Lic 9165 Form PDF Details

Managing a group home in the State of California demands adherence to various regulations, among which the Lic 9165 form plays a crucial role. This form serves as a declaration by members, and prospective members, of a group home’s board of directors, affirming their understanding of the legal duties and obligations tied to their roles. The essence of this document is to ensure that those at the helm of group home management are not only aware but also compliant with the laws and regulations as enforced by the Department of Social Services. Completing and signing the Lic 9165 form is not just a procedural step; it is a mandatory requirement for licensure. It necessitates that each board member receives, reads, and acknowledges the contents of the Community Care Licensing’s publication "Facts You Need To Know, Group Home Board of Directors." The form includes critical information such as the facility name and number, personal and contact information of the board member, and, most importantly, their signature as a testament to their commitment to comply with the stated regulations. As regulations evolve, it is highlighted that the accompanying booklet may not always capture the most up-to-date laws, urging a continuous effort from the board members to stay informed. This initiates an ongoing responsibility for those governing group homes to ensure their operations align with current standards, safeguarding both the facility's licensure status and the well-being of its residents.

QuestionAnswer
Form NameLic 9165 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesLicensees, licensee, LIC, ensures