Forms and documents
LIC 9219A - Crisis Day Care Sign-In
Form LIC 9219A is used by crisis day care programs in California to document the sign-in and sign-out information of children attending the facility. This form includes fields for recording the child's name, time of arrival, time of departure, and the signature of the parent or guardian.
LIC 9233 Facility Inspection Checklist Foster Family Agencies
The LIC 9233 form is a facility inspection checklist used by the California Department of Social Services for conducting inspections of Foster Family Agencies.
LIC 9234 Entrance Checklist Foster Family Agency
The LIC 9234 form is an entrance checklist used by Foster Family Agencies in California. This checklist is employed during the admission process of individuals or families who wish to become foster parents or when new children are placed in the care of an existing Foster Family Agency.
LIC 9235 Facility Inspection Checklist Short Term Residential Therapeutic Program
The LIC 9235 form serves as a facility inspection checklist specifically tailored for Short-Term Residential Therapeutic Programs (STRTPs) within California. Inspectors use this checklist to assess the compliance of STRTPs with licensing regulations and standards.
LIC 9239 EBSH - Entrance Checklist - Enhanced Behavioral Supports Homes
The LIC 9239 EBSH form is an entrance checklist specifically designed for Enhanced Behavioral Supports Homes (EBSHs) within the California Department of Social Services. This checklist is utilized when individuals or families apply for admission to an EBSH or when a new resident is admitted.
LIC 9239 CTF - Entrance Checklist Community Treatment Facility
The LIC 9239 CTF form is an entrance checklist employed by Community Treatment Facilities (CTFs) in California. This checklist is used when individuals or families apply for admission to a CTF or when a new resident is admitted.
LIC 9239 CN - Entrance Checklist - Crisis Nurseries
The LIC 9239 CN form serves as an entrance checklist specifically tailored for Crisis Nurseries in California. This checklist is used during the admission process for children entering a Crisis Nursery.
LIC 9239 CCH - Entrance Checklist - Community Crisis Homes
The LIC 9239 CCH form is an entrance checklist specifically designed for Community Crisis Homes (CCHs) within the California Department of Social Services. This checklist is utilized when individuals or families apply for admission to a CCH or when a new resident is admitted.
LIC 9239 AA Entrance Checklist Adoption Agency
The LIC 9239 AA form is an entrance checklist used by Adoption Agencies in California. This checklist is employed during the admission process for prospective adoptive parents or when evaluating the suitability of an adoption agency for individuals or families seeking adoption services.
LIC 9239 Entrance Checklist Group Home
The LIC 9239 form serves as an entrance checklist specifically tailored for Group Homes in California. This checklist is used during the admission process for individuals or families seeking entry into a Group Home.