All facilities must renew their In-service Training Program and facility-based NATP at least every two years. Orientation Training Programs must only submit changes to their programs when they occur.
New Streamlined Renewal Form
The Department recently streamlined its renewal processes for classroom facility-based Nurse Assistant, Orientation, and In-service training programs and created the form entitled Certified Nurse Assistant Orientation, In-Service, and Nurse Assistant Training Program Combined Renewal Application (CDPH 278R). This new form, located on the TPRU website, requires facilities to provide an attestation and specific information and forms about their facility-based training programs.
Initial NATP Application Process Unchanged
Please note, that your facility may apply for a facility-based NATP at any time. Please visit the NATP webpage for all items needed for consideration of an initial NATP application.
Instructor or Director of Staff Development (DSD) Requirements Updated
The Department must approve instructors and DSDs with each new employment. The application must be accompanied by a resume and supporting documentation such as continuing education certificates in planning, implementing, and evaluating educational programs in nursing. The minimum qualifications for the Instructor and DSD are detailed on the form entitled Instructor or Director of Staff Development (DSD) Application (CDPH 279) (PDF).
The following are instructions regarding the completion of the CDPH 278R (PDF):
Section A: Orientation Training Program
The Certified Nurse Assistant (CNA) Orientation Training Program only needs to be updated if changes have been made since your last renewal.
Section B: CNA In-service Training Program
Facilities must submit a three-month In-service schedule for future months, one in-service lesson plan from the Course Titles listed on your three-month in-service schedule, and either declare that the facility uses the template form CDPH 278D (PDF) In-service Training Attendance Sign-in Sheet for your in-service program or provide your own sign-in sheet that meets the requirements.
Section C: Declaration of Participation in Approved Training Programs
Your facility must select the option that applies to your facility.
- Option 1 is for a licensed facility that is currently or would like to directly conduct NATP training for their Nurse Assistant employees. To renew your facility-based NATP, see Section D of the form CDPH 278R. If your facility would like to be a new NATP, it may apply using an initial NATP application.
- Option 2 is for a licensed facility that provides the NATP for their Nurse Assistant employees through a written agreement (contract) with a department-approved NATP. Please submit form CDPH 278SC Sample Contract (PDF). If the facility chooses this option, skip Section D of the CDPH 278R.
- Option 3 is for a licensed facility that only hires CNAs with a valid certification. If the facility chooses this option, skip Section D of the CDPH 278R.
Section D: Renewal of NATP
If the facility selects Option 1 in Section C, they must submit form CDPH 276F (PDF), form CDPH 278B (PDF), and any changes to the program since your last renewal (e.g., organizational chart, job descriptions, instructor monitoring tool, four lesson plans if your curriculum changed, CDPH 276P (PDF) policies and procedures, and CDPH 279 (PDF) for all new Instructors and DSDs).
Section E: Compliance Statements and Attestations
The Facility Administrator, Director of Nursing, and DSD must sign and date that they reviewed the nine compliance statements, provided correct and accurate information, and will abide by all applicable codes, regulations, and rules pertaining to your facility's training programs.
Instructional PowerPoint Available
A new instructional PowerPoint presentation is available on the TPRU website to help facilities successfully complete the CDPH 278R form. The Department encourages them to review the instructional presentation before completing the CDPH 278R form to facilitate submitting a complete and accurate renewal application.
New Renewal Form Required to Renew
Effective the date of this notification, all facilities must renew their Orientation and In-service agreements using the combined CDPH 278R form. Facilities that also have a facility-based NATP, must renew their NATP, Orientation, and In-service agreements together using the CDPH 278R form. Facilities that fail to submit the new form to renew their agreements after the date of this notification will be required to resubmit their renewal application using the new CDPH 278R form.
Submit New Renewal Form Up to 90 Days Prior to Expiration
The Department encourages facilities to submit their applications up to 90 calendar days prior to their Orientation, In-service, and facility-based NATP agreement expiration date. Failure to submit the renewal application to TPRU prior to the expiration date may result in the cessation of your operation until an initial application can be approved. If your program does not know the agreement expiration date, it can be found on all communication notices sent to the facility from TPRU. The facility can also contact TPRU via email at TPRU@cdph.ca.gov.
Facilities must submit applications to TPRU by email at TPRU@cdph.ca.gov or fax at (916) 636-6760. As of January 1, 2022, TPRU no longer accepts mailed paper applications.
Failure to Renew
Failure to renew the facility-based NATP will result in closure of the agreement due to expiration and removal of your training program from the statewide approved list.
Failure to renew the Orientation and In-service Training Program agreements may result in a referral to the Centers for Medicare and Medicaid Services, the supervising District Office, and the Nursing Home Administrator Program for noncompliance.
Update Your Contact Information
The Department encourages facilities to always update TPRU with the latest contact information by submitting a completed CDPH 193 form to TPRU at TPRU@cdph.ca.gov.
Comply with All Requirements
It is the facility's responsibility to follow all applicable laws and regulations. The Department encourages facilities to refer to the full text of all applicable sections of the Code of Federal Regulations, California Health and Safety Code, and California Code of Regulations, Title 22 to ensure compliance.
Renewal Process for Online Training Programs
The renewal process for online NATP training programs is unchanged and outlined on the ELRU website.
If you have any questions about this E-Blast, please contact the Training Program Review Unit via email at TPRU@cdph.ca.gov.
Original signed by Terri Mack
Terri Mack, MPA, Chief
Healthcare Professional Certification and Training Section
Center for Health Care Quality
Department of Public Health