Lic 622 2025

See details

4.8 out of 5

45 votes

The document outlines the procedures for managing centrally stored medications and their destruction within California's community care facilities. It specifies that medications must be securely stored and records maintained for at least one year, with additional guidelines for the destruction of unused prescriptions, including witnessing requirements and retention periods.

Here's how it works

01. Edit your lic 622 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send lic 622a via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out lic 622 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the lic 622 document in the editor.
Begin by entering the 'Facility Name' and 'Facility Number' at the top of the form. Ensure these details are accurate as they identify your facility.
In the 'Centrally Stored Medication' section, fill in each medication's name, strength/quantity, expiration date, and other relevant fields. This information is crucial for maintaining proper medication records.
For each medication, include details such as the attending physician and prescribing physician's names, along with prescription numbers and refills. This ensures compliance with regulations.
Move to the 'Medication Destruction Record' section if applicable. Document any medications that were disposed of, including signatures from both the administrator and a witness.

Start using our platform today to easily complete your lic 622 form online for free!

See more lic 622 versions

We've got more versions of the lic 622 form. Select the right lic 622 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
1999	4.8 Satisfied (45 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is lic 500?

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.

What is lic 308?

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.

What is lic 200?

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.

What does centrally stored medication mean?

INSTRUCTIONS: Centrally stored medications shall be kept in a safe and locked place that is not accessible to any person(s) except authorized individuals.

What is the LIC 308 designation of facility responsibility?

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.

lic622

LIC 622B Lic 622 MAR LIC 9020 LIC 625 LIC 622A form LIC 621 LIC 602 LIC 602A

What is lic 9224?

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.