LIC 856A - Complaint Intake Notification

Form LIC 856A is used to notify licensed facilities in California of the intake of a complaint. The form is completed by the licensing agency or authorized personnel and includes essential information such as the complainant's name, nature of the complaint, date received, and any initial actions taken. By utilizing this form, facilities are informed about complaints filed against them, allowing them to initiate appropriate response protocols, conduct internal investigations if necessary, and ensure compliance with regulatory requirements related to complaint management.