Form LIC 622, Centrally Stored Medication and Destruction Record, is a document developed by the California Department of Social Services. The purpose of the document is to keep a record of centrally stored medication and to keep a record of the destruction of medication. The form was last revised in May 2019.
An LIC 622 fillable Form is available for download below.
According to the instructions, medication records for each resident of the facility (or client) are supposed to be kept in the facility for at least one year. Medical destruction records are supposed to be kept for at least one year as well. However, Residential Care Facilities for the Chronically Ill and Residential Care Facilities for the Elderly shall keep their medical destruction records for at least three years.