Form LIC 9237. Facility Inspection Checklist Transitional Housing Placement Program - California

Form LIC 9237 is used in California by licensing agencies to conduct inspections of transitional housing placement 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, service provision, and resident rights. Important fields include checklist items related to regulations, descriptions of findings, and any corrective actions required. Accurate completion of this form is crucial for ensuring that transitional housing placement programs meet the necessary standards for providing safe and supportive environments for residents.

An application example of this form would involve a licensing inspector using Form LIC 9237 during an inspection visit to a transitional housing placement 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 9217, Facility Inspection Checklist Residential Care Facilities for the Chronically Ill (RCFCI). While both forms serve the purpose of conducting inspections, they are specific to different types of facilities. Form LIC 9237 is designed for transitional housing placement programs, whereas Form LIC 9217 is specifically for residential care facilities for the chronically ill. The main difference lies in the target population and specialized services provided by each type of facility.