Forms and documents
LIC 311F - Records To Be Maintained At The Facility - Residential Care Facility For The Elderly
Form LIC 311F outlines the records that must be maintained at a Residential Care Facility for the Elderly (RCFE) in California.
LIC 311C - Records To Be Maintained At The Facility - Adult Residential
Form LIC 311C outlines the records that must be maintained at adult residential facilities in California.
LIC 311B - Records To Be Maintained By The Facility - Group Homes
Form LIC 311B specifies the records that must be maintained by group homes in California. The form provides a detailed list of the required records, including resident admission records, progress notes, medical records, incident reports, financial records, and other pertinent documentation.
LIC 311A - Records To Be Maintained At The Facility - Child Care Centers, Infant Centers, School-Age Centers and Child Care Centers For Mildly Ill Children
Form LIC 311A outlines the specific records that must be maintained at child care centers, infant centers, school-age centers, and child care centers for mildly ill children in California.
LIC 308 - Designation Of Facility Responsibility
Form LIC 308 is used to designate an individual within a facility who will be responsible for managing and overseeing compliance with licensing requirements and regulations.
LIC 309 - Administrative Organization
Form LIC 309 is used to provide detailed information about the administrative organization and structure of a licensed facility in California.
LIC 306 - Reporting Requirements By Licensees To The State Department Of Social Services
Form LIC 306 is used by licensees of social services facilities in California to fulfill reporting requirements to the State Department of Social Services (CDSS).
LIC 301E - Reference Request - Exemption
Form LIC 301E is a reference request form used for requesting references related to exemption applications in California. The form is completed by the California Department of Social Services (CDSS) or the facility operator to collect references that support an exemption application.
LIC 301B - Reference Request - Long-Term Care Ombudsman Program
Form LIC 301B is a reference request form specifically used by the Long-Term Care Ombudsman Program in California. The form is completed by the program to gather references for individuals applying for positions within the program.
LIC 301A - Reference Request - Adoption Facilitator
Form LIC 301A is a specific reference request form used for adoption facilitators in California. The form is completed by the California Department of Social Services (CDSS) or the adoption agency to request references for an adoption facilitator.