Form LIC 9239 EBSH is used in California by enhanced behavioral supports homes (EBSH) to document and track the process of admitting an individual with behavioral support needs into their home. This form is completed by EBSH personnel when accepting an individual for residential care and specialized behavioral support.
Form LIC 9239 CTF is used in California by community treatment facilities to document and track the process of admitting an individual into their program. This form is completed by facility personnel when accepting an individual for community-based treatment and support.
Form LIC 9239 CN is used in California by crisis nurseries to document and track the process of admitting a child or children into their facility. This form is completed by crisis nursery personnel when accepting a child for temporary care during times of family crisis or emergency.
Form LIC 9239 CCH is used in California by community crisis homes to document and track the process of admitting an individual or family into their program. This form is completed by community crisis home personnel when welcoming new residents seeking short-term crisis intervention and support.
Form LIC 9239 AA is used in California by adoption agencies to document and track the process of admitting a prospective adoptive parent(s) into their agency. This form is completed by agency personnel when assessing the suitability and readiness of individuals or couples to become adoptive parents.
Form LIC 9238 is used in California by transitional housing placement programs to document and track the process of admitting a resident into their program. This form is completed by program personnel when welcoming a new resident to the transitional housing placement program.
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.
Form LIC 9236 is used in California by short-term residential therapeutic programs to document and track the process of admitting a client into their program. This form is completed by program personnel when welcoming a new client to the short-term residential therapeutic program.
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.
Form LIC 9234 is used in California by foster family agencies to document and track the process of admitting a child into their program. This form is completed by agency personnel when welcoming a new child to the foster family agency.
