Cdph 278b 2026

1. Click ‘Get Form’ to open the cdph 278b in the editor.
2. Begin by entering the facility name and address in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in the provider identification training number and phone number. This helps streamline communication with the California Department of Public Health.
4. List all required signatures from the Administrator, Director of Nursing, and Director of Staff Development. Use our platform’s signature feature to easily collect these signatures.
5. Detail your in-service training topics, ensuring a total of at least 24 hours. Allocate a minimum of one hour for each topic listed.
6. Prepare and attach two lesson plans that include student objectives, content descriptions, teaching methods, and evaluation methods.
7. Indicate your three-month schedule for in-service training programs and ensure it accommodates all shifts.
8. Review all entries for completeness before submission. Confirm that original signatures are included as faxed or scanned copies will not be accepted.

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