Form LIC 9128. Foster Family Agency Program Statement - California

Form LIC 9128 is a Foster Family Agency Program Statement used in California. This form is utilized by foster family agencies to provide detailed information about their programs, services, and policies to the California Department of Social Services.

The form consists of various sections that cover different aspects of the agency's program, including agency information, program goals, services provided, staff qualifications and ratios, admission and discharge procedures, health and safety measures, training and development plans, recordkeeping practices, and documentation requirements. When filling out the form, foster family agencies should focus on accurately describing their organization, clearly outlining their program goals and services, detailing staff qualifications and ratios, explaining admission and discharge procedures, demonstrating compliance with health and safety standards, presenting training and development plans for staff, ensuring proper recordkeeping practices, and meeting all necessary documentation requirements.

Application Example: A Foster Family Agency in California completes Form LIC 9128 to provide a comprehensive program statement to the California Department of Social Services. The agency describes its organization, outlines program goals and services, provides details on staff qualifications and ratios, explains admission and discharge procedures, demonstrates compliance with health and safety measures, presents training and development plans, ensures proper recordkeeping practices, and meets all necessary documentation requirements. By submitting the form, the agency can demonstrate its commitment to providing quality foster care services and maintain compliance with state regulations.