Form LIC 9123. FacilityВ Inspection Checklist - Residential Care Facility For The Elderly - California

Form LIC 9123 is a Facility Inspection Checklist designed specifically for Residential Care Facilities for the Elderly (RCFE) in California. This checklist is used by representatives from the California Department of Social Services during inspections to evaluate the compliance of RCFEs with state regulations and licensing requirements.

The form consists of various sections that cover different aspects of operation, including staffing qualifications, resident care and services, medication management, health and safety measures, physical environment, recordkeeping practices, and documentation requirements. When filling out the form, RCFE operators should focus on accurately documenting staff qualifications, providing comprehensive resident care and services, ensuring proper medication management protocols, implementing appropriate health and safety measures, maintaining a suitable physical environment, keeping comprehensive records, and meeting all necessary documentation requirements.

Application Example: A Residential Care Facility for the Elderly in California goes through an inspection using Form LIC 9123. The facility accurately documents staff qualifications, provides comprehensive resident care and services, ensures proper medication management protocols, implements appropriate health and safety measures, maintains a suitable physical environment, keeps comprehensive records, and meets all necessary documentation requirements. By utilizing the checklist, the Residential Care Facility can identify any deficiencies and make necessary improvements to maintain compliance with state regulations.