Lic 622 2025

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CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. PERSONNEL REPORT. INSTRUCTIONS: This form is intended for keeping a current roster of all the facility personnel, other adults and licensees residing in the facility, including backup persons, volunteers and licensee if administrator/director.
LIC 308 refers to a form that is issued by the California Department of Social Services, Community Care Licensing Division. This form is known as the Physicians Report Child Care Centers and is used for the licensing process of child care centers in the state of California.
Application for a Child Care Center License LIC 200A. Application For A Community Care Facility or Residential Care Facility For The Elderly License LIC 200.
INSTRUCTIONS: Centrally stored medications shall be kept in a safe and locked place that is not accessible to any person(s) except authorized individuals.
LIC 308 - DESIGNATION OF FACILITY RESPONSIBILITY At least one individual must be designated as the authorized person of the facility to act in the licensees absence. A LICENSEE CANNOT DESIGNATE HIM OR HERSELF.
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Acknowledgement of Receipt of Licensing Reports (LIC 9224), if applicable. This information is requested by the Department of Social Services in compliance with Title 22, Division 12 of the California Code of. Regulations and Section 1596.70 et. Seq. of Health and Safety Code.

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