This version of the form is not currently in use and is provided for reference only. Download this version of Form LIC9106 for the current year.

Form LIC9106 Group Home Program Statement - California

Preview

Fill PDF Online

PDF

Word

Fill PDF Online

Fill out online for free

without registration or credit card

What Is Form LIC9106?

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 the purpose of the LIC9106 Group Home Program Statement?A: The purpose of the LIC9106 Group Home Program Statement is to provide information about the program and its policies.

Q: What is a Group Home?A: A Group Home is a residential facility for individuals who require specialized care and support.

Q: Who is required to complete the LIC9106 Group Home Program Statement?A: Any individual or organization operating a Group Home in California is required to complete the LIC9106 Group Home Program Statement.

Q: What information is included in the LIC9106 Group Home Program Statement?A: The LIC9106 Group Home Program Statement includes information about the program's admission criteria, policies and procedures, staffing, services provided, and resident rights.

Q: What happens if a Group Home fails to complete the LIC9106 Group Home Program Statement?A: Failure to complete the LIC9106 Group Home Program Statement may result in penalties or loss of license for the Group Home.

Q: Is the LIC9106 Group Home Program Statement specific to California?A: Yes, the LIC9106 Group Home Program Statement is specific to California and is required for Group Homes operating in the state.

Q: Are there any fees associated with submitting the LIC9106 Group Home Program Statement?A: Yes, there may be fees associated with submitting the LIC9106 Group Home Program Statement. Please contact the California Department of Social Services for more information.

Q: Can the information provided in the LIC9106 Group Home Program Statement be updated?A: Yes, the information provided in the LIC9106 Group Home Program Statement can be updated as needed. Any changes must be reported to the California Department of Social Services.

Q: Are there any specific requirements for staffing in a Group Home?A: Yes, there are specific requirements for staffing in a Group Home, including minimum qualifications and training requirements. These requirements are outlined in the LIC9106 Group Home Program Statement.

Form Details:

Released on January 1, 2003;
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 LIC9106 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Social Services.