Lic 229 Form PDF Details

In the state of California, ensuring the safety and well-being of children in foster care is a priority regulated by the Health and Human Services Agency through the California Department of Social Services. The Lic 229 form plays a critical role in this mission, serving as a Certificate of Approval for certified family homes. This document is a testament to the fact that a specific residence has met stringent state licensing standards and is deemed suitable for the Foster Family Agency's placement need. It authorizes the Foster Family Agency, under the supervision of the Community Care Licensing Division, to recruit, train, select, and exclusively certify homes that meet the rigorous requirements outlined in the Community Care Facilities Act. This certification enables these homes to receive and care for children placed by the agency, with the stipulation that these children cannot be accepted from any other agency, individual, parent, or guardian. The certificate, which must be visibly posted or maintained in the home and whose copy is kept at the agency, outlines specifics such as the home's capacity, the age range and ambulatory status of the children it can accommodate, client preferences, and any specific limitations. The LIC 229 form, while exempting the home from the requirement of licensure, underscores the home's obligation to adhere to the licensing standards as set by California's Health and Safety Code and the regulations of the California State Department of Social Services. This certification, valid for one year but subject to earlier termination, reflects the state's commitment to protecting its most vulnerable citizens by ensuring they are placed in environments that are not only safe but also supportive and conducive to their growth and stability.

QuestionAnswer
Form NameLic 229 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesAmbulatory, Certicate, Specic, transferable

Form Preview Example

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

 

COMMUNITY CARE LICENSING

CERTIFICATE OF APPROVAL

(for certified family homes)

Note: The Community Care Facilities Act beginning with Section 1500 of the California Health and Safety Code authorizes the State Department of Social Services to license agencies to engage in homefinding functions. The Foster Family Agency listed below is authorized by the Community Care Licensing Division of the State Department of Social Services to recruit, train, select and certify for exclusive use certain homes that meet state licensing standards and are suitable for the Foster Family Agency’s placement need. A residential home selected and approved for exclusive use for the reception and care of children placed by the Foster Family Agency is exempt from the requirement of licensure, but must otherwise meet licensing standards. This form is used as an authorization by the Foster Family Agency to verify that a selected home is certified for exclusive placement. The original is to be posed or maintained in the home. A copy shall be maintained in file at the agency.

In accordance with applicable provisions of the Health and Safety Code of California and regulations of the California State Department of Social Services, the licensed Foster Family Agency shown below hereby grants certification to:

Home Provider____________________________________________________________________________________

Home Address ____________________________________________________________________________________

________________________________________________________________________________________________

to receive and provide care for children placed by the agency.

This Certificate of Approval:

1.Does not permit the acceptance of children for care from any other agency, individual, parent or guardian.

2.Is not transferable; is limited to the terms of the certificate, and is valid for one year but may be terminated earlier at the discretion of the Foster Family Agency.

3.Is granted upon the following conditions:

Capacity_____________________________________ Age Range of Children ____________________________

Ambulatory Status of Home ______________________________________________________________________

Client Preferences______________________________________________________________________________

Specific Limitations ____________________________________________________________________________

Effective Date________________________________ Expiration Date __________________________________

I hereby certify that the above named facility meets the licensing standards in California Administrative Code, Title 22, Division 6.

Foster Family Agency

 

 

 

 

 

License Number

 

 

 

 

 

Address

 

Foster Family Agency Representative

 

 

 

City, State, Zip Code

 

Title

LIC 229 (9/99) PUBLIC

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Specic conclusion process detailed (portion 1)

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Specic conclusion process clarified (part 2)

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