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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 LIC9123
for the current year.
Form LIC9123 Facility Visit Checklist - Residential Care Facility for the Elderly - California
What Is Form LIC9123?
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 LIC9123 Facility Visit Checklist?
A: The LIC9123 Facility Visit Checklist is a checklist used for conducting visits to residential care facilities for the elderly in California.
Q: What is a Residential Care Facility for the Elderly?
A: A Residential Care Facility for the Elderly is a type of long-term care facility that provides housing, supervision, and care services to elderly individuals who are unable to live independently.
Q: Why is a Facility Visit Checklist important?
A: The Facility Visit Checklist is important because it helps regulators and inspectors assess the quality of care and compliance with regulations in residential care facilities.
Q: Who uses the LIC9123 Facility Visit Checklist?
A: Regulators and inspectors from the California Department of Social Services (CDSS) use the LIC9123 Facility Visit Checklist.
Q: What does the LIC9123 Facility Visit Checklist cover?
A: The LIC9123 Facility Visit Checklist covers various aspects of residential care facilities, including licensing, staffing, resident rights, health and safety, medication management, and more.
Q: Can residential care facilities refuse visits?
A: No, residential care facilities cannot refuse visits by regulators and inspectors. They are required to cooperate and allow access to the facility.
Q: What happens during a facility visit?
A: During a facility visit, regulators and inspectors assess compliance with licensing regulations, observe resident care and living conditions, review documentation, and may interview staff and residents.
Q: What are the consequences of non-compliance?
A: Non-compliance with regulations can result in penalties, fines, or even closure of the residential care facility, depending on the severity of the violations.
Q: Who should I contact if I have concerns about a residential care facility?
A: If you have concerns about a residential care facility, you can contact the California Department of Social Services (CDSS) or the local licensing office for assistance.
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 LIC9123 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
