agree to abide by the regulations made under the authority of the Community Care and Assisted Living Act, and certify that the information I have provided is correct to the best of my knowledge. If you have any questions about the collection and use of this information, contact Licensing Direct. The licensee must notify the Community Care Facility Licensing program (via phone, email, or fax) and submit a Reportable Incident Form. We serve the most vulnerable people of California and our mission is to promote the health, safety, and quality of life of each person in community care through the administration of an effective and collaborative regulatory enforcement system. Reviews (805) 562-0400. Back to Licensing and Certification Program. As per the Community Care and Assisted Living Act and applicable regulations, licensed care facilities are required to report specified incidents that affect persons in care.. Bond Fire Information – Update as of December 9, 2020 at 4:00 p.m. Child Abuse Central Index clearances are NOT posted on this site. Go to the Community Care Licensing website [The website briefly appears] and download the forms required for staff, volunteers, and children in your care. This is an online listing of forms maintained by the Department of Human Services. Back to top. gh#2000079-730-2. COMMUNITY CARE LICENSING DIVISION . LIC 9140 – Request for Course Approval - Vendors submit this request for ACS review and approval of a new or updated course. License. Sign up to receive e-mail updates on DPR's Licensing Program activities.. I hereby apply for a Community Care Facility Licence and agree to abide by the regulations made under the authority of the Community Care and Assisted Living Act, and certify that the information I have provided is correct to the best of my knowledge. COMMUNITY CARE LICENSING DIVISION . RESIDENTIAL CARE FACILITIES . Access the forms and training information you need. Daphane Compliance Systems. Community care licensing; Child care providers Child care providers. Who to Contact. Homes for Special Care currently administered by the N.S. Title 22 Regulations – Sorted by Facility Type Online Evaluator Manual – Procedures manual and Regulation Interpretation. We are dedicated to taking care of our members and ensuring you have access to health care services. From policy samples to incident reports, enrollment forms, background checklists, and more, you'll find a variety of resources to help you. STATE OF CALIFORNIA. On Monday, December 2, 2020, the Bond Fire began burning in Orange County and prompted evacuations. This page offers quick and easy access to frequently accessed documents for all license types, and is your go to source for maintaining your licensure. If you are relocating your residents, please contact your Regional Office to provide information about where you are relocating to and provide your census. Find the necessary forms, checklists and templates related to child care licensing below. Central Intake: 604.587.3936 . Amendment: Change in Manager. NOTE TO PHYSICIAN: The person specified below is a resident/client of or an applicant for admission to a licensed Community Care Facility. HEALTH AND HUMAN SERVICES AGENCY . Care facility search. COMMUNITY CARE LICENSING DIVISION CHILD CARE OFFICES Program Administrator, Shanice Orum 744 P Street, MS: T9-15-48 Sacramento, CA 95814 (916) 651-6040 FAX (916) 651-0531 NORTHERN CHILD CARE AREA OFFICE Assistant Program Administrator, Robert Garza 744 P Street, MS T9-15-48 Sacramento, CA 95814 (916) 651-6040 FAX (916) 651-0531 CHICO REGIONAL OFFICE Regional … Fingerprint clearance delays are NOT posted on this site. RESIDENTIAL CARE FACILITIES . Important forms and documents are listed below, and may include links to nongovernment sites. Distributed Under the Library Distribution Act. Inspection of licensed community care facilities. Community Care Facilities Licensing provides facility contact information to the public: • Online with routine inspection reports. We do this through educating, monitoring, inspecting and investigating. One of the most common amendments to a licence is a change of facility manager. COMMUNITY CARE LICENSING ONLINE ORIENTATIONS 10/21/2013 Page 1 of 3 How to register: To register, please click on the “To Register” button You will be requested to fill out applicant information and payment information. For information about the child care response to COVID-19 please visit the British Columbia Government website. This form is used to assist child care providers to comply with minimum standards within a specified period of time, without compromising the safety of children served by the operation. Same as above or . Adult Foster Care Licensing Resources, forms, & training information. Complete the forms, making sure you obtain all the required signatures. Article 2. This report provides a glimpse of child care numbers crossing jurisdictional lines by giving total number of licensed facilities, number of each type of facility licensed, number of substantiated and unsubstantiated complaints and more throughout Nevada. COMMUNITY CARE LICENSING CLIENT WEIGHT RECORD This form is intended to record weight loss or gain to clients in a community care facility. This plan will talk about the things that are important to you and the goals you have for yourself. Muaj ntau hom ntaub ntawv ua lus Hmoob. We are proud to partner with more than 1,600 long-term care providers and 10,000 individual physicians and health care personnel. 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