Form LIC9106A Plan of Operation / Program Statement - Short-Term Residential Therapeutic Program - California

Form LIC9106A Plan of Operation / Program Statement - Short-Term Residential Therapeutic Program - California

What Is Form LIC9106A?

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 LIC9106A?
A: LIC9106A is a form used in California for Short-Term Residential Therapeutic Programs.

Q: What is a Short-Term Residential Therapeutic Program?
A: A Short-Term Residential Therapeutic Program is a type of residential care facility that provides intensive therapeutic services to children and youth.

Q: What is the purpose of the LIC9106A form?
A: The LIC9106A form is used to outline the operations and program plan of a Short-Term Residential Therapeutic Program.

Q: Who needs to fill out the LIC9106A form?
A: The operators of the Short-Term Residential Therapeutic Program need to fill out the LIC9106A form.

Q: What information is included in the LIC9106A form?
A: The LIC9106A form includes information about the program's organizational structure, staffing, services provided, and policies and procedures.

Q: Is there a fee for submitting the LIC9106A form?
A: Yes, there is a fee associated with submitting the LIC9106A form. The fee may vary depending on the specific licensing agency.

Q: What is the purpose of the Plan of Operation/Program Statement?
A: The purpose of the Plan of Operation/Program Statement is to provide a detailed description of the program's goals, objectives, and daily operations.

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Form Details:

  • Released on March 1, 2021;
  • 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 LIC9106A by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form LIC9106A Plan of Operation / Program Statement - Short-Term Residential Therapeutic Program - California

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