LIC 401 - Monthly Operating Statement

Form LIC 401 is used by licensed facility operators in California to provide a monthly operating statement detailing the financial aspects of their operations. The form requires the disclosure of revenue, expenses, investments, reserves, and other financial information necessary for evaluating the financial health and stability of the facility.

By utilizing this form, facility operators maintain transparent financial records, enable proper financial management, and fulfill reporting obligations to the California Department of Social Services (CDSS).