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1 Connie Metias
525.25 Total Contact Hours 2 Concepcion K. M
Updated: 02-Jan-15 3 Concepcion M
CERTIFICATION LOG
Date
Acquired
Course Name
Cert
Nam
e
ContactHours
Entity/Provide
r
Locatio
n
Signed by
03/01/2013 IS-800.b: National Response Framwork CGV 1 EMI FEMA Online Tony Russell
01/13/2011 Medical Preparedness and Response to Bombing Incidents 2 16
The Texas A&M
University System
TEEX Santa Fe Springs Dennis Hunter
01/23/2013 Planning and Training for the Active Shooter Event 2 8 CHA HPP Northridge HMC
01/23/2013 Planning and Training for the Active Shooter Event 1 8 CHA HPP Northridge HMC Lisa Angell
01/23/2014
Healthcare Facilities Accreditation Program (HFAP) Changes to the 2014
Acute Care and Critical Access Hospital manuals on Physical Environment
Compliance 1 1 Conference Sherman Oaks Brad Keyes
01/30/2013 Pediatric Surge Training 3 4 LA Children's H St Joes Bridget Berg
02/02/2010 TLO - Terrorism Liaison Officer Intermediate 3 24 Sheriffs Station Santa Fe Springs Leslie Gardner
02/13/2012 Hospital Incident Command System (HICS) 1 4.5 CHA HPP SOH Tamiza Teja
02/17/2009 WMD Hospital Mass Casualty Decontamination 1 16 LAC EMS Santa Fe Springs Terry Crammer
06/03/2013 HazMat First Receiver OPS and Decon for Health Care 3 16
Cal EMA Cert #
OR469232 Sherman Oaks Richard Robles
12/03/2012 AB508 - Assaultive Behavior Management 1 4 SOH Sherman Oaks Vincent Sciurba
03/15/2013 Framework for Healthcare Emergency Management 2 32 CDP – FEMA Anniston James E. Smith
03/15/2018 NIMS IS 700 & ICS 100-200 for Healthcare Professionals 1 4 KP.org / Cal OES ELADH Miguel Salazar
08/04/2009 TLO - Terrorism Liaison Officer Basic Course 3 8 Sheriffs Station Santa Fe Springs Leslie Gardner
04/13/2014 American Radio Relay League (ARRL) License: KK6LMY 3 16 ARRL-Nat Guard Van Nuys KI6YOU
04/18/2014 IS-00907 Active Shooter: What You Can Do 3 AKA GV 1 EMI FEMA Computer Tony Russell
04/30/2011 Active Member of Medical Reserves Corps Orientation 3 8 MRC LA Burbank Jee Kim
08/05/2012 Hospital Disaster Management Training (HDMT) 1 16 CHA HPP Santa Fe Springs Patricia J Wall
05/15/2012 Sexual Harassment Prevention-Cal Version 3 2 SOH / FlexEd SOH
05/15/2013 Hospital Emergency Response Training for MCI 2 24 CDP – FEMA Anniston Charles M. King
05/16/2013 TtT: Hospital Emergency Response Training for MCI 2 8 CDP – FEMA Anniston Charles M. King
05/17/2012 HazWoper First Responder Operations Level Training 1 8 PTMC Tarzana Shannon
05/18/2013 Integrated Capstone Event (HERT) 2 8 CDP – FEMA Anniston Charles M. King
05/20/2014 Community Emergency Response Team (CERT) Program - LEAD 1 24 LAFD Sherman Oaks Eric Garcetti
05/23/2014 Disaster and Trauma Symposium 2 1 3.5 UCLA Plaza, LA CA 90095 Kurt Kainsinger
05/23/2014 Disaster and Trauma Symposium 1 1 2 UCLA LA CA 90095 Kurt Kainsinger
Page(s): 1 of 3
1 Connie Metias
525.25 Total Contact Hours 2 Concepcion K. M
Updated: 02-Jan-15 3 Concepcion M
CERTIFICATION LOG
Date
Acquired
Course Name
Cert
Nam
e
ContactHours
Entity/Provide
r
Locatio
n
Signed by
07/31/2014 Psychological First Aid: Listen, Protect and Connect 1 2 LAC EMS Burbank Sandra Shields
07/31/2014 Anticipate, Plan and Deter - Maximising Resilience for HC Workers 1 1 LAC EMS Burbank Sandra Shields
07/31/2014 PsyStart Disaster Mental Health Triage System 1 1.5 LAC EMS Burbank Sandra Shields
07/08/2014 First Responder Awareness Refresher Training 1 8 SOH Sherman Oaks Greg Coon
10/08/2009 EKG Monitor Technician Workshop 3 20
Cal School of
Health Sciences Los Angeles Rafat Qahoush
08/27/2009 TLO Terrorist Activity and Subversive Behavior Awareness Course 3 16 LAC EMS Santa Fe Springs Sabre Group
08/29/2013 TtT: N95 Fit Testing 1 8 LAC EMS Santa Fe Springs John Ospital
08/31/2010 Medical Management of CBRNE Events 2 16
The Texas A&M
University System
TEEX Santa Fe Springs Gary F Sera
08/31/2012 Joint CounterTerrorism Awareness Workshop Series (JCTAWS) 2 16 Marriot LA Live LA 90015 Meredith A Burke
09/22/2014
Violent Threats in Health Care: Readiness and Resilience for When the
Unthinkable Happens 3 6.6 CHA HPP Sacramento Liz Mekjavich
09/23/2013 Utilities Management: Preserving Critical Systems 3 4.5 CHA HPP Sacramento Liz Mekjavich
09/23/2014 Rapid Response to MCI - Fifteen Minutes to 50 Patients 1 1.2 CHA HPP Sacramento Liz Mekjavich
09/23/2014 Hospital BCP Post-Earthquake - Beyond the Mandate 1 1.2 CHA HPP Sacramento Liz Mekjavich
09/23/2014
Without Water: Managing Through Crisis; Insight from CalOES; Ebola -
Hospital Response; Precautions and Communications 3 3 CHA HPP Sacramento Liz Mekjavich
09/23/2014 Immersive NICU Disaster Simulation During a Power Outage 1 1.2 CHA HPP Sacramento Liz Mekjavich
09/24/2013 Contra Costa County Chevron Fire Incident 3 1.2 CHA HPP Sacramento Liz Mekjavich
09/24/2013 Essentials of an Emergency Management Program 3 1.2 CHA HPP Sacramento Liz Mekjavich
09/24/2014 Preparedness Gets Personal: Family Readiness and Survival 1 1.8 CHA HPP Sacramento Liz Mekjavich
09/24/2014
Disaster Planning : Nashville Under Water; Mass Casualty in a Rural
Town; The FedEx Bus Crash Accident 3 2.4 CHA HPP Sacramento Liz Mekjavich
09/25/2013 After Action Reporting 3 1.8 CHA HPP Sacramento Liz Mekjavich
09/25/2013 Disaster Planning General Sessions Day2 3 3.9 CHA HPP Sacramento Liz Mekjavich
09/25/2013 Business Continuity and Financial Considerations for Hospitals 3 1.8 CHA HPP Sacramento Liz Mekjavich
03/10/2013
MGT 341 - Disaster Preparedness for Hospitals and Healthcare
Oganizations within the Community Infrastracture 3 16
The Texas A&M
Extension Service
TEEX Claremont Gary F Sera
Page(s): 2 of 3
1 Connie Metias
525.25 Total Contact Hours 2 Concepcion K. M
Updated: 02-Jan-15 3 Concepcion M
CERTIFICATION LOG
Date
Acquired
Course Name
Cert
Nam
e
ContactHours
Entity/Provide
r
Locatio
n
Signed by
10/15/2012 Continuity Planning for Hospitals-A Holistic Approach 1 4.2 CHA HPP Sacramento Liz Mekjavich
10/16/2012 Raising the Bar on your Facilities Department 1 1.8 CHA HPP Sacramento Liz Mekjavich
10/16/2012 Seeing through the Dark - Continuing Care During Loss of Power 1 1.8 CHA HPP Sacramento Liz Mekjavich
10/16/2012 General Sessions, Day 1 3 3.3 CHA HPP Sacramento Liz Mekjavich
10/17/2012 A Crisis in Leadership-What U Need to Know BEFORE Disaster Hits 1 1.8 CHA HPP Sacramento Liz Mekjavich
10/17/2012 General Sessions, Day 2 3 3.3 CHA HPP Sacramento Liz Mekjavich
01/12/2011 Hospital Fire Safety 3 8 SOH Sherman Oaks Victor Lozano
08/12/2011 FRA-12811 - First Responder Awareness Refresher Training 1 8 EHMC Encino Greg Coon
08/12/2012 Integrated Capstone Event (HCL) 2 0 CDP – FEMA Anniston Charles M. King
08/12/2012 Healthcare Leadership for MCI 2 40 CDP – FEMA Anniston Charles M. King
09/12/2013 Behavioral Health Care Symposium 3 4.5 CHA HPP Huntington Bch Liz Mekjavich
10/12/2013 Behavioral Health Care Symposium 3 5.25 CHA HPP Huntington Bch Liz Mekjavich
12/20/2014 Instructor Training Course 2 40 CDP – FEMA Anniston Charles M. King
TOTAL EDUCATION HOURS: 525.25
Page(s): 3 of 3

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Certification Log

  • 1. 1 Connie Metias 525.25 Total Contact Hours 2 Concepcion K. M Updated: 02-Jan-15 3 Concepcion M CERTIFICATION LOG Date Acquired Course Name Cert Nam e ContactHours Entity/Provide r Locatio n Signed by 03/01/2013 IS-800.b: National Response Framwork CGV 1 EMI FEMA Online Tony Russell 01/13/2011 Medical Preparedness and Response to Bombing Incidents 2 16 The Texas A&M University System TEEX Santa Fe Springs Dennis Hunter 01/23/2013 Planning and Training for the Active Shooter Event 2 8 CHA HPP Northridge HMC 01/23/2013 Planning and Training for the Active Shooter Event 1 8 CHA HPP Northridge HMC Lisa Angell 01/23/2014 Healthcare Facilities Accreditation Program (HFAP) Changes to the 2014 Acute Care and Critical Access Hospital manuals on Physical Environment Compliance 1 1 Conference Sherman Oaks Brad Keyes 01/30/2013 Pediatric Surge Training 3 4 LA Children's H St Joes Bridget Berg 02/02/2010 TLO - Terrorism Liaison Officer Intermediate 3 24 Sheriffs Station Santa Fe Springs Leslie Gardner 02/13/2012 Hospital Incident Command System (HICS) 1 4.5 CHA HPP SOH Tamiza Teja 02/17/2009 WMD Hospital Mass Casualty Decontamination 1 16 LAC EMS Santa Fe Springs Terry Crammer 06/03/2013 HazMat First Receiver OPS and Decon for Health Care 3 16 Cal EMA Cert # OR469232 Sherman Oaks Richard Robles 12/03/2012 AB508 - Assaultive Behavior Management 1 4 SOH Sherman Oaks Vincent Sciurba 03/15/2013 Framework for Healthcare Emergency Management 2 32 CDP – FEMA Anniston James E. Smith 03/15/2018 NIMS IS 700 & ICS 100-200 for Healthcare Professionals 1 4 KP.org / Cal OES ELADH Miguel Salazar 08/04/2009 TLO - Terrorism Liaison Officer Basic Course 3 8 Sheriffs Station Santa Fe Springs Leslie Gardner 04/13/2014 American Radio Relay League (ARRL) License: KK6LMY 3 16 ARRL-Nat Guard Van Nuys KI6YOU 04/18/2014 IS-00907 Active Shooter: What You Can Do 3 AKA GV 1 EMI FEMA Computer Tony Russell 04/30/2011 Active Member of Medical Reserves Corps Orientation 3 8 MRC LA Burbank Jee Kim 08/05/2012 Hospital Disaster Management Training (HDMT) 1 16 CHA HPP Santa Fe Springs Patricia J Wall 05/15/2012 Sexual Harassment Prevention-Cal Version 3 2 SOH / FlexEd SOH 05/15/2013 Hospital Emergency Response Training for MCI 2 24 CDP – FEMA Anniston Charles M. King 05/16/2013 TtT: Hospital Emergency Response Training for MCI 2 8 CDP – FEMA Anniston Charles M. King 05/17/2012 HazWoper First Responder Operations Level Training 1 8 PTMC Tarzana Shannon 05/18/2013 Integrated Capstone Event (HERT) 2 8 CDP – FEMA Anniston Charles M. King 05/20/2014 Community Emergency Response Team (CERT) Program - LEAD 1 24 LAFD Sherman Oaks Eric Garcetti 05/23/2014 Disaster and Trauma Symposium 2 1 3.5 UCLA Plaza, LA CA 90095 Kurt Kainsinger 05/23/2014 Disaster and Trauma Symposium 1 1 2 UCLA LA CA 90095 Kurt Kainsinger Page(s): 1 of 3
  • 2. 1 Connie Metias 525.25 Total Contact Hours 2 Concepcion K. M Updated: 02-Jan-15 3 Concepcion M CERTIFICATION LOG Date Acquired Course Name Cert Nam e ContactHours Entity/Provide r Locatio n Signed by 07/31/2014 Psychological First Aid: Listen, Protect and Connect 1 2 LAC EMS Burbank Sandra Shields 07/31/2014 Anticipate, Plan and Deter - Maximising Resilience for HC Workers 1 1 LAC EMS Burbank Sandra Shields 07/31/2014 PsyStart Disaster Mental Health Triage System 1 1.5 LAC EMS Burbank Sandra Shields 07/08/2014 First Responder Awareness Refresher Training 1 8 SOH Sherman Oaks Greg Coon 10/08/2009 EKG Monitor Technician Workshop 3 20 Cal School of Health Sciences Los Angeles Rafat Qahoush 08/27/2009 TLO Terrorist Activity and Subversive Behavior Awareness Course 3 16 LAC EMS Santa Fe Springs Sabre Group 08/29/2013 TtT: N95 Fit Testing 1 8 LAC EMS Santa Fe Springs John Ospital 08/31/2010 Medical Management of CBRNE Events 2 16 The Texas A&M University System TEEX Santa Fe Springs Gary F Sera 08/31/2012 Joint CounterTerrorism Awareness Workshop Series (JCTAWS) 2 16 Marriot LA Live LA 90015 Meredith A Burke 09/22/2014 Violent Threats in Health Care: Readiness and Resilience for When the Unthinkable Happens 3 6.6 CHA HPP Sacramento Liz Mekjavich 09/23/2013 Utilities Management: Preserving Critical Systems 3 4.5 CHA HPP Sacramento Liz Mekjavich 09/23/2014 Rapid Response to MCI - Fifteen Minutes to 50 Patients 1 1.2 CHA HPP Sacramento Liz Mekjavich 09/23/2014 Hospital BCP Post-Earthquake - Beyond the Mandate 1 1.2 CHA HPP Sacramento Liz Mekjavich 09/23/2014 Without Water: Managing Through Crisis; Insight from CalOES; Ebola - Hospital Response; Precautions and Communications 3 3 CHA HPP Sacramento Liz Mekjavich 09/23/2014 Immersive NICU Disaster Simulation During a Power Outage 1 1.2 CHA HPP Sacramento Liz Mekjavich 09/24/2013 Contra Costa County Chevron Fire Incident 3 1.2 CHA HPP Sacramento Liz Mekjavich 09/24/2013 Essentials of an Emergency Management Program 3 1.2 CHA HPP Sacramento Liz Mekjavich 09/24/2014 Preparedness Gets Personal: Family Readiness and Survival 1 1.8 CHA HPP Sacramento Liz Mekjavich 09/24/2014 Disaster Planning : Nashville Under Water; Mass Casualty in a Rural Town; The FedEx Bus Crash Accident 3 2.4 CHA HPP Sacramento Liz Mekjavich 09/25/2013 After Action Reporting 3 1.8 CHA HPP Sacramento Liz Mekjavich 09/25/2013 Disaster Planning General Sessions Day2 3 3.9 CHA HPP Sacramento Liz Mekjavich 09/25/2013 Business Continuity and Financial Considerations for Hospitals 3 1.8 CHA HPP Sacramento Liz Mekjavich 03/10/2013 MGT 341 - Disaster Preparedness for Hospitals and Healthcare Oganizations within the Community Infrastracture 3 16 The Texas A&M Extension Service TEEX Claremont Gary F Sera Page(s): 2 of 3
  • 3. 1 Connie Metias 525.25 Total Contact Hours 2 Concepcion K. M Updated: 02-Jan-15 3 Concepcion M CERTIFICATION LOG Date Acquired Course Name Cert Nam e ContactHours Entity/Provide r Locatio n Signed by 10/15/2012 Continuity Planning for Hospitals-A Holistic Approach 1 4.2 CHA HPP Sacramento Liz Mekjavich 10/16/2012 Raising the Bar on your Facilities Department 1 1.8 CHA HPP Sacramento Liz Mekjavich 10/16/2012 Seeing through the Dark - Continuing Care During Loss of Power 1 1.8 CHA HPP Sacramento Liz Mekjavich 10/16/2012 General Sessions, Day 1 3 3.3 CHA HPP Sacramento Liz Mekjavich 10/17/2012 A Crisis in Leadership-What U Need to Know BEFORE Disaster Hits 1 1.8 CHA HPP Sacramento Liz Mekjavich 10/17/2012 General Sessions, Day 2 3 3.3 CHA HPP Sacramento Liz Mekjavich 01/12/2011 Hospital Fire Safety 3 8 SOH Sherman Oaks Victor Lozano 08/12/2011 FRA-12811 - First Responder Awareness Refresher Training 1 8 EHMC Encino Greg Coon 08/12/2012 Integrated Capstone Event (HCL) 2 0 CDP – FEMA Anniston Charles M. King 08/12/2012 Healthcare Leadership for MCI 2 40 CDP – FEMA Anniston Charles M. King 09/12/2013 Behavioral Health Care Symposium 3 4.5 CHA HPP Huntington Bch Liz Mekjavich 10/12/2013 Behavioral Health Care Symposium 3 5.25 CHA HPP Huntington Bch Liz Mekjavich 12/20/2014 Instructor Training Course 2 40 CDP – FEMA Anniston Charles M. King TOTAL EDUCATION HOURS: 525.25 Page(s): 3 of 3