Click on one of the following links to view forms whose form number begins with the corresponding A - D | E - H| I - L | M - P | Q - T | U - Z. Community Care Facilities Licensing provides facility contact information to the public: • Online with routine inspection reports. To enter the site, login below using the Facility Number and PIN from the upper right corner of your bill. 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. It is not intended to take the place of medical advice, diagnosis, treatment, or legal advice. Reportable Incident Forms can be accessed online or at the local licensing office. Community Care Licensing Division Child Care Licensing Program 744 P Street, MS T9-15-48 Sacramento, CA 95814 Phone: (916) 651-6040 Child Care Advocates - (916) 654-1541 ChildCareAdvocatesProgram@dss.ca.gov. Long Term Care and Community Support Program. Facility Name: Phone: Facility Address (include postal code): Fax Number: Facility Email Address: Applicant Name: Phone: Applicant Email Address: Alternate Phone: Education and Relevant Training/Qualifications . Federal Bureau of Investigation clearances are NOT posted on this site. terms used in the Child Care Licensing Act and Regulation; This handbook does not supersede the act or regulation. For more information about licensing forms, call (651) 431-6500; or fax to (651) 431-7643. The complete packets include the application and other required forms, fact sheet on licensing or certification requirements, suggested study materials, exam schedule, and Visa/Mastercard transaction form. Community care facilities licensing (assessment and approval of all written submissions, on-site inspections) Apply for an amendment to a licence . With members living throughout Southeastern Wisconsin, we count on you to help us provide the very best in care. Reg. We are dedicated to taking care of our members and ensuring you have access to health care services. Problems with downloading forms? Some web browsers may not support all the features of PDF forms, such as fillable or calculating fields, and may produce errors. The purpose of reporting an incident is: To ensure that incidents are reported and reviewed in a timely manner both by the facility and Community Care Facilities Licensing staff. The director of licensing is appointed by the Minister as the steward for all Health Authority Community Care Facility Licensing programs. Find critical forms and information to retain your adult foster care license. All forms are printable and downloadable. Access the forms and training information you need. 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. Licensing officers must be of the opinion that the designated manager has the training, experience, personality, ability and temperament necessary to operate the community care facility in a manner that will maintain the spirit, dignity and individuality of the persons in care. For information about the child care response to COVID-19 please visit the British Columbia Government website. Individuals on this list may begin work, reside, or be present in a community care facility. The CCL website contains regularly updated information on various topics. Make individual files for each child and each staff member. Home & Community Care Forms. This guidance provides basic information only. Daphane Compliance . Apply for a change of facility manager. 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