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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 LIC9239 EBSH
for the current year.
Form LIC9239 EBSH Entrance Checklist - Enhanced Behavioral Supports Homes - California
What Is Form LIC9239 EBSH?
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 LIC9239 EBSH Entrance Checklist?
A: LIC9239 EBSH Entrance Checklist is a form used for Enhanced Behavioral Supports Homes (EBSH) in California.
Q: What is an Enhanced Behavioral Supports Home (EBSH)?
A: Enhanced Behavioral Supports Homes (EBSH) are residential facilities in California that provide specialized care for individuals with behavioral challenges or needs.
Q: What is the purpose of the LIC9239 EBSH Entrance Checklist?
A: The purpose of the LIC9239 EBSH Entrance Checklist is to ensure that all necessary requirements are met for the admission of a resident to an Enhanced Behavioral Supports Home (EBSH).
Q: Who uses the LIC9239 EBSH Entrance Checklist?
A: The LIC9239 EBSH Entrance Checklist is used by the facility staff and administrators of Enhanced Behavioral Supports Homes (EBSH) in California.
Q: What information is included in the LIC9239 EBSH Entrance Checklist?
A: The checklist includes sections for documenting information such as the resident's personal details, medical history, behavioral assessments, medication management, and safety plans.
Form Details:
- Released on March 1, 2022;
- 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 LIC9239 EBSH by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
