LIC 200TM - Temporary Manager Application For Provisional License

Form LIC 200TM is a temporary manager application form specifically intended for the provision of a provisional license. It is utilized by individuals applying to serve as temporary managers for community care facilities or residential care facilities for the elderly in California. The form gathers essential information about the applicant's qualifications, experience, and capacity to assume managerial responsibilities during the transitional phase of a facility. By using this form, the California Department of Social Services (CDSS) ensures that temporary managers meet the necessary criteria to oversee the operations of licensed facilities effectively.