(1) Nurse delegation core training must be documented by a department certificate of successful completion of training, issued by the instructor or training entity, that includes:

(a) The name of the trainee;

(b) The name of the training;

(c) The name and department number of the training entity giving the training;

(d) The instructor's name and signature; and

(e) The date(s) of training.

(2) The training entity must give the student an original certificate. Adult family homes and assisted living facilities must keep a copy of the certificate on file.