LIC 508 O-O-S - Out-Of-State Disclosure
Form LIC 508 O-O-S (Out-Of-State Disclosure) is a standalone form used to disclose out-of-state criminal records for individuals seeking employment or serving in positions where background checks are required in licensed facilities in California.
LIC 508A - Criminal Record Statement - Adoption Facilitator
Form LIC 508A is a criminal record statement used by adoption facilitators in California. The form is completed by the adoption facilitator and includes questions related to criminal history, convictions, and any relevant legal issues.
LIC 508 - Criminal Record Statement & Out-Of-State Disclosure
Form LIC 508 is a combined form used for both criminal record statements and out-of-state disclosures in licensed facilities in California. The form is completed by individuals seeking employment or serving in positions where background checks are required.
LIC 507 - Facilities Staff Work Schedule
Form LIC 507 is a work schedule form that records the staffing schedule for facilities in California. The form includes details such as staff names, assigned shifts, days off, and any additional notes or adjustments to the schedule.
LIC 501 - CCL/Personnel Record
Form LIC 501 is a record used to document and maintain personnel information for Community Care Licensing (CCL) purposes in licensed facilities in California.
LIC 421IM - Civil Penalty Assessment Immediate $500 And Repeat Violations
Form LIC 421IM is a civil penalty assessment form used by the California Department of Social Services (CDSS) to address immediate and repeat violations in licensed facilities.
LIC 500 - Personnel Report
Form LIC 500 is a personnel report used by licensed facilities in California to provide information about their employees or staff members.
LIC 421FC - Civil Penalty Assessment Failure To Correct And Repeat Violations
Form LIC 421FC is a civil penalty assessment form used by the California Department of Social Services (CDSS) to address repeated violations and failure to correct deficiencies in licensed facilities.
LIC 421D - Civil Penalty Assessment Death/Serious Bodily Injury/Physical Abuse
The LIC 421D form is specifically designed by the California Department of Social Services for assessing civil penalties in cases involving death, serious bodily injury, or physical abuse.
LIC 421D - Civil Penalty Assessment Death/Serious Injury/Physical Abuse
The LIC 421D form is used by the California Department of Social Services to assess civil penalties in cases involving death, serious injury, or physical abuse.