This version of the form is not currently in use and is provided for reference only. Download this version of Form LIC9235 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 LIC9235?
A: Form LIC9235 is a Facility Inspection Checklist for Short-Term Residential Therapeutic Programs in California.
Q: What is a Short-Term Residential Therapeutic Program?
A: A Short-Term Residential Therapeutic Program is a type of facility that provides 24-hour care and treatment services to children and youth with mental health needs.
Q: Who is required to complete Form LIC9235?
A: Short-Term Residential Therapeutic Programs in California are required to complete Form LIC9235.
Q: What is the purpose of Form LIC9235?
A: The purpose of Form LIC9235 is to assess and ensure the compliance of Short-Term Residential Therapeutic Programs with licensing regulations and standards.
Q: What information is included in the Facility Inspection Checklist?
A: The Facility Inspection Checklist includes various sections such as program information, staff qualifications, physical environment, health and safety, record keeping, and emergency preparedness.
Q: Are there specific regulations and standards that Short-Term Residential Therapeutic Programs must comply with?
A: Yes, Short-Term Residential Therapeutic Programs in California must comply with specific licensing regulations and standards set by the state.
Q: Is there a fee associated with submitting Form LIC9235?
A: There may be a fee associated with submitting Form LIC9235. The specific fee amount can be obtained from the licensing agency.
Q: Who should I contact if I have questions or need assistance with Form LIC9235?
A: You should contact the licensing agency or the California Department of Social Services if you have questions or need assistance with Form LIC9235.
Q: What happens after Form LIC9235 is submitted?
A: After Form LIC9235 is submitted, the licensing agency will review the information provided and may conduct an on-site inspection of the facility to ensure compliance with regulations and standards.
Form Details:
Download a fillable version of Form LIC9235 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.