Form LIC 9119 CN functions as a Facility Inspection Checklist specifically designed for Crisis Nurseries in California. This checklist is utilized during inspections conducted by representatives from the California Department of Social Services to assess the compliance of Crisis Nurseries with state regulations and licensing requirements.
Form LIC 9119 CCH serves as a Facility Inspection Checklist specifically designed for Community Crisis Homes (CCH) in California. This checklist is utilized during inspections conducted by representatives from the California Department of Social Services to assess the compliance of Community Crisis Homes with state regulations and licensing requirements.
Form LIC 9119 AA is a Facility Inspection Checklist specifically designed for Adoption Agencies in California. This checklist is used during inspections conducted by representatives from the California Department of Social Services to evaluate the compliance of adoption agencies with state regulations and licensing requirements.
Form LIC 9118 serves as a Facility Inspection Checklist specifically designed for Child Care Centers in California. This checklist is utilized during inspections conducted by representatives from the California Department of Social Services to assess the compliance of child care centers with state regulations and licensing requirements.
Form LIC 9112 serves as a Facility Compliance Plan for various licensed facilities in California. This form is used to outline a comprehensive plan that ensures compliance with the relevant regulations and requirements governing the operation of the facility. The main purpose of this form is to demonstrate the licensee's commitment to maintaining a compliant and safe environment for individuals receiving services.
The “Child’s Preadmission Health History – Parent/Authorized Representative Report” (Form LIC 702) is a standard document required by licensed child care centers across California. Before a child is admitted, facilities must review essential health and developmental information to ensure they can provide safe, appropriate care. This form allows parents and authorized representatives to share a child’s routines, medical history, and individual needs in a clear, structured way.
Form LIC 9106A is used in California for the purpose of applying to establish a Short-Term Residential Therapeutic Program (STRTP). This form plays a crucial role in the licensing process and allows potential providers to seek approval to operate such programs. The main purpose of this form is to gather detailed information from applicants regarding the proposed STRTP, including its structure, staffing, and policies.
Form LIC 9106 is used in California by applicants or licensees operating group home programs to provide general instructions and guidelines regarding the completion of the Group Home Program Statement (GHPS). The main purpose of this form is to assist individuals or entities in accurately and comprehensively completing the program statement.
Form LIC 9102TV is used in California by the Department of Social Services to notify licensees or applicants for licensed facilities or programs about technical violations identified during inspections or investigations. The main purpose of this form is to inform individuals or entities about specific areas where they are not in compliance with regulatory requirements.
Form LIC 9102TA is used in California by the Department of Social Services to provide technical assistance and guidance to licensees or applicants for licensed facilities or programs. The main purpose of this form is to offer support, clarification, and recommendations to assist individuals or entities in meeting regulatory requirements and improving their operations.
