Forms and documents
LIC 9238 Entrance Checklist Transitional Housing Placement Program
The LIC 9238 form is an entrance checklist specifically designed for Transitional Housing Placement Programs (THPPs) within the California Department of Social Services. This checklist is utilized when individuals or families apply for admission to a THPP or when a new resident is admitted.
LIC 9237 Facility Inspection Checklist Transitional Housing Placement Program
The LIC 9237 form is a facility inspection checklist used by the California Department of Social Services for Transitional Housing Placement Programs (THPPs). It is employed during inspections to assess the compliance of THPPs with licensing regulations and standards.
LIC 9236 Entrance Checklist Short Term Residential Therapeutic Program
The LIC 9236 form is an entrance checklist designed for Short-Term Residential Therapeutic Programs (STRTPs). This checklist is utilized when individuals or families apply for admission to an STRTP or when a new resident is admitted.
LIC 9219 - Crisis Nursery Monthly Report
Form LIC 9219 is used by crisis nurseries in California to submit monthly reports on their operations and activities. This form collects data related to the number of children served, services provided, staff-to-child ratios, utilization rates, and other relevant information.
LIC 9216 - Complaint And Type A Violation Log
Form LIC 9216 is used by care facilities in California to document complaints received and Type A violations identified within their operations.
LIC 9214 - Application for Administration Certification - Administrator Certification Program
Form LIC 9214 is used by individuals seeking administrator certification in the care facility setting in California.
LIC 9140A - Request to Add or Replace Instructor
Form LIC 9140A is used to request the addition or replacement of an instructor within the Administrator Certification Program in California. This form allows course providers to submit relevant details about the instructor, such as qualifications, experience, and expertise in the subject matter.
LIC 9140 - Request For Course Approval - Administrator Certification Program
Form LIC 9140 is utilized by individuals or organizations seeking approval for new courses within the Administrator Certification Program in California.
LIC 9139 - Renewal Of Continuing Education Course Approval - Administrator Certification Program
Form LIC 9139 is used for the renewal of continuing education course approval within the Administrator Certification Program in California.
LIC 9128 - Foster Family Agency Program Statement
Form LIC 9128 is used by foster family agencies in California to provide a program statement that outlines their approach, goals, and services related to fostering children.