LIC 9158 - Telecommunications Device Notification

Form LIC 9158 is used by care facilities in California to notify the Department of Social Services about the presence of a telecommunications device within the facility. This form is typically utilized in residential care facilities where residents are equipped with personal emergency response systems or other types of telecommunication devices. By submitting this form, care facilities comply with reporting requirements and ensure that emergency communication systems are appropriately documented, monitored, and maintained to support the safety and well-being of residents.