The CDPH Form 530 is used by healthcare facilities in California to document the staffing assignments and hours worked by direct care providers. This form helps ensure compliance with state staffing regulations and supports the maintenance of quality patient care by accurately recording caregiver assignments and hours worked.

Healthcare facilities in California are responsible for ensuring this form is completed for direct caregivers.

It documents staffing assignments and hours worked by caregivers to ensure compliance with state staffing requirements.

Healthcare facilities must ensure the form is completed for direct caregivers.

It should be completed by the end of each patient day.