Forms and documents
LIC 857 - Children's Record Review
Form LIC 857 is used to conduct a review of children's records in licensed facilities in California. The form is completed by authorized personnel, such as licensing agency staff or auditors, and includes a comprehensive evaluation of the records maintained for children in the facility.
LIC 858 - Client/Resident Records Review
Form LIC 858 is used to conduct a review of client or resident records in licensed facilities in California.
LIC 856C - Complaint Determination Notification - Unsubstantiated
Form LIC 856C is used to notify licensed facilities in California when a complaint has been determined to be unsubstantiated.
LIC 856D - Complaint Determination Notification - Unfounded
Form LIC 856D is used to notify licensed facilities in California when a complaint has been determined to be unfounded.
LIC 856B - Complaint Determination Notification - Substantiated
Form LIC 856B is used to notify licensed facilities in California when a complaint has been substantiated.
LIC 856A - Complaint Intake Notification
Form LIC 856A is used to notify licensed facilities in California of the intake of a complaint.
LIC 812 - Detail Supportive Information
Form LIC 812 is used to provide additional detailed information related to specific incidents, complaints, or investigations in licensed facilities in California.
LIC 855 - Declaration
Form LIC 855 is a declaration form used in licensed facilities in California.
LIC 809 - Facility Evaluation Report
Form LIC 809 is used for conducting facility evaluations in licensed facilities in California.
LIC 808 Plan For Epidemic Outbreak Specific to COVID 19 Mitigation Plan Report
Form LIC 808 is a comprehensive plan that outlines specific mitigation strategies for epidemic outbreaks, with a focus on addressing the COVID-19 pandemic.