This version of the form is not currently in use and is provided for reference only. Download this version of Form LIC610D for the current year.
This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form LIC610D?
A: Form LIC610D is a document used to create an Emergency Disaster Plan for Adult Day Programs, Adult Residential Facilities, Residential Care Facilities for the Chronically Ill, and Social Rehabilitation Facilities in California.
Q: Who needs to complete Form LIC610D?
A: Adult Day Programs, Adult Residential Facilities, Residential Care Facilities for the Chronically Ill, and Social Rehabilitation Facilities in California need to complete Form LIC610D.
Q: What is the purpose of Form LIC610D?
A: The purpose of Form LIC610D is to create an Emergency Disaster Plan that outlines how the facility will respond to emergencies and disasters to ensure the safety and well-being of the individuals in their care.
Q: What information is required on Form LIC610D?
A: Form LIC610D requires information such as facility contact information, emergency contact information, evacuation procedures, communication protocols, and plans for dealing with specific emergencies.
Form Details:
Download a fillable version of Form LIC610D by clicking the link below or browse more documents and templates provided by the California Department of Social Services.