Lic 9214 2016 form-2025

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The document is an application form for the Administrator Certification Program by the California Department of Social Services, Community Care Licensing Division. It outlines the requirements and instructions for both new and renewal applicants seeking certification to manage various types of care facilities, including Adult Residential Facilities, Group Homes, and Residential Care Facilities for the Elderly. The form requires personal information, criminal record clearance details, and proof of training or continuing education.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (104 Votes)
2016	4.3 Satisfied (167 Votes)
2016	4.2 Satisfied (55 Votes)
2012	4.3 Satisfied (121 Votes)
2006	4.3 Satisfied (57 Votes)

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