Forms and documents
LIC 9112 - Facility Compliance Plan
Form LIC 9112 is used to develop a facility compliance plan for licensed facilities in California. The form assists facility operators in creating a comprehensive plan to address identified deficiencies, violations, or areas of non-compliance with licensing regulations.
LIC 9106 - Group Home Program Statement General Instructions
Form LIC 9106 provides general instructions for completing the program statement required for group homes in California.
LIC 9102TV - Advisory Notes - Technical Violation
Form LIC 9102TV is used to provide advisory notes specifically addressing technical violations in licensed facilities in California. The form contains detailed guidance, recommendations, or corrective actions related to violations identified during inspections or investigations.
LIC 9102TA - Advisory Notes - Technical Assistance
Form LIC 9102TA serves as a tool for providing technical assistance and guidance to licensed facilities in California.
LIC 9098 - Proof Of Correction
Form LIC 9098 is utilized to provide proof of correction for deficiencies identified during inspections or investigations in licensed facilities in California.
LIC 9099 - Complaint Investigation Report
Form LIC 9099 is used to document the findings and outcomes of complaint investigations conducted in licensed facilities in California.
LIC 9059 - Personal Property Procedures
Form LIC 9059 establishes procedures for handling personal property in licensed facilities in California. The form provides guidance to facility staff on how to manage residents' personal belongings, including storage, inventory, security measures, and documentation.
LIC 9054 - Local Fire Inspection Authority Information
Form LIC 9054 provides information about the local fire inspection authority to licensed facilities in California.
LIC 9058 - Applicant/Licensee Rights
Form LIC 9058 is designed to inform applicants and licensees of their rights during the licensing process in California.
LIC 9031 - Notice Of Temporary Suspension Order Of License
Form LIC 9031 is used to notify licensed facilities in California of a temporary suspension order affecting their license.