Those varied requirements are common and a bit confusing! You often do need a baseline level of formal education, which could be a GED or high school diploma. Certification is usually a requirement, but some agencies offer on-the-job training to help you get certified. I think the"caring heart” part underscores that the role demands empathy and patience, and these qualities are essential alongside the technical skills. I know someone who was asking about similar things and they found an hha jobs guide that laid out the qualifications, training, and where they could find opportunities.