Forms and documents
LIC 9119 AA - Facility Inspection Checklist Adoption Agency
Form LIC 9119AA is an inspection checklist specifically designed for adoption agencies in California.
LIC 9119 CCH - Facility Inspection Checklist Community Crisis Home
Form LIC 9119CCH is an inspection checklist specific to community crisis homes (CCHs) in California.
LIC 9118 - Facility Inspection Checklist Checklist Child Care Centers
Form LIC 9118 is an inspection checklist specific to child care centers in California.
LIC 9119 Facility Inspection Checklist Group Homes
Form LIC 9119 is an inspection checklist specific to group homes in California.
LIC 9106A - Short-Term Residential Therapeutic Program
Form LIC 9106A is specific to short-term residential therapeutic programs (STRTPs) in California. The form provides instructions for completing the program statement required for STRTP licensure.
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.