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234815

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This Form is used for renewing the approval of a continuing education course for the Administrator Certification Program in California.

This form is used for filing a complaint investigation report in California. It is a document that allows individuals to report issues or problems they have experienced and provides an avenue for the state to investigate and address these concerns.

This form is used for providing a summary of facts in California. It is a summary sheet used to outline important details.

This form is used for registering the residents of residential care facilities for the elderly in California. It helps keep track of the individuals living in these facilities.

This form is used for registering clients or residents in facilities in the state of California.

This form is used for providing additional details and supporting information for the LIC812 application in California. It helps to provide more information and documentation to support the application process.

This form is used for reporting law enforcement contact in California. It is specifically designed for law enforcement agencies to document and compile information regarding their interactions with individuals or incidents. This form helps in maintaining records and ensuring transparency in law enforcement activities.

This form is used for recording the administration of psychotropic medication in California. It helps to track and monitor the usage of medication for individuals.

Use this form if you are health care professional to keep track of non-psychotropic medications prescribed to a child. This four-page record sheet is often referred to as a drug chart.

This Form is used for assessing civil penalties in California for immediate payment of $500 and repeat violations.

This form is used for the assessment of civil penalties in California for failure to correct and repeat violations.

This form is used for assessing civil penalties in cases involving death, serious injury, or physical abuse in child care facilities in California.

This form is used for assessing civil penalties in cases of death, serious bodily injury, or physical abuse in California.

This Form is used for applying for a foster family home license in the state of California. It provides instructions on how to fill out the application and what documents are required.

This form is used for applying to become a resource family in California. It is a confidential document.

This form is used for converting a person's license from a standard license to a resource family license in the state of California. It also authorizes the release of information related to the individual's background and suitability for becoming a resource family.

This form is used for the In-Home Supportive Services (IHSS) Program in California. It informs the recipient that their provider's exemption from workweek limits is expiring.

This form is used for notifying the providers of the In-home Supportive Services Program in California about the expiration of their exemption from workweek limits.

This form is used for notifying providers in California's In-home Supportive Services Program that they are ineligible to request an exemption from workweek limits due to extraordinary circumstances.

This form is used for the In-Home Supportive Services (IHSS) program in California. It is a notice to inform providers that they have not received an exemption from the workweek limits specified in the Provider Agreement (APD 006).

This Form is used for notifying recipients of the In-Home Supportive Services (IHSS) program in California when their exemption from workweek limitations for extraordinary circumstances is discontinued.

This form is used for notifying providers of the In-Home Supportive Services (IHSS) program in California about the discontinuance of their exemption from workweek limitations due to extraordinary circumstances.

This Form is used for individuals or organizations who want to apply for a license to operate a home care organization in California. It serves as a declaration of intent to initiate the licensing process.

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