CA CDPH 276E 2019-2025 free printable template
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State of CaliforniaHealth and Human Services AgencyCalifornia Department of Public Health (CDPH)
Licensing and Certification Program (L&C)
Aide and Technician Certification Section (ATCS)
Training
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How to fill out CA CDPH 276E
How to fill out CA CDPH 276E
01
Obtain the CA CDPH 276E form from the California Department of Public Health's website or local health department.
02
Fill in the facility's name and address at the top of the form.
03
Provide the contact information of the person completing the form, including name, title, phone number, and email.
04
Indicate the type of facility by checking the appropriate box (e.g., skilled nursing facility, intermediate care facility, etc.).
05
Complete the sections pertaining to the residents' bed capacity, including the number of licensed beds and occupancy status.
06
Fill out the required information regarding the residents, including demographic data, length of stay, and any admissions or discharges that have occurred.
07
Review the form for accuracy and completeness before submitting.
08
Submit the completed form to the appropriate department or agency as specified in the instructions.
Who needs CA CDPH 276E?
01
Healthcare facilities in California that must report resident data to comply with state regulations, including nursing homes and long-term care facilities.
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People Also Ask about
How many hours must a nurse assistant work for pay in each renewal period?
A minimum of twelve (12) of the forty-eight (48) hours shall be completed in each year of the two (2) year certification period.
How long does it take to get a CNA license in California?
Program Length: CNA career programs in California are 6 to 12 weeks in length and require more hours than programs in many other states. Programs include classroom and clinical work. They also prepare students to complete the NNAAP Competency Exam required by the state.
What is the phone number for CNA verification in California?
If the sender wishes to contact California Department of Public Health Licensing and Certification Program to discuss any issues that may require the inclusion of private or confidential data, CDPH recommends calling the Interactive Voice Response System at (916) 327-2445.
What is a CDPH 932 form?
It must be filled out and signed by the RN in charge of your CNA program. 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.
How long does it take to get CNA test results California?
Successful completion of both parts of the exam and DOJ fingerprint clearance is required to be a CNA. The California Department of Public Health (CDPH) will mail your State *Certificate within six (6) weeks.
How do I get my CNA license in California?
How to Become a CNA in California Be at least 16 years old. Complete an approved CNA program. Obtain a criminal record clearance. Take and pass the Competency Evaluation Examination.
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What is CA CDPH 276E?
CA CDPH 276E is a reporting form used in California to track specific health-related data required by the California Department of Public Health (CDPH).
Who is required to file CA CDPH 276E?
Facilities that provide certain healthcare services or engage in public health activities as mandated by California law are required to file CA CDPH 276E.
How to fill out CA CDPH 276E?
To fill out CA CDPH 276E, you must complete all sections of the form accurately, including patient information, health service details, and any required statistical data, then submit it to the CDPH by the specified deadline.
What is the purpose of CA CDPH 276E?
The purpose of CA CDPH 276E is to collect essential data that helps monitor public health trends, inform health policy decisions, and improve health outcomes in California.
What information must be reported on CA CDPH 276E?
The information that must be reported on CA CDPH 276E includes patient demographics, type of service provided, treatment details, and any relevant health outcomes.
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