carried over.

A Virginia caregiver who completed a local program said continuing education was difficult to fit around work at first. Live sessions on dementia care changed the way he communicated with clients and families. He also found that keeping training records organized helped during documentation checks. His experience reflects a common reality: continuing education takes planning, but it can improve both care quality and caregiver confidence.

What is the salary for certified caregivers in Virginia?

Certified caregiver pay in Virginia depends on the credential, employer, setting, schedule, geographic location, and level of responsibility. Facility-based jobs, agency roles, live-in care, weekend shifts, and specialized care may pay differently. Salary figures should be treated as estimates, not guarantees.

  • Average certified caregiver pay: Certified caregivers in Virginia typically earn between $33,091 and $40,255 annually, with a median salary of $36,425 as of August 2024.
  • Recent average estimate: Recent data indicates an average closer to $41,196 per year, or approximately $20 per hour.
  • Entry-level and experienced ranges: Entry-level caregivers earn around $30,057 yearly, while more experienced caregivers may earn up to $43,743 annually.
  • Live-in caregiver pay: Live-in caregivers in Virginia earn an average salary of $46,341 per year, or about $22.28 per hour, with top earners making upwards of $74,356.
  • National comparison: The average caregiver pay in Virginia is slightly below the national average, which falls between $33,000 and $35,000 per year. Virginia ranks 50th in the nation for live-in caregiver wages.
  • Effect of certification: Formal caregiver training, CNA certification, and specialized experience can improve competitiveness for roles that require documented skills.

Caregivers who want to increase their earning options without moving deeper into bedside care may also consider administrative healthcare training, including affordable online medical billing and coding courses. This can be useful for workers who want healthcare-sector flexibility but prefer records, claims, or office-based duties.

Pay categoryVirginia salary figure statedNotes
Typical certified caregiver range$33,091 to $40,255 annuallyMedian salary stated as $36,425 as of August 2024
Recent average estimate$41,196 per yearApproximately $20 per hour
Entry-level caregiverAround $30,057 yearlyOften reflects limited experience or basic credentials
Experienced caregiverUp to $43,743 annuallyMay reflect stronger experience, setting, or specialized skills
Live-in caregiver average$46,341 per yearAbout $22.28 per hour
Live-in caregiver top earnersUpwards of $74,356Pay may depend heavily on schedule and arrangement
number of older adults home care workers assist

What jobs can you get with caregiver certification in Virginia?

Caregiver certification or documented caregiver training can qualify you for several support roles in homes, assisted living communities, long-term care facilities, hospice settings, schools, and community programs. The right job depends on how much clinical responsibility you want, whether you prefer one-on-one home care or facility work, and whether you are comfortable with personal care tasks.

  • Home Health Aide: Helps clients at home with personal care, reminders, light household tasks, and observation, often under agency or nurse supervision.
  • Personal Care Attendant or Personal Care Aide: Provides non-medical help with mobility, hygiene, dressing, meals, errands, and companionship in homes or assisted living settings.
  • Certified Nursing Assistant: Supports patients or residents in hospitals, nursing homes, and care facilities by helping with mobility, daily care, vital signs, and other tasks under licensed nursing supervision.
  • Companion Caregiver: Offers social support, errands, light assistance, and safety monitoring, often for clients who need supervision more than hands-on medical care.
  • Direct Support Professional: Assists people with developmental disabilities in group homes, day programs, or community settings, often focusing on daily routines, independence, and social participation.
  • Residential Care Aide: Supports residents in long-term care, assisted living, or memory care environments with daily activities, safety, and emotional support.
  • Hospice Aide: Provides comfort-focused personal care and emotional support for people receiving end-of-life services at home or in hospice settings.
  • Family Care Provider: Delivers paid or program-approved care for a relative with a disability, chronic illness, or documented medical need when eligibility requirements are met.

If you want to build broader healthcare credentials while working, compare caregiver roles with flexible training options such as the best accredited medical billing and coding schools online with financial aid. This can help you decide whether your next step should be direct care, healthcare administration, or another allied health pathway.

How to choose the right caregiver training program in Virginia

Choosing the wrong program can waste time and money. Before enrolling, match the program to the job you want, not just the fastest or cheapest certificate advertised online.

Questions to ask before enrolling

  • Does this program meet Virginia requirements for the exact role I want?
  • Is the program accepted by licensed home care agencies, Medicaid providers, assisted living facilities, or CNA employers?
  • Does tuition include books, supplies, background checks, CPR or first aid, and exam preparation?
  • Are hands-on skills practice or clinical hours included if my role requires them?
  • Will I receive documentation that employers can verify?
  • Does the provider explain renewal and continuing education requirements?
  • If the course is online, will employers in my area accept it?
  • What happens if I fail a skills check, exam, or competency evaluation?

Common mistakes to avoid

MistakeWhy it can hurt youBetter approach
Assuming every caregiver certificate is state-approvedSome short certificates may not meet employer, agency, or CNA requirementsConfirm acceptance with your target employer before enrolling
Choosing only by lowest tuitionExtra costs for materials, background checks, or exams may make the program more expensiveCompare total cost, not just advertised tuition
Confusing caregiver training with CNA certificationA general caregiver course does not replace CNA training and the CNA competency examChoose the CNA pathway if you want CNA jobs
Ignoring renewal deadlinesExpired credentials can interrupt employment or require extra stepsTrack renewal dates and save continuing education records
Assuming online training is always enoughSome roles require hands-on skills, clinical experience, or in-person demonstrationsCheck whether practical training is required for your intended setting
Overlooking background check requirementsScreening is common in licensed care settings and can delay hiringAsk employers what checks are required and when they occur

Current trends affecting caregivers in Virginia

Several workforce and care trends are shaping caregiver jobs in Virginia. The state’s aging population continues to increase the need for in-home support, assisted living care, dementia services, and long-term care workers. Families are also seeking more home-based care, which places greater emphasis on reliability, communication, transportation, and the ability to work independently.

Employer expectations are also becoming more documentation-focused. Caregivers may need to record services, report changes in client condition, complete annual training, and follow agency compliance procedures. Technology is part of this shift: scheduling apps, electronic visit verification, telehealth coordination, and digital training platforms are increasingly common in home care and agency settings.

At the same time, caregiving remains a people-centered job. AI and automation may help with scheduling, reminders, documentation, or remote monitoring, but they do not replace the judgment, patience, physical assistance, and emotional presence required for daily care.

What do caregivers in Virginia say about their career?

  • Finishing certified caregiver training at Piedmont Virginia Community College changed the direction of my work life. The combination of hands-on practice and emotional awareness helped me feel ready to support people in a local school setting. Working with children each day reminds me why this role matters, especially when I can contribute to their safety, comfort, and learning. Virginia’s diverse communities make the work even more meaningful because every day brings different needs and perspectives. Winslet
  • After completing my caregiving certification at Tidewater Community College, I found work in a nearby academic environment. The stability and room for growth in Virginia have given me a stronger sense of purpose. I can see my skills improving while also making a real difference for the children I assist. Looking back, I value how Virginia’s training programs connect practical skill building with service to the community. Blythe
  • The caregiver program at Northern Virginia Community College opened opportunities I had not expected. My first role in a local school came with challenges tied to the region’s needs and Virginia’s diverse population. The work has helped me grow, learn from cultural differences, and build strong relationships with students and staff. It has also strengthened my commitment to continued learning and service. Arden

Is caregiver certification in Virginia worth it?

Caregiver certification can be worth it if you want a relatively fast route into healthcare, enjoy helping people directly, and are comfortable with personal care responsibilities. It is especially useful for people seeking home care, assisted living, long-term care, hospice, disability support, or CNA-related experience.

However, it may not be the best fit if you want a high starting salary, prefer predictable office work, are uncomfortable with bathing or toileting assistance, or do not want the emotional and physical demands of direct care. In those cases, compare caregiving with healthcare administration, medical billing and coding, community health, or longer-term allied health degree paths.

Choose caregiving if you want:

  • A shorter training path into healthcare support work
  • Direct interaction with clients, families, and care teams
  • Experience that can lead to CNA, hospice, dementia care, or allied health roles
  • Work that has visible personal impact

Consider another path if you want:

  • Mostly desk-based healthcare work
  • Minimal physical lifting or personal care tasks
  • A career requiring less emotional labor
  • A role with a clearer licensing ladder and higher formal education requirements

References:

Key Insights

  • Virginia does not have one universal caregiver certification process. Requirements depend on whether you want to work as a PCA, HHA, CNA, direct support professional, companion caregiver, or paid family caregiver.
  • Personal care aide training commonly requires 40 hours, while CNA training requires at least 80 hours, including at least 40 hours of supervised clinical experience.
  • CNAs must pass a formal competency exam, but many non-medical caregiver roles use employer training, background checks, CPR or first aid, and skills documentation instead of one statewide caregiver exam.
  • Budget beyond tuition. Training may cost from $59 to around $1,100, while books, background checks, registration fees, and the approximately $94 CNA exam fee can add to the total cost.
  • Annual continuing education matters. Many caregivers must complete 12 hours of training each year, and administrators have separate 20-hour continuing education requirements.
  • Salary varies by setting and role. Certified caregivers in Virginia are reported to earn between $33,091 and $40,255 annually, with other estimates showing an average closer to $41,196 per year.
  • The best program is not always the fastest or cheapest. Choose training that is accepted by the employer, agency, credentialing body, or care program where you plan to work.
  • Caregiving can be a strong first step into healthcare, but it is physically and emotionally demanding. Compare direct care with CNA, allied health, and healthcare administration paths before committing.

Other Things You Should Know About Becoming a Caregiver in Virginia

What are the current requirements to become a caregiver in Virginia?

In 2026, to become a caregiver in Virginia, you need to complete a state-approved training program, pass a competency exam, and undergo a background check. Some employers might require additional certifications in CPR or first aid.

Are there any prerequisites for becoming a caregiver in Virginia?

In Virginia, to become a caregiver in 2026, prospective caregivers must complete a background check and have a valid CPR certification. Some employers may require additional experience, but generally, specific caregiving experience isn’t mandatory, although it can be beneficial.

What continuing education opportunities exist for caregivers in Virginia in 2026?

In 2026, caregivers in Virginia can enhance their skills through various continuing education opportunities, such as workshops provided by healthcare agencies, community colleges, or organizations like the Virginia Healthcare Association. These programs could include specialized training in dementia care, patient safety, or medication administration, vital for maintaining high standards in caregiving.

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