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ATCS) MS 3301 P.O. Box 997416 Sacramento, CA 95899-7416 (916) 327-2445 FAX (916) 324-0901 IN-SERVICE TRAINING PROGRAM (To be completed by ALL skilled nursing and intermediate care facilities) See page two for instructions Facility name and address: F Provider identification training number: Phone: ( ) County: All Parties Must Sign Required Signatures Administrator Signature Director of Nursing Signature Director of Staff Development Signature Each nursing facility shall provide 24.

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How to fill out the Cdph 278b online

The Cdph 278b form is essential for skilled nursing and intermediate care facilities to document their in-service training programs. This guide provides a clear, step-by-step approach to completing the form online, ensuring that all necessary information is accurately captured.

Follow the steps to effectively complete the Cdph 278b online.

  1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
  2. Enter the facility name and address in the designated fields at the top of the form.
  3. Provide the provider identification training number and a contact phone number.
  4. Indicate the county in which your facility is located.
  5. Ensure that all required signatures are collected, including those from the administrator, the director of nursing, and the director of staff development.
  6. List all in-service training topics and allocate time for each, ensuring a total of at least 24 hours.
  7. Prepare and attach two lesson plans for different topics, ensuring they include student behavioral objectives, descriptive content, teaching methods, and evaluation methods.
  8. Create a proposed three-month schedule calendar for the in-service training programs.
  9. Indicate how you will include all three shifts for in-service training.
  10. Review the form to ensure all required information is complete and signatures are obtained.
  11. Save changes, then download, print, or share the completed form as needed.

Complete the Cdph 278b form online today to ensure compliance with training program requirements.

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