HCAs have a duty to maintain their own fitness to practice. Being ‘fit to practice’ means having the physical, mental, and emotional health required to provide safe, competent, and ethical care. Some illnesses or conditions can affect an HCA’s ability to think clearly, make decisions, and use sound clinical judgment. This can negatively affect client care and impact an HCA’s ability to provide safe, competent, and ethical care. In such cases, the HCA must report any concerns about unsafe HCA practices to the CLHA.