Get Ca Cdph 278a 2019-2026

Filling out the CA CDPH 278A form is an essential step for skilled nursing and intermediate care facilities to submit orientation program content for nurse assistants. This guide will walk you through the process of completing this form online with clarity and ease.

Follow the steps to successfully complete the CA CDPH 278A form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Enter the facility name and address in the provided fields. Ensure accuracy as this identifies your facility.
3. Fill in the facility county and facility identification training number. These details help maintain proper documentation.
4. Include the facility email address and phone number for further communication regarding the submitted orientation program.
5. Document the hours of orientation provided to certified and noncertified nurse assistants. Make sure to outline the first eight hours related to direct patient care.
6. Detail the topics covered in the orientation program as required. This includes organization of staff, patient care philosophy, and legal considerations among others.
7. Submit a lesson plan for a direct patient care skill that is taught during supervised clinical training as specified. Include performance standards, content, method of teaching, and evaluation method.
8. Upload a copy of the orientation skills return demonstration record from the first eight hours of training.
9. Identify and list the job title of the person supervising the basic patient care clinical training.
10. Ensure all administrators and supervisors sign the form. Include their names, signatures, and email addresses along with the date.
11. Review all filled sections to verify correctness. Save changes and choose to download, print, or share the completed form as needed.

Complete the CA CDPH 278A form online today to ensure compliance with California's orientation program requirements.