Form LIC 9119 TrSCF. Facility Inspection Checklist Transitional Shelter Care Facility - California

Form LIC 9119 TrSCF functions as a Facility Inspection Checklist specifically designed for Transitional Shelter Care Facilities (TrSCF) in California. This checklist is utilized during inspections conducted by representatives from the California Department of Social Services to assess the compliance of TrSCFs with state regulations and licensing requirements.

The form consists of various sections that cover different aspects of operation, including staffing qualifications, client admissions and discharges, health and safety measures, physical environment, recordkeeping practices, program activities, and documentation requirements. It is crucial for TrSCF operators to carefully review and complete each section of the checklist to ensure compliance with the regulations set forth by the California Department of Social Services.

When filling out the form, TrSCF operators should focus on accurately documenting staff qualifications and ratios, following proper procedures for client admissions and discharges, implementing appropriate health and safety measures, maintaining a suitable physical environment, keeping comprehensive records, providing appropriate program activities, and meeting all necessary documentation requirements. By utilizing this checklist, TrSCFs can proactively identify areas for improvement and maintain compliance with the California Department of Social Services' regulations.

Application Example: A Transitional Shelter Care Facility in California conducts regular self-inspections using Form LIC 9119 TrSCF. The facility reviews its staffing qualifications and ratios, evaluates the effectiveness of procedures for client admissions and discharges, assesses health and safety measures, checks the suitability of the physical environment, ensures the completeness of records, provides appropriate program activities, and meets all necessary documentation requirements. By utilizing the checklist, the Transitional Shelter Care Facility can identify any deficiencies and make necessary improvements to maintain compliance with state regulations.