Lic 613 2025

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The document outlines the personal rights of individuals admitted to adult community care facilities in California, as mandated by the California Code of Regulations, Title 22. It details the rights to dignity, privacy, humane care, safe accommodations, freedom from abuse and neglect, and various other entitlements related to communication, visitation, and personal belongings. Additionally, it includes procedures for clients and their representatives to acknowledge these rights upon admission and provides information on how to file complaints.

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Click ‘Get Form’ to open the lic 613 document in the editor.
Begin by entering the name of the facility in the designated field. This ensures that all parties are aware of where the rights are being acknowledged.
Next, input the address of the facility. This is crucial for record-keeping and compliance with regulations.
Print and enter the name of the client who is being admitted. This personalizes the acknowledgment and confirms their understanding of their rights.
Have the client sign in the appropriate section, followed by their representative or conservator if applicable. Ensure that both signatures are dated correctly.
Fill out the contact information for the licensing agency, including name, address, city, zip code, and telephone number. This provides a clear point of contact for any complaints.

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Versions	Form popularity	Fillable & printable
2002	4.8 Satisfied (140 Votes)

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Timeout Chair - While often used as a disciplinary tool, it can violate personal rights if used excessively or in a demeaning manner.

What is lic 602?

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