Opinion: Waiver of Nurse Assistant Training Program (NATP) Requirement (AFL 20-40.4)

Here is Clearpol’s opinion on AFL 20-40.4, which can be found on our Policies.ai website here alongside the AFL text:


AFL 20-40.4 supersedes AFL 20-40.3, extending the waiver until 6/30/2022. This applies to the Health & Safety Code and Title 22 sections that apply to Theory and Clinical Training, Staff Recruitment, In-Service Training, Continuing Education Training, and Orientation.

A NATP may provide the 60 required hours of classroom training through an online or distance learning format and may begin providing online or distance learning training immediately upon electronic submission of notification to CDPH. A nursing facility may conduct clinical training at any time of the day or night and on any day of the week and may implement an alternate schedule immediately upon electronic submission of notification to CDPH.


A nursing facility whose Director of Staff Development (DSD) has terminated employment may use a licensed nurse that meets the DSD qualifications to serve in this role without showing evidence to CDPH of recruitment efforts to replace the DSD. Nursing facilities must provide CDPH notification within 30 days following employment of a new DSD or Instructor.

A nursing facility whose in-service training is due for review and approval by CDPH is encouraged to submit timely but may delay submission of a renewal request until as soon as practicable but no later than June 30, 2022. A nursing facility may provide annual in-service training through an online or distance learning format and may begin providing online or distance learning training immediately upon electronic submission of notification to CDPH.

An online or classroom-based continuing education provider whose continuing education training agreement is due for review and approval by CDPH is encouraged to submit timely but may delay submission of a renewal request until as soon as practicable but no later than June 30, 2022. A continuing education provider approved by CDPH to provide continuing education courses may provide the training through an online or distance learning format and may begin online or distance learning instruction immediately upon electronic submission of notification to CDPH.

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