CDPH 278B Form – Fill Out and Use This PDF

CDPH 278B Form PDF Details

The CDPH 278B form, issued by the California Department of Public Health, is completed by skilled nursing facilities (SNFs) and intermediate care facilities (ICFs) to document their annual in-service training programs for certified nurse assistants. California regulations require every CNA employed by a licensed facility to complete at least 24 hours of in-service training per year.

Required Training Hours and Content

The 24-hour annual training requirement includes specific allocations that facilities must record on Form 278B. At least 5 of those 24 hours must address dementia care directly. The remaining hours should reflect deficiencies identified during the facility's most recent state licensing survey and address skill gaps specific to the current resident population.

Each training session listed on the form requires a topic name and the hours allocated to it. The training must build new skills and address areas for improvement noted during the last survey. Training that duplicates what CNAs already completed in their basic certification program does not count toward the 24-hour requirement.

Signature Requirements

Three facility leaders must sign the completed 278B before it goes to CDPH. The required signatories are the facility administrator, the director of nursing, and the director of staff development. Original handwritten signatures are required. Stamped or digital-only signatures do not satisfy this requirement.

Required Attachments

Along with the signed form, facilities must attach two complete lesson plans and a proposed three-month training schedule. The schedule must show how the 24 required hours will be distributed across the year and must account for all three shifts so that CNAs working nights and weekends can access the training.

Related CDPH Forms for California Facilities

Licensed skilled nursing and intermediate care facilities typically file several CDPH documents alongside Form 278B. The CDPH 283-A form documents initial CNA orientation. The CDPH 286 form covers additional staff development records required by CDPH licensing. The CDPH 283B form handles supplemental training documentation. Facilities tracking individual CNA training hours may also maintain a separate employee training log alongside the Form 278B submission.