Form LIC 604. Admission Agreement Guide For Residential Facilities - California
Form LIC 604 is used in California by residential facilities to provide an admission agreement guide to individuals seeking residency. The main purpose of this form is to ensure transparency and clarity regarding the terms, conditions, and rights of residents upon admission.
Form LIC 606. Residential Care Facility For The Elderly Disclosure Worksheet - California
Form LIC 606 is used in California by residential care facilities for the elderly to provide a disclosure worksheet to prospective residents. The main purpose of this form is to inform individuals of the facility's services, policies, and fees before admission.
Form LIC 613B. Personal Rights Children's Residential Facilities - California
Form LIC 613B is used in California by children's residential facilities to outline and document the personal rights of children in their care. The main purpose of this form is to promote the well-being, safety, and dignity of children residing in these facilities.
Form LIC 613C. Personal Rights Of Residents In Publicly Operated Residential Care Facilities For The Elderly - California
Form LIC 613C is used in California by publicly operated residential care facilities for the elderly to outline and document the personal rights of residents. The main purpose of this form is to ensure the dignity, safety, and well-being of elderly individuals residing in these facilities.
Form LIC 622A. Medication Administration Record (MAR) - California
Form LIC 622A is used in California by healthcare professionals and facilities responsible for administering medications to residents or patients. The main purpose of this form is to accurately record and track the administration of medications in a systematic manner.
Form LIC 622B. Psychotropic Medication Administration Record (MAR) - California
Form LIC 622B is used in California by healthcare professionals and facilities responsible for administering psychotropic medications to residents or patients.
Form LIC 624 LE. Law Enforcement Contact Report - California
Form LIC 624 LE is used in California by licensed facilities to report any law enforcement contact or incidents that occur on their premises.
Form LIC 627B. Consent For Emergency Medical Treatment - Children's Residential Facilities - California
Form LIC 627B is used in California by children's residential facilities to obtain consent from parents or legal guardians for emergency medical treatment on behalf of a child in their care.
Form LIC 700. Identification And Emergency Information Child Care Centers/Family Child Care Homes - California
Form LIC 700 is used in California by child care centers and family child care homes to collect identification and emergency information about children under their care.
Form LIC 9163. Request Live Scan Service - Community Care Licensing - California
Form LIC 9163 is used in California to request Live Scan services for individuals associated with Community Care Licensing. This form is completed by individuals who require background checks as part of their involvement in Community Care Licensing programs.