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151774

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This form is used for obtaining a license to operate a community care facility or child care facility on federal property in California.

This form is used for documenting civil penalties in California. It serves as a ledger to record information related to penalties imposed in various civil cases.

This Form is used for notifying the California Department of Insurance about an incomplete application for licensure.

This form is used for applicants or licensees in California who are entering into an agreement for the use of federal property.

This is form issued by the California Department of Social Services (CDSS). It is filed to keep a current list of the staff (including backup persons, volunteers, etc.) employed and residing on the facility.

This form is used for creating an agreement between a licensee or applicant and Indian Reservations in California.

This form is used for submitting a facility sketch or floor plan in California as part of the licensing process.

This document is completed by every community care employee to provide an employer with information concerning the employee's personal details and employment experience.

This Form is used for creating a facility sketch or floor plan for a Family Child Care Home in California. It helps in ensuring compliance with regulations and permits.

This document is an attachment to the LIC9011A form used for County Licensing Administrative Action Personnel Flagging in California. It contains additional information and requirements related to personnel flagging.

This form is used for providing additional information and documentation related to administrative actions and personnel flagging in the licensing process in California.

This form is used for transmitting legal cases in the state of California. It is used to provide information about the case and to request action from the appropriate authorities.

This Form is used for requesting a review of any deficiencies or penalties imposed by the California Department of Insurance.

This form is used for individuals in California to provide a statement about their criminal record history for certain licensing applications or employment purposes. It allows individuals to disclose any prior convictions or arrests in order to comply with state regulations and ensure transparency.

This is a document signed by a child's parent, guardian, or representative in order to acknowledge that a child's personal rights are observed and respected while the child is receiving services from a child care center.

This form is used for preparing a Statement of Facts in California. It serves as a checklist to ensure all necessary information is included in the statement.

This form must be kept by all child care centers, infant care centers, and family child care homes and be made available to the licensing agency upon request.

This form was released by the California Department of Social Services (CDSS) and is a legal document that informs every new employee of a child care facility of their rights to file complaints against the employer for violating laws and regulations.

This form is used for creating a mutual agreement between 18-year-olds and their caregivers under the Kin-GAP program in California.

This form is used for providing the Department of Social Services, Community Care Licensing Division in California with information about the local fire inspection authority.

This form is used for providing statements of facts supporting eligibility for the Kinship Guardianship Assistance Payment (Kin-Gap) Program in California. It helps individuals establish their eligibility for financial assistance and services through the program.

This document provides a guide on how to complete the LIC604 Admission Agreement form for residential facilities in California. It includes instructions and explanations to help you understand the form and ensure accurate completion.

This Form is used for personal property procedures in residential care facilities for the elderly (RCFE) in the state of California.

This form is used for creating admission agreements between residential care facilities in California and elderly individuals.

This form is used for creating a kin-gap mutual agreement between California and nonminor former dependents. It establishes the rights and responsibilities of both parties involved in the kin-gap program.

This Form is used for reporting theft and loss incidents for California residents. It helps document and report incidents to the relevant authorities for further investigation and insurance purposes.

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