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This version of the form is not currently in use and is provided for reference only. Download this version of
Form LIC9119
for the current year.
Form LIC9119 Facility Visit Checklistgroup Homes - California
What Is Form LIC9119?
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.
FAQ
Q: What is a Form LIC9119?
A: Form LIC9119 is a Facility Visit Checklist for Group Homes in California.
Q: What is the purpose of Form LIC9119?
A: The purpose of Form LIC9119 is to serve as a checklist for facility visits to group homes in California.
Q: Who uses Form LIC9119?
A: Form LIC9119 is used by inspectors or licensing representatives who conduct facility visits to group homes in California.
Q: What information does Form LIC9119 cover?
A: Form LIC9119 covers various areas of the group home, including personnel, residents, health and safety, and general operations.
Q: Is Form LIC9119 specific to California?
A: Yes, Form LIC9119 is specific to group homes in California.
Form Details:
- Released on November 1, 2003;
- The latest edition provided by the California Department of Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form LIC9119 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
