Form LIC 9119. Facility Inspection Checklist Group Homes - California

Form LIC 9119 is a Facility Inspection Checklist used for conducting inspections of Group Homes in California. This checklist is employed by representatives from the California Department of Social Services to evaluate the compliance of Group Homes with state regulations and licensing requirements.

The form consists of various sections that cover different areas of operation, including staffing qualifications, client care, health and safety measures, physical environment, recordkeeping practices, program activities, and documentation requirements. When filling out the form, Group Home operators should focus on accurately documenting staff qualifications, providing comprehensive client care, implementing appropriate health and safety measures, maintaining a suitable physical environment, keeping comprehensive records, conducting meaningful program activities, and meeting all necessary documentation requirements.

Application Example: A Group Home in California conducts regular self-inspections using Form LIC 9119. The home reviews its staffing qualifications, assesses the effectiveness of client care, evaluates health and safety practices, checks the suitability of the physical environment, ensures the completeness of records, conducts meaningful program activities, and meets all necessary documentation requirements. By utilizing the checklist, the Group Home can identify any deficiencies and make necessary improvements to maintain compliance with state regulations.