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The document is a License Renewal Affidavit for Nursing Home Administrators from the California Department of Public Health (CDPH). It outlines the process for renewing a nursing home administrator license, including requirements for continuing education, family support compliance, and disclosure of any legal convictions. The affidavit must be completed and returned to the Nursing Home Administrator Program (NHAP) along with applicable fees. It emphasizes the importance of providing accurate information and the consequences of failing to do so.

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2014	4.8 Satisfied (161 Votes)

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What is a CDPH 283B form?

The CDPH 283B is a form provided by the California Department of Public Health for reporting a birth to the local registrar.

What is the CDPH 932 form?

Q: What is a CDPH 932 form? A: CDPH 932 is the form number that you will find in the bottom left hand corner of the Certified Nurse Assistant Competency Evaluation Approval letter that you receive from the state.

What is CDPH 530?

The CDPH 530 is a form that the California Department of Public Health requires any non-permanent clinician staff to sign after each shift. This document must also be signed by the facilitys director of nursing or other designated employee.

What are the requirements for CNA renewal in California?

Submit a completed Renewal Application (CDPH 283C) along with documentation (CDPH 283A) showing your completion of forty-eight (48) hours of In-Service Training/Continuing Education Units (CEUs) within your two (2) year certification period.

How to get a nursing home administrator license in California?

Pass the nursing home administrator license examination, which consists of a written state exam and an on-line national exam; Pass a criminal history review; Pay the licensing fees; and. Be in compliance with any judgement or order of support.

What is a CDPH 932 form?

The document is an application form for the Nursing Home Administrator Program (NHAP) by the California Department of Public Health (CDPH).

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