Form LIC 9031. Notice Of Temporary Suspension Order Of License - California

Form LIC 9031 is used in California by the Department of Social Services to notify individuals or entities of the temporary suspension of a license granted to a facility or program. The main purpose of this form is to inform the licensee, staff, and other interested parties about the immediate suspension of the license due to serious violations or concerns regarding the health, safety, or welfare of clients/residents.

The form consists of sections where the department provides information about the facility or program, the reason for the temporary suspension, the effective date of the suspension, and any specific conditions or restrictions imposed during the period of suspension. It may also include instructions or guidelines regarding the licensee's rights to request a hearing or appeal the suspension.

Important fields on this form include clearly stating the reasons and grounds for the temporary suspension, providing accurate information about the facility or program, and specifying any conditions or restrictions imposed. It is crucial for the department to promptly send this form to ensure that affected parties are informed immediately about the suspension and understand the implications and next steps.

Application Example: Due to serious violations in a residential care facility in California, the Department of Social Services issues Form LIC 9031 to notify the licensee, staff, and relevant parties about the immediate temporary suspension of the facility's license. The form outlines the reasons for the suspension and any conditions that must be met for the potential reinstatement of the license. This form helps maintain transparency and public protection by promptly notifying stakeholders of the license suspension.