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Get Ca Cdph 278b 2011-2026
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How to fill out the CA CDPH 278B online
Filling out the CA CDPH 278B form is essential for skilled nursing and intermediate care facilities to ensure compliance with training requirements. This guide provides a clear, step-by-step process to help users complete the form accurately and efficiently.
Follow the steps to fill out the CA CDPH 278B correctly.
- Click 'Get Form' button to obtain the form, allowing you to access it in an online format.
- Begin by entering the facility name and address in the specified fields. Ensure that all details are accurate to avoid processing delays.
- Fill in the provider identification training number and phone number. This information is essential for identification and communication.
- Indicate the county in which the facility is located. This helps in categorizing your submission within the state system.
- In the required signatures section, ensure that the administrator, director of nursing, and director of staff development affix their signatures where indicated. Each signature is a confirmation of the submitted information.
- List the training program topics in the provided sections, ensuring that you total at least 24 hours of in-service training as mandated. Allocate a minimum of one hour per topic.
- Ensure to provide two lesson plans from different topics. Each lesson plan should include student behavioral objectives, descriptive content, teaching methods, and evaluation methods.
- Create and include a proposed three-month schedule calendar for conducting the in-service training programs. This helps in the planning and organization of training efforts.
- Specify how you will include all three shifts in the in-service training. This is necessary to ensure all staff members have access to the required training.
- Before submitting, review the checklist to confirm that all required signatures are included, lesson plans are submitted, and all fields on the form are completed.
- Once confirmed, download or print the completed form as necessary. Be sure to keep copies for your records, as original signatures are required for submission.
Complete your CA CDPH 278B form online today to ensure compliance and improve training programs.
If you prefer to speak directly with someone about your complaint, you can contact the CDPH at their dedicated complaint hotline. This number is typically listed on their official website. For issues related to the CA CDPH 278B, a representative can guide you through the complaint process and answer any questions you may have.
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