Forms and documents
LIC 9240 Entrance Checklist Small Family Home
The LIC 9240 form is an entrance checklist specifically designed for Small Family Homes in California. This checklist is utilized during the admission process for individuals or families seeking entry into a Small Family Home.
LIC 9239 YHPC - Entrance Checklist - Youth Homelessness Prevention Center
The LIC 9239 YHPC form serves as an entrance checklist specifically tailored for Youth Homelessness Prevention Centers (YHPCs) within the California Department of Social Services.
LIC 9269 Form 5-5: Annual Reserve Certification
The LIC 9269 Form 5-5 is used by facilities regulated by the California Department of Social Services to certify their annual reserves. This form verifies that the facility has met the required reserve amounts based on applicable regulations and guidelines.
LIC 9270 Form 7-1: Report On CCRC Monthly Care Fees
The LIC 9270 Form 7-1 is used to report monthly care fees for Continuing Care Retirement Communities (CCRCs) regulated by the California Department of Social Services. This form captures information regarding the fees charged to residents for various levels of care provided within the CCRC.
LIC 9271 Form 9-1: Calculation Of Refund Reserve Amount
The LIC 9271 Form 9-1 is used to calculate the refund reserve amount for facilities regulated by the California Department of Social Services.
LIC 9266 Form 5-2: Long-Term Debt Incurred During Fiscal Year
The LIC 9266 Form 5-2 is used to report and document long-term debt that was incurred during the fiscal year by facilities regulated by the California Department of Social Services.
LIC 9280 - Pre-licensing Entrance Checklist - Family Child Care Homes
The LIC 9280 form is a Pre-licensing Entrance Checklist specifically designed for Family Child Care Homes in California. This checklist is used during the pre-licensing process to ensure that prospective family child care homes meet all the necessary requirements for obtaining a license.
LIC 9279 - Pre-licensing Entrance Checklist - Child Care Centers
The LIC 9279 form is a Pre-licensing Entrance Checklist specific to Child Care Centers in California. This checklist is used during the pre-licensing process to ensure that prospective child care centers meet all the necessary requirements for obtaining a license.
IC 9277LUA - Guardian Licensee User Access Form
The IC 9277LUA form, also known as the Guardian Licensee User Access Form, is used by the California Department of Social Services to authorize access to specific systems or information for individuals acting as guardians for licensees.
LIC 9276 Child Care Center Sampling Checklist Form
The LIC 9276 form is a Child Care Center Sampling Checklist Form used by the California Department of Social Services for monitoring and assessing child care centers within its jurisdiction.