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At the heart of maintaining high standards in healthcare, ongoing education and certification for Nurse Assistants (CNA) and Home Health Aides (HHA) play a pivotal role, particularly within the California healthcare system. The CDPH 283 A form, an essential document provided by the State of California - Health and Human Services Agency and the California Department of Public Health (CDPH), serves as a critical tool in this process. Designed to ensure the continuous development and verification of training for CNAs and HHAs, this form outlines the requirements for In-Service Training and Continuing Education Units (CEUs). Recognizing the importance of skilled personnel in Skilled Nursing Facilities (SNF) and Intermediate Care Facilities (ICF), the legislature demands participation in approved training programs. These programs not only aim to enhance the knowledge and skills of CNAs and HHAs but also ensure their competence and address any performance issues. Furthermore, the form details the specific requirements for both CNAs and HHAs regarding the accumulation of CEUs, emphasizing the acceptance of only CDPH-approved programs. Additionally, it covers specifics on how certain nursing education, like Licensed Vocational Nurse, Registered Nurse, or Licensed Psychiatric Technician programs, can contribute towards these CEUs. As a conclusive step, this document must be submitted alongside the Renewal Application (CDPH 283 C) and retained for a period of four years, encapsulating a comprehensive approach to the perpetual professional development of CNAs and HHAs in California.

Preview - Cdph 283 A Form

State of California- Health and Human Services Agency

California Department of Public Health (CDPH)

 

Licensing and Certification Program (L&C)

 

Aide and Technician Certification Section (ATCS)

 

MS 3301, P.O. Box 997416

 

Sacramento, CA 95899-7416

 

(916) 327-2445 FAX (916) 552-8785 cna@cdph.ca.gov

CERTIFIED NURSE ASSISTANT (CNA) / HOME HEALTH AIDE (HHA)

IN-SERVICE TRAINING / CONTINUING EDUCATION UNITS (CEUs)

Printed Name of CNA/HHA

Signature of CNA/HHA

Certificate Number

*Social Security Number

To assure the availability of trained personnel in Skilled Nursing (SNF) and Intermediate Care Facilities (ICF), the Legislature intends that all such facilities in California participate in approved training programs. All approved In-Service Training programs are specified to enhance the knowledge and skills, assure continuing competency, and address performance issues one may be experiencing as a CNA/HHA. CNAs are to receive the normal hourly wage for attending the In-Service on their regularly scheduled shift or during another shift. Only CDPH-approved In-Service Training Programs and CDPH-approved CEU providers with a Nurse Assistant Certification Number (NAC#) are accepted. CNAs and HHAs that are employed in a SNF, ICF, or Home Health Agency will submit the information below to ATCS for validation of the renewal requirements. CNAs or HHAs that obtain CEUs from CDPH-approved CEU providers must attach a copy of each individual CEU course certificate for renewal validation to this form.

A)CNAs: Must obtain forty-eight (48) hours of In-Service Training/CEUs within the certification 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. A maximum of twenty-four (24) of the forty-eight (48) hours may be obtained only through a CDPH-approved online computer training program listed on our website. Online CEU certificates must be attached to this form for validation. Please visit www.cdph.ca.gov for a complete listing of CDPH-approved classroom and online computer CEU providers. If the HHA Training Program (40-hour program) was completed during the certification period, twenty-six (26) of the forty (40-hour) training program may count towards CEUs.

B)HHAs: Must obtain twenty-four (24) hours of In-Service Training/CEUs within the certification period. Twelve (12) of the

twenty-four (24) hours are required in each year of the two (2) year certification period (HHAs may not use online CEUs to meet the requirement).

C)CNA & HHA: Follow section A to renew both certificates.

D)Continuing Education: CEUs must be taken with CDPH-approved providers only with a NAC#. These courses are designed to enhance the knowledge and skills of the CNA/HHA and enhance the skills in the employer-based healthcare settings.

E)Licensed Vocational Nurse / Registered Nurse / Licensed Psychiatric Technician programs: CNA/HHA certificate holders will receive

In-Service Training/CEUs for completion of these courses by converting the units into hours as follows: one (1) semester unit = fifteen (15) hours, one (1) quarter unit = ten (10) hours. You must submit a copy of your school transcript to verify your enrollment.

TITLE OF TRAINING OR COURSE

(Check box for Online Training)

SNF/ICF/Home Health Agency Name

 

 

 

and CDPH In-Service ID#

DATE OF

HOURS

SIGNATURE OF INSTRUCTOR

Or CDPH-approved CEU Provider Name and NAC#

ATTENDANCE

OBTAINED

RESPONSIBLE FOR TRAINING

 

 

 

 

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This record shall be submitted with the Renewal Application (CDPH 283 C) and retained by the CNA/HHA for a period of four (4) years.

CDPH 283 A (03/15)

This form is available on our website at: www.cdph.ca.gov

Page 1 of 2

TITLE OF TRAINING OR COURSE

(Check box for Online Training))

SNF/ICF/Home Health Agency Name

and CDPH In-Service ID#

Or CDPH-approved CEU Provider Name and NAC#

DATE OF

ATTENDANCE

HOURS

OBTAINED

SIGNATURE OF INSTRUCTOR RESPONSIBLE FOR TRAINING

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Please copy this page if additional pages are needed.

TOTAL HOURS:

This record shall be submitted with the Renewal Application (CDPH 283 C) and retained by the CNA/HHA for a period of four (4) years.

INFORMATION COLLECTION AND ACCESS-PRIVACY STATEMENT

*Social Security Number Disclosure: Pursuant to Section 666(a)(13) of Title 42 of the United States Code and California Family Code Section 17520, subdivision (d), the California Department of Public Health (CDPH) is required to collect social security numbers from all applicants for nursing assistant certificates, home health aide certificates, hemodialysis technician certificates or nursing home administrator licenses. Disclosure of your social security number is mandatory for purposes of establishing, modifying, or enforcing child support orders upon request by the Department of Child Support Services and for reporting disciplinary actions to the Health Integrity and Protection Data Bank as required by 45 CFR §§ 61.1 et seq. Failure to provide your social security number will result in the return of your application. Your social security number will be used by CDPH for internal identification, and may be used to verify information on your application, to verify certification with another state's certification authority, for exam identification, for identification purposes in national disciplinary databases or as the basis of a disciplinary action against you.

CDPH 283 A (3/15)

This form is available on our website at: www.cdph.ca.gov

Page 2 of 2

Form Data

Fact Name Detail
Form Title and Number CDPH 283 A - Certified Nurse Assistant (CNA) / Home Health Aide (HHA) In-Service Training / Continuing Education Units (CEUs)
Issuing Agency California Department of Public Health (CDPH) Licensing and Certification Program (L&C)
Purpose To document In-Service Training or Continuing Education Units for CNAs and HHAs for certification renewal requirements.
CEU Requirements for CNAs Forty-eight (48) hours within the certification period, with a minimum of twelve (12) hours each year and a maximum of twenty-four (24) hours through online programs.
CEU Requirements for HHAs Twenty-four (24) hours within the certification period, with twelve (12) hours required each year. Online CEUs are not accepted for HHAs.
Document Submission This form along with any required CEU certificates must be submitted with the Renewal Application (CDPH 283 C).
Social Security Number Disclosure Mandatory for establishing, modifying, or enforcing child support orders, reporting disciplinary actions, and other internal identification and verification purposes.

Instructions on Utilizing Cdph 283 A

Completing the CDPH 283 A form is an essential step for Certified Nurse Assistants (CNAs) and Home Health Aides (HHAs) to maintain their certifications through in-service training or continuing education units (CEUs). After finishing this form, individuals will need to submit it along with the renewal application (CDPH 283 C) and retain a copy for four years as part of their professional documentation. Here are the steps you'll need to follow to accurately complete the form:

  1. Begin by entering your full Printed Name as a CNA/HHA at the top of the form where indicated.
  2. Sign your name next to your printed name to validate the information you will provide.
  3. Enter your Certificate Number in the specified field.
  4. Provide your *Social Security Number in the designated area. Remember, this is a mandatory step as explained in the form's privacy statement.
  5. For each in-service training or CEU activity, fill in the TITLE OF TRAINING OR COURSE. If the training was completed online, ensure to check the box indicated for online training.
  6. Enter the SNF/ICF/Home Health Agency Name and CDPH In-Service ID# or the CDPH-approved CEU Provider Name and NAC#, depending on where you completed your training or coursework.
  7. Fill in the DATE OF ATTENDANCE for each activity to accurately reflect when you participated or completed the training.
  8. Document the HOURS OBTAINED from each training activity. Ensure the hours are correct as these will count towards your certification renewal requirements.
  9. Obtain the SIGNATURE OF INSTRUCTOR RESPONSIBLE FOR TRAINING or the signature of the CDPH-approved CEU provider for each activity. This verification is crucial for the validation of your completed hours.
  10. If you have more activities than the form allows, ensure to copy the page and continue listing your trainings on the additional page(s).
  11. Once all training activities are listed, calculate and write down the TOTAL HOURS you've obtained at the bottom of the form or on the last additional page if you’ve used more than one.
  12. Review the information for accuracy and completeness. Mistakes or missing information can cause delays in the certification renewal process.

After filling out the CDPH 283 A form, attach copies of each individual CEU course certificate if you obtained CEUs from CDPH-approved providers. This step ensures the validation of your CEUs for renewal requirements. The completed form, along with all necessary attachments, should be submitted with your Renewal Application (CDPH 283 C). It is important to retain a copy of this record for a period of four (4) years, as it is part of your professional documentation and may be requested by the CDPH or other entities to verify your continued education efforts.

Obtain Answers on Cdph 283 A

  1. What is the CDPH 283 A form used for?
  2. The CDPH 283 A form is designed for Certified Nurse Assistants (CNA) and Home Health Aides (HHA) in California to log In-Service Training and Continuing Education Units (CEUs) they have completed. This form is essential for demonstrating that CNAs and HHAs meet the required training hours for certificate renewal, enhancing their skills and knowledge to serve in Skilled Nursing Facilities (SNF), Intermediate Care Facilities (ICF), or home health settings more effectively.

  3. How many hours of In-Service Training/CEUs are required for CNAs?
  4. CNAs are required to obtain forty-eight (48) hours of In-Service Training/CEUs within their certification period, which spans two years. At least twelve (12) of these hours must be completed in each year of the certification period. Notably, a maximum of twenty-four (24) of these hours can be obtained through approved online computer training programs.

  5. What are the CEU requirements for HHAs?
  6. HHAs must complete twenty-four (24) hours of In-Service Training/CEUs within their two-year certification period. Similar to CNAs, HHAs need to complete at least twelve (12) hours of training each year of their certification period. However, HHAs are not permitted to use online CEUs to meet this requirement.

  7. Can CNA and HHA certifications be renewed together?
  8. Yes, for individuals holding both CNA and HHA certificates, they can follow the requirements outlined in section A of the form to renew both certificates concurrently, ensuring they meet the specific training hours required for each certification.

  9. Are there specific training programs that must be attended for the renewal of certificates?
  10. Yes, both CNAs and HHAs must attend In-Service Training/CEUs provided by CDPH-approved providers only. These training programs are designed to enhance the practical skills and theoretical knowledge necessary for CNAs/HHAs, focusing on improvements and competency in employer-based healthcare settings.

  11. How can vocational nursing or psychiatric technician programs count towards CEUs?
  12. CNA/HHA certificate holders who complete Licensed Vocational Nurse, Registered Nurse, or Licensed Psychiatric Technician programs can convert their course units into hours toward their In-Service Training/CEUs. One semester unit is equivalent to fifteen (15) hours, and one quarter unit equals ten (10) hours. To have these hours count, individuals must submit a copy of their school transcript as verification of their enrollment and completion of these courses.

  13. How should the CDPH 283 A form be submitted?
  14. This form, along with the necessary documentation for any completed CEUs, particularly for online training, should be submitted with the Renewal Application (CDPH 283 C) to ensure the CNA/HHA meets the renewal requirements.

  15. What should be done with the form after submission?
  16. After submission, CNAs and HHAs should retain a copy of the CDPH 283 A form for a period of four (4) years. This record-keeping is crucial for verification purposes or in case of any discrepancies regarding the fulfillment of the continuing education and in-service training requirements.

  17. Is online training accepted for all CNAs and HHAs?
  18. Online training is accepted for CNAs, with a limitation that only twenty-four (24) hours of the required forty-eight (48) hours may be completed through CDPH-approved online computer training programs. However, HHAs may not use online CEUs to meet their required training hours.

  19. Why is the Social Security Number required on the CDPH 283 A form?
  20. The collection of Social Security Numbers (SSN) is mandated by law for purposes such as establishing, modifying, or enforcing child support orders and reporting disciplinary actions. It's a crucial element for identification, verification of the application, and ensuring the integrity of certification processes across states. Failing to provide an SSN can result in the return or rejection of the application.

Common mistakes

When completing the CDPH 283 A form for Certified Nurse Assistant (CNA) or Home Health Aide (HHA) In-Service Training/Continuing Education Units (CEUs), individuals often make several errors. Understanding these mistakes can help in ensuring that the form is filled out correctly, thereby avoiding delays in certification renewal.

  1. Not following instructions for the specific certification type. For instance, CNAs must obtain 48 hours of In-Service Training/CEUs, whereas HHAs must obtain 24 hours. This detail, often overlooked, is crucial for accurate form completion.
  2. Using providers that are not approved by the CDPH. Many forget to verify whether the CEU provider has a current Nurse Assistant Certification Number (NAC#), leading to the rejection of their CEUs for renewal.
  3. Failing to attach certificates for online CEU courses. Since a maximum of 24 hours can be obtained through online programs for CNAs, it's essential to provide evidence of these courses.
  4. Incorrectly completing the section on Licensed Vocational Nurse, Registered Nurse, or Licensed Psychiatric Technician programs. Some miss converting their units into hours correctly or forget to attach their school transcript for enrollment verification.
  5. Omitting mandatory fields such as the Social Security Number. Given its importance for identification and enforcement purposes, leaving this field blank will result in the application being returned.
  6. Misunderstanding the CEU requirements for HHAs, particularly that online CEUs cannot be used towards their required hours. This results in inadequate documentation of in-person training hours.
  7. Incorrectly documenting the title of the training course or the date of attendance, which may cause confusion and lead to unnecessary verification delays.
  8. Forgetting to check the box for online training when applicable, which helps in distinguishing between online and in-person CEUs at a glance.
  9. Not retaining a personal copy of the form for the required four (4) years, risking the loss of proof of completed training and potentially complicating future certification renewals.

To ensure a smooth process, it's advised to review all sections thoroughly, confirm all details with the training provider, and double-check the form before submission. By avoiding these common errors, CNAs and HHAs can help assure their timely certification renewal.

Documents used along the form

When professionals in the healthcare field are working towards renewing their Certified Nurse Assistant (CNA) or Home Health Aide (HHA) certifications in the State of California, they are required to utilize a variety of forms and documents in tandem with the CDPH 283 A form. Each of these documents plays a critical role in ensuring that individuals maintain their qualifications and comply with state regulations. Below is a list of documents commonly used alongside the CDPH 283 A form, detailed with a brief description of their function and importance in the certification renewal process.

  • CDPH 283 C: Renewal Application - This is the official form submitted to renew a CNA or HHA certification. It is where the individual lists their completed hours of In-Service Training/CEUs and attaches any necessary documentation, including the CDPH 283 A form.
  • CDPH 283 B: Initial Application for Certification - Used by individuals seeking to obtain their CNA or HHA certification for the first time. It gathers personal information and education or training background necessary for initial certification.
  • School Transcripts: Official records from educational institutions verifying the completion of required courses. For CNA and HHA certifications, transcripts may show completion of applicable nurse training programs or other relevant courses.
  • CEU Course Certificates: Documents awarded upon the successful completion of Continuing Education Units (CEUs). They provide proof that a healthcare professional has engaged in further learning opportunities to enhance their skills and knowledge.
  • Live Scan Fingerprinting Form: This form is used for the criminal background check process, a requirement for certification. It ensures the safety of patients by vetting the backgrounds of healthcare providers.
  • Verification of Current Nurse Assistant Certification (Form 5506-NAR): If applicable, this form is used by CNAs seeking reciprocity to work in California from another state, verifying their current certification status.
  • Request for Name/Address Change and/or Duplicate Certificate (CDPH 929): This form is used to report any changes in name or address and to request a duplicate certificate if the original is lost or damaged.
  • Physical Examination and TB Test Documentation: Medical documents that provide evidence of a health care professional's physical capability to perform their duties and their tuberculosis status, ensuring they are healthy and not at risk of spreading TB.
  • Employment Verification: A document or letter from an employer that confirms the employment status and role of the CNA or HHA, often required to verify practical experience in the healthcare field.

Each of these documents serves a unique purpose in the certification and renewal process for CNAs and HHAs in California. From initial application to continuous professional development and legal compliance, these forms ensure that healthcare professionals are adequately trained, vetted, and qualified to provide care to patients. It's essential for individuals seeking renewal of their certifications to be familiar with and utilize these documents effectively.

Similar forms

The CDPH 283 A form is central in maintaining the professional standards and continuous education for Certified Nurse Assistants (CNAs) and Home Health Aides (HHAs) in California. This form bears similarities to several other documents that are utilized across different professions for tracking continuing education, certifications, and professional development. Here are eight documents that share common purposes or features with the CDPH 283 A form:

  • State Board of Nursing Renewal Applications: Similar to the CDPH 283 A form, these applications are utilized by nurses to renew their licenses, requiring evidence of continued education and professional competency.
  • Professional Development Record for Educators: This document tracks educators' continued learning and training, akin to how the CDPH 283 A form records CNAs and HHAs' in-service training and continuing education units (CEUs).
  • Continuing Legal Education (CLE) Reporting Forms: Used by attorneys to prove completion of mandatory CLE credits, these forms serve a similar function to the CDPH 283 A form by ensuring professionals remain knowledgeable and competent within their field.
  • Annual Professional Performance Review (APPR) for Teachers: Although primarily an evaluation tool, APPR documents resemble the CDPH 283 A form in their emphasis on continual learning and development as metrics for assessing professional performance.
  • Employee Training Log: Utilized within various industries, this log tracks employees' participation in training sessions, closely matching the CDPH 283 A form's role in recording training hours for CNAs and HHAs.
  • Pharmacy Technician Certification Board (PTCB) Recertification Form: Similar to the CDPH 283 A, this form is used by pharmacy technicians to document continuing education and training necessary for recertification.
  • Professional Engineer (PE) License Renewal Form: Engineers use this form to document ongoing education and professional development activities, paralleling the requirement for CNAs and HHAs to submit proof of continued competency through the CDPH 283 A form.
  • IAAP Certified Administrative Professional (CAP) Recertification Application: Like the CDPH 283 A, this application requires administrative professionals to track and submit their continuing education efforts to maintain their certification status.

Each of these documents, while tailored to distinct professions, shares the core objective of promoting continuous improvement, updating skills, and ensuring the highest standards of professional practice, much like the CDPH 283 A form aims to achieve within the nursing assistance and home health aide fields.

Dos and Don'ts

When filling out the CDPH 283 A form, there are specific do's and don'ts you should follow to ensure the process is completed accurately and efficiently. Following these guidelines will help in the submission of your Certified Nurse Assistant (CNA)/Home Health Aide (HHA) In-Service Training/Continuing Education Units (CEUs) application.

Do:
  • Verify the In-Service Training Programs and CEU providers are CDPH-approved before enrolling or attending. This ensures your training is recognized for certification renewal.
  • Complete the required number of hours within your certification period. CNAs must obtain forty-eight (48) hours, and HHAs must obtain twenty-four (24) hours.
  • Include your certificate number and social security number on the form. These identifiers are necessary for processing and verifying your submission.
  • Attach copies of each CEU course certificate to your form if the CEUs were obtained from CDPH-approved providers outside your primary facility.
  • Retain a copy of the completed form and any attached CEU certificates for your records for a period of four (4) years.
  • Sign the form to certify the accuracy and completeness of the information provided.
  • Submit the form with the Renewal Application (CDPH 283 C) before the expiration of your current certification.
  • Check the appropriate box for online training if applicable, and include the CDPH-approved online computer training program certificate.
Don't:
  • Forget to complete a section of the form or leave out necessary information, as this can delay processing.
  • Attempt to submit CEUs from non-CDPH-approved providers. These will not count towards your renewal requirements and could result in the need to redo your CEUs.
  • Overlook the divide in CEU requirements between the first and second year of your certification period. Ensure you spread the required hours accordingly.
  • Dismiss the importance of including your social security number. While privacy is a concern, it's necessary for the purposes outlined by CDPH, including verification and identification.

Misconceptions

  • One common misconception is that the CDPH 283 A form applies to all healthcare professionals in California. In reality, this form specifically pertains to Certified Nurse Assistants (CNAs) and Home Health Aides (HHAs). It is designed to record and validate their In-Service Training and Continuing Education Units (CEUs) essential for their certification renewal.

  • Another misunderstanding is that CNAs and HHAs can complete all their required CEUs online. While CNAs are allowed to obtain a maximum of twenty-four (24) of their forty-eight (48) required hours through CDPH-approved online training programs, HHAs cannot use online CEUs to meet their twenty-four (24) hour requirement.

  • There's also confusion around whether or not training or courses need to be pre-approved by the CDPH. All Continuing Education Units and In-Service Training programs must be specifically approved by the CDPH. Only those completed through a CDPH-approved provider with a Nurse Assistant Certification Number (NAC#) will count towards the renewal requirements.

  • Some believe that any type of educational course can count towards the CEU requirements. In contrast, only courses designed to enhance the knowledge, skills, and abilities relevant to the CNA and HHA roles are acceptable. Additionally, for CNA/HHA certificate holders who have completed Licensed Vocational Nurse, Registered Nurse, or Licensed Psychiatric Technician programs, their units can be converted into hours and counted towards their CEUs, following approval and proper documentation.

  • A final misconception is about the submission process of the CDPH 283 A form. It's often thought that only the form itself needs to be submitted for renewal. However, CNAs and HHAs must also attach a copy of each individual CEU course certificate for renewal validation alongside this form. This step ensures that the CDPH can accurately verify the completion of all required training and education.

Key takeaways

When filling out the CDPH 283 A form, Certified Nurse Assistants (CNAs) and Home Health Aides (HHAs) are taking a vital step toward maintaining their certifications within the State of California. This process assures that they possess up-to-date knowledge and skills essential for providing high-quality care in healthcare settings. Here are four key takeaways about effectively completing and utilizing the CDPH 283 A form:

  • Approved Providers and Programs: Only in-service training and continuing education units (CEUs) from CDPH-approved providers will be accepted for the renewal of CNAs and HHAs certifications. It's crucial that professionals ensure the program or provider is recognized by the CDPH before dedicating time and resources to complete it.
  • Requirement Details: CNAs are required to accumulate forty-eight (48) hours of in-service training or CEUs within their certification period, with a stipulation that twelve (12) of those hours must be completed in each year. For HHAs, twenty-four (24) hours are required within the certification period, evenly distributed over each year. These requirements ensure that CNAs and HHAs remain competent and capable of delivering high-quality care.
  • Online CEU Limitations: There's a flexibility in how CNAs can earn their required hours, with up to half of their CEUs permissible through approved online programs. However, HHAs must obtain all their CEUs from in-person training programs, highlighting the importance of hands-on experience in their continuing education.
  • Documentation and Record Keeping: It's imperative for CNAs and HHAs to maintain accurate and thorough documentation of their completed CEUs. This record, including copies of individual CEU certificates when required, must be submitted with the renewal application and retained for a period of four years. This documentation serves as both validation of completed education and a resource in the event of an audit by CDPH.

Understanding these key aspects can significantly streamline the process of completing and submitting the CDPH 283 A form, ensuring CNAs and HHAs remain in compliance with state regulations. This, in turn, supports their professional development and contributes to the overall quality of care available in healthcare facilities across California.

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