1 The way your foot is shaped puts too much pressure on your big toe joint. Because bunions can run in families, some experts believe that the inherited shape of the foot makes some people more likely to get them.  Your foot rolls inward too much when you walk. A moderate amount of inward roll, or pronation, is normal.
Step 3: Route 2: Earn a Certificate or Degree. Enroll in an HVAC certificate or associate's degree program at a community college, trade school or technical academy. The programs can take between six months and two years to complete.
Contents of the California HHA Training. HHAs are required to take a state-approved program to get certified and licensed in the state of California. California 120 Hour Home Health Aide Training Program. The basic training program for certification shall be a minimum of 120 hours and consist of at least the following: