Form LIC 9272. Annual Report Checklist - California

Form LIC 9272 is used in California by care facilities to provide an annual report checklist. This form is completed on an annual basis by the facility operator or administrator.

The form consists of a checklist that includes various items and requirements for the annual report submission. It serves as a guide to ensure that all necessary documents and information are included in the annual report package. The checklist may cover sections such as financial statements, resident data, employee information, regulatory compliance reports, and other relevant documentation. Important fields include checking off each item on the checklist to indicate its completion or inclusion in the report.

An application example of this form would involve a care facility using Form LIC 9272 to ensure that their annual report submission to the California Department of Social Services is complete and includes all the required documents. The facility operator or administrator would go through the checklist, reviewing and verifying that all the necessary items are included in the report package. By completing this form, care facilities can ensure compliance with reporting requirements and streamline the annual reporting process.

Alternative forms: No direct alternative form is specified for Form LIC 9272 since it primarily serves as a checklist for the annual report. However, related forms would be the various reports and documents listed in the checklist itself, such as financial statements, compliance reports, and resident data. These forms collectively contribute to the comprehensive annual report package submitted by the care facility.