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 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.
Form Details:
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.