Forms and documents
LIC 622 - Centrally Stored Medication And Destruction Record
Form LIC 622 is used to document centrally stored medication and its destruction in licensed facilities in California.
LIC 613C-2 - Personal Rights Of Residents In Privately Operated Residential Care Facilities For The Elderly
Form LIC 613C-2 is used to inform residents of their personal rights in privately operated residential care facilities for the elderly in California.
LIC 613C - Personal Rights Of Residents In Publicly Operated Residential Care Facilities For The Elderly
Form LIC 613C is used to inform residents of their personal rights in publicly operated residential care facilities for the elderly in California.
LIC 613B - Personal Rights Childrents Residential Facilities
Form LIC 613B is used to outline the personal rights of children residing in residential care facilities in California.
LIC 610E - Emergency Disaster Plan For Residential Care Facilities For The Elderly
Form LIC 610E is an emergency disaster plan specifically tailored for Residential Care Facilities for the Elderly (RCFE) in California.
LIC 610D - Emergency Disaster Plan For Adult Day Programs, Adult Residential Facilities, Residential Care Facilities For The Chronically Ill And Social Rehabilitation Facilities
Form LIC 610D is an emergency disaster plan specifically designed for Adult Day Programs, Adult Residential Facilities, Residential Care Facilities for the Chronically Ill, and Social Rehabilitation Facilities in California.
LIC 610A - Emergency Disaster Plan For Family Child Care Homes
Form LIC 610A is an emergency disaster plan specific to family child care homes in California. The form is completed by the home operator and outlines procedures and protocols to address potential emergencies or disasters, such as natural disasters, fires, or medical emergencies.
LIC 624 LE - Law Enforcement Contact Report
The LIC 624 LE, also known as the Law Enforcement Contact Report, is a form used to document any interactions or contact between law enforcement agencies and child care centers or family child care homes.
LIC 627A - Consent To A Medical Examination
The LIC 627A form, Consent To A Medical Examination, is utilized to obtain parental or authorized representative consent for a child to undergo a medical examination.
LIC 627B - Consent For Emergency Medical Treatment - Children's Residential Facilities
The LIC 627B form, Consent For Emergency Medical Treatment - Children's Residential Facilities, is designed to secure permission from parents or authorized representatives for emergency medical treatment for children residing in residential facilities.