LIC 9216 - Complaint And Type A Violation Log

Form LIC 9216 is used by care facilities in California to document complaints received and Type A violations identified within their operations. This form helps facilities maintain a record of complaints and violations, including details such as the nature of the complaint or violation, actions taken to address it, and any follow-up measures. By utilizing this form, care facilities demonstrate transparency, accountability, and a commitment to addressing concerns and maintaining compliance with licensing regulations.