Cdph 279 form 2025

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The document is an application form from the California Department of Public Health for individuals seeking to become Directors of Staff Development (DSD) or Instructors in nursing training programs. It outlines the necessary information and documentation required for the application, including personal details, nursing license information, work experience, and proof of relevant training. The form is intended for use by facilities, schools, or agencies offering nursing education.

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Click ‘Get Form’ to open the cdph 279 form in the editor.
Begin by entering your Facility/School/Agency Telephone Number and Provider Identification Training Number. Ensure these details are accurate for proper identification.
Fill in the County and Facility/School/Agency Name and Address. This information is crucial for processing your application.
Select the Type of Training to be Offered by checking the appropriate box: Orientation and In-Service Training Programs Only, Nurse Assistant Training Program (NATP) Only, or both.
Complete the Applicant’s Name section along with your California Nursing License Number and its Expiration Date.
Indicate the Facility Licensed Bed Capacity if applicable, and provide the Date Submitted to CDPH.
Sign as the Applicant, noting your Hours Employed per week and Date Employed as DSD / Instructor.
Attach required documents such as your resume, proof of DSD class completion, and a copy of your active nursing license using our platform's upload feature.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (40 Votes)
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the requirements to be a CNA instructor in California?

A minimum of three (3) years in Nursing, with a minimum of two years of full-time experience as a licensed Nurse, and at least one (1) year full-time of which must be in the provision of direct patient care in nursing facility (also long term care facility). Evidence of continuing education and self-development.

Is the form 283B or CDPH 932 form?

If you complete a CNA course, you will present the Form 283B on your testing day. If you are renewing your license or applying for equivalency, you will present the CDPH Form 932.

How long does it take to become a DSD?

In summary, Nurse Development Centers DSD course in Cypress, CA, is a comprehensive 24-hour education training program designed to meet the criteria for the Director of Staff Development position in ance with California regulations.

How long does it take to become a developmental disability nurse?

An ADN typically takes two years to complete, while a BSN takes four. However, some programs offer an accelerated option that can be finished in as little as a year. After graduation, nurses may apply for developmental disability nursing jobs as graduate nurses (GNs).

Does a DSD certificate expire?

NATP DSD or Instructor Renewal Requirements Online NATPs are not required to renew their DSDs/Instructors every two years. However, if a previously approved DSD/Instructor leaves their current employment for another online NATP, the new online NATP must apply on their behalf and the DSD/Instructor must requalify.

How long does it take to become a child care director?

The timeline to become a Childcare Director can vary, typically ranging from several years to over a decade. Individuals with a degree in Early Childhood Education or a related field may become directors after gaining 3-5 years of experience in childcare settings, often starting as teachers or assistant directors.

How do you become a DSD?

Become a DSD Option 1: Have one year experience as a licensed nurse providing direct patient care in a long term care facility, in addition to having one year of experience planning, implementing and evaluating education programs in nursing (for a total of two years).

How long does it take to get a DSD certification?

24 Hour Certification Training Specifically, students will learn how to develop and maintain training records, draft course outlines and lesson plans, develop long range and short range training plans, and how to conduct training.

Cdph 279 form 2025

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