LIC 401A - Supplemental Financial Information

LIC 401A - Supplemental Financial Information

Form LIC 401A is used as supplemental financial information accompanying the Monthly Operating Statement (LIC 401). The form provides additional details, explanations, or clarifications regarding specific financial aspects of the licensed facility's operations.

LIC 402 - Surety Bond

LIC 402 - Surety Bond

Form LIC 402 is used to obtain a surety bond for licensed facilities in California. The form is completed by the facility operator or licensee and includes information about the bonding company, coverage amount, effective dates, and other relevant details.

LIC 400 - Affidavit Regarding Client/Resident Cash Resources

LIC 400 - Affidavit Regarding Client/Resident Cash Resources

Form LIC 400 is an affidavit form used to collect information about the cash resources of clients or residents in licensed facilities in California. The form requires disclosure of financial information, including income, assets, and other relevant details related to cash resources.

LIC 313 - Evidence Of Program Consultant

LIC 313 - Evidence Of Program Consultant

Form LIC 313 is used to provide evidence of a program consultant's qualifications and eligibility to provide consultation services to licensed facilities in California.

LIC 311D - Forms/Records To Keep In Your Family Child Care Home

LIC 311D - Forms/Records To Keep In Your Family Child Care Home

Form LIC 311D provides a comprehensive list of the forms and records that family child care home providers in California must maintain.

LIC 311F - Records To Be Maintained At The Facility - Residential Care Facility For The Elderly

LIC 311F - Records To Be Maintained At The Facility - Residential Care Facility For The Elderly

Form LIC 311F outlines the records that must be maintained at a Residential Care Facility for the Elderly (RCFE) in California.

LIC 311C - Records To Be Maintained At The Facility - Adult Residential

LIC 311C - Records To Be Maintained At The Facility - Adult Residential

Form LIC 311C outlines the records that must be maintained at adult residential facilities in California.

LIC 311B - Records To Be Maintained By The Facility - Group Homes

LIC 311B - Records To Be Maintained By The Facility - Group Homes

Form LIC 311B specifies the records that must be maintained by group homes in California. The form provides a detailed list of the required records, including resident admission records, progress notes, medical records, incident reports, financial records, and other pertinent documentation.

LIC 311A - Records To Be Maintained At The Facility - Child Care Centers, Infant Centers, School-Age Centers and Child Care Centers For Mildly Ill Children

LIC 311A - Records To Be Maintained At The Facility - Child Care Centers, Infant Centers, School-Age Centers and Child Care Centers For Mildly Ill Children

Form LIC 311A outlines the specific records that must be maintained at child care centers, infant centers, school-age centers, and child care centers for mildly ill children in California.

LIC 308 - Designation Of Facility Responsibility

LIC 308 - Designation Of Facility Responsibility

Form LIC 308 is used to designate an individual within a facility who will be responsible for managing and overseeing compliance with licensing requirements and regulations.