California Department of Social Services

Form LIC 195A is specifically designed for family child care homes. It is used by the California Department of Social Services (CDSS) to notify the operator of a family child care home that they are operating in violation of the law. The form outlines the specific violations or non-compliance issues identified during inspections or investigations conducted by CDSS. By serving as an official notice, it alerts the operator about the violations and provides guidance on the necessary corrective actions to bring the family child care home back into compliance with licensing requirements.

Form LIC 283A provides instructions for individuals or couples applying to become foster family home providers in California. The instructions guide applicants through the process of completing Form LIC 283 accurately, providing step-by-step guidance on gathering the required information, completing sections, and understanding the expectations set by the California Department of Social Services (CDSS). By utilizing these instructions, applicants can ensure that they submit a comprehensive and properly completed foster family home application.

Form LIC 283 is an application form used by individuals or couples applying to become foster family home providers in California. The comprehensive form collects detailed information about the applicant(s), including personal details, household composition, background checks, references, and other pertinent information necessary for evaluating their suitability as foster parents. By utilizing this form, the California Department of Social Services (CDSS) assesses the applicant(s)' qualifications, capacity, and ability to provide a safe and nurturing environment for foster children.

Form LIC 282 is an affidavit form used by providers of family child care homes in California to verify their liability insurance coverage. The form requires providers to declare and provide details of their liability insurance policy, including the insurance company's name, policy number, coverage period, and other relevant information. By completing this form, family child care home providers attest to maintaining the required liability insurance as mandated by the California Department of Social Services (CDSS).

Form LIC 403 is used by licensed facility operators in California to provide a balance sheet, which presents the financial condition of the facility at a specific point in time. The form outlines the facility's assets, liabilities, and equity, reflecting the financial health and net worth of the facility. By utilizing this form, facility operators maintain accurate financial records, enable proper financial management, and fulfill reporting obligations to the California Department of Social Services (CDSS).

Form LIC 401A is used as supplemental financial information accompanying the Monthly Operating Statement (LIC 401). The form provides additional details, explanations, or clarifications regarding specific financial aspects of the licensed facility's operations. By utilizing this form, facility operators can provide further context and insights into their financial statements, ensuring a comprehensive understanding of the facility's financial position, stability, and compliance with applicable regulations.

Form LIC 195 is used by the California Department of Social Services (CDSS) to notify an operator or licensee that their facility is operating in violation of the law. The form outlines the specific violations or non-compliance issues identified during inspections or investigations. It serves as an official notice to the operator, highlighting the areas that need to be addressed to come into compliance with licensing regulations. This form ensures that operators are informed of the violations and provides them with an opportunity to rectify the issues promptly.

Form LIC 184E is used by the California Department of Social Services (CDSS) to notify child care centers about incomplete applications related to changes in corporate status. The form highlights the specific areas or documentation that are missing or incomplete, requiring attention from the child care center to rectify the deficiencies. By utilizing this form, the CDSS ensures that child care centers are aware of the required information or actions needed to complete the application process accurately and legally reflect any changes in their corporate status.

Form LIC 184D is a notification form used by the California Department of Social Services (CDSS) to provide a 30-day Notice of Intent to Deny (NOIA) for incomplete application submissions from child care center applicants. The form notifies applicants of the deficiencies in their application and specifies the additional information or actions required to meet licensing requirements. It also provides applicants with instructions on how to respond to the NOIA within the given timeframe.

Form LIC 400 is an affidavit form used to collect information about the cash resources of clients or residents in licensed facilities in California. The form requires disclosure of financial information, including income, assets, and other relevant details related to cash resources. By utilizing this form, facility operators ensure transparency and compliance with reporting requirements, facilitating accurate assessment of client or resident eligibility for specific programs or benefits.