Geriatric behavioral health worker training must be documented by a certificate, transcript, or proof of successful completion of training issued by a qualified instructor that includes:

(1) The name of the student;

(2) The title of the training as approved by the department;

(3) The number of hours of the training;

(4) The name of the facility providing the training;

(5) The instructor's name;

(6) The instructor's signature or other authorized signature from the training entity; and

(7) The completion date of the training.