Form LIC 9235. Facility Inspection Checklist Short - Term Residential Therapeutic Program - California

Form LIC 9235 is used in California by licensing agencies to conduct inspections of short-term residential therapeutic programs. This form is completed by licensing inspectors during their site visits to evaluate the compliance of these programs with regulatory requirements.

The form consists of sections that cover various aspects of program operations, including facility safety, staff qualifications, treatment services, and client rights. Important fields include checklist items related to regulations, descriptions of findings, and any corrective actions required. Accurate completion of this form helps ensure that short-term residential therapeutic programs meet the necessary standards for providing effective and safe treatment to clients.

An application example of this form would involve a licensing inspector using Form LIC 9235 during an inspection visit to a short-term residential therapeutic program. The inspector would go through each section of the checklist, assess compliance through observations, and document findings accordingly. By using this form, licensing agencies can systematically evaluate the quality of care provided by these programs and identify areas for improvement or corrective action.

Alternative forms: An alternative form to consider is the Form LIC 9216, Facility Inspection Checklist Residential Care Facilities for the Elderly (RCFE). While both forms serve the purpose of conducting inspections, they are specific to different types of facilities. Form LIC 9235 is designed for short-term residential therapeutic programs, whereas Form LIC 9216 is specifically for residential care facilities for the elderly. The main difference lies in the target population and specialized services provided by each type of facility.