Form LIC 622A is a medication administration record used in licensed facilities in California. The form is completed by authorized staff members responsible for administering medications to residents or participants. It includes information such as the resident's name, medication details (name, dosage, frequency), administration times, and staff signatures verifying medication administration.
Form LIC 9118 is an inspection checklist specific to child care centers in California. The form provides a comprehensive list of items that need to be evaluated during facility inspections, such as health and safety measures, staff qualifications, program activities, supervision protocols, emergency preparedness, and other relevant aspects. Inspectors utilize this form to assess compliance with licensing requirements and identify any deficiencies or areas needing improvement.
Form LIC 9119 YHPC is an inspection checklist specifically designed for youth homelessness prevention centers (YHPCs) in California. The form provides a comprehensive list of items to be evaluated during facility inspections, including areas such as case management, educational support, outreach services, staff qualifications, safety measures, program activities, record-keeping, and compliance with licensing regulations.
Form LIC 9119 TrSCF is an inspection checklist specific to transitional shelter care facilities (TrSCFs) in California. The form provides a comprehensive list of items to be evaluated during facility inspections, including areas such as resident care, case management services, staff qualifications, safety measures, program activities, record-keeping, and compliance with licensing regulations. Inspectors utilize this form to assess compliance with licensing requirements, identify any deficiencies or areas needing improvement, and support the provision of quality services in TrSCFs.
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. It assesses documentation related to health, safety, assessments, case plans, progress reports, incidents, and other relevant information.
Form LIC 9112 is used to develop a facility compliance plan for licensed facilities in California. The form assists facility operators in creating a comprehensive plan to address identified deficiencies, violations, or areas of non-compliance with licensing regulations. It includes an assessment of the current situation, identification of corrective actions, timelines for implementation, responsible parties, and any necessary documentation or resources.
Form LIC 622 is used to document centrally stored medication and its destruction in licensed facilities in California. The form is completed by authorized personnel responsible for medication management and includes details such as medication names, strengths, quantities, expiration dates, storage conditions, and documentation of any medication destruction. By utilizing this form, facilities maintain accurate records of centrally stored medication, ensure proper handling and disposal, and comply with licensing regulations related to medication management and safety.
Form LIC 613C-2 is used to inform residents of their personal rights in privately operated residential care facilities for the elderly in California. Similar to LIC 613C, this form is provided to residents upon admission and clearly outlines their rights in areas such as privacy, autonomy, dignity, communication, visitation, religious practices, access to medical care, social interactions, and grievance procedures.
Form LIC 613C is used to inform residents of their personal rights in publicly operated residential care facilities for the elderly in California. This form is provided to residents upon admission, and it outlines their rights regarding privacy, autonomy, dignity, communication, visitation, religious practices, access to medical care, social interactions, and grievance procedures.
Form LIC 9119 EBSH is an inspection checklist specifically designed for enhanced behavioral supports homes (EBSHs) in California. The form provides a comprehensive list of items to be evaluated during facility inspections, including areas such as behavioral support plans, staff qualifications, therapeutic interventions, safety measures, communication strategies, record-keeping, and compliance with licensing regulations. Inspectors utilize this form to assess EBSH operations, ensure effective behavioral supports and interventions, and promote the well-being and safety of residents.