Forms and documents

LIC 9102TV - Advisory Notes - Technical Violation

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

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

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

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

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

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

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

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.

LIC 9029B - Statement Of Facts Preparation Checklist

LIC 9029B - Statement Of Facts Preparation Checklist

Form LIC 9029B is a preparation checklist used in the creation of a statement of facts regarding incidents, complaints, or investigations in licensed facilities in California.

LIC 989A - Non-Confidential Records Request Form

LIC 989A - Non-Confidential Records Request Form

Form LIC 989A is used to request non-confidential records from licensed facilities in California. The form is completed by individuals or organizations seeking access to specific records that are not confidential or protected by privacy laws.