Form LIC 9274. Key Indicators Report - California

Form LIC 9274 is used in California by care facilities to provide a key indicators report. This form is typically completed on a quarterly or annual basis by the facility operator or administrator.

The form consists of sections that require information about the facility, including its name, address, license number, and the reporting period. The main part of the form focuses on reporting key performance indicators (KPIs) and metrics related to the care facility's operations. These indicators may include occupancy rates, employee turnover, resident satisfaction scores, financial ratios, quality measures, and other relevant data points. The form may also include sections for providing explanations or context regarding the reported indicators. Important fields include the KPIs, corresponding numerical values or percentages, and any additional comments or explanations.

An application example of this form would involve a care facility using Form LIC 9274 to provide a snapshot of its key performance indicators to the California Department of Social Services. The facility operator or administrator would gather the necessary data, perform the calculations or measurements, and accurately fill out the form based on the provided instructions. By completing this form, care facilities can track their progress, identify areas for improvement, and contribute to the overall assessment of their operational performance.

Alternative forms: No direct alternative form is specified for Form LIC 9274 since it primarily focuses on reporting key indicators specific to the care facility. However, other reports or forms related to performance evaluation and quality assessment within the care facility may serve similar purposes but with different sets of indicators or metrics.