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STATE OF CALIFORNIA – HEALTH AND HUMAN SERVCICES …

WEB(9) Respite care facilities. (10) Foster homes (11) Regional centers for persons with developmental disabilities (12) State Department of Social Services and State …

Actived: 8 days ago

URL: http://www.cnbarcf.com/downloadForms/abuse_reporting_responsibilities_form.pdf

CONSENT FOR MEDICAL TREATMENT- Adult and Elderly …

WEBstate of california – health and human services agency department of social services community care licensing consent for medical treatment-

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STATE OF CALIFORNIA – HEALTH AND WELFARE AGENCY …

WEBCOMMUNITY CARE LICENSING. HEALTH SCREENING REPORT – FACILITY PERSONNEL. All personnel, including applicant, licensee, or employed staff of …

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RESIDENT APPRAISAL Residential Care Facilities For The Elderly

WEBAMBULATORY STATUS (this person is ambulatory nonambulatory Ambulatory means able to demonstrate the mental and physical ability to leave a building without the assistance …

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Residential Services, Rehabilitative Training and Therapy in San …

WEBVilla Victoria and Luxury Vila Resident with behavioral challenges, unsafe conditions, inappropriate behavior and any other behavior that is against the facility policies, will be …

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HEALTH SCREENING REPORT – FACILITY PERSONNEL

WEBAll personnel, including applicant, licensee, or employed staff of Residential Care Facilities for the Elderly, Community Care or Child Care facilities must demonstrate that their …

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COMMUNITY CARE LICENSING FUNCTIONAL CAPABILITY …

WEBstate of california – health and human services agency department of social services

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IDENTIFICATION AND EMERGENCY INFORMATION

WEB3. 2.NAME AND ADDRESS OF PERSON TO CONTACT, IF AUTHORIZED REPRESENTATIVE IS NOT AVAILABLE. SPECIFY RELATIONSHIP. TELEPHONE …

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Residential Services, Rehabilitative Training and Therapy in San …

WEBThe administrator shall work a minimum of 40 hour per week at the facility for which that administrator is hired. The administrator shall be at least 21years of age, have a valid …

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PHYSICIAN’S REPORT FOR COMMUNITY CARE FACILITIES

WEBstate of california – health and human services agency california department of social services community care licensing

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COMMUNITY CARE LICENSING APPRAISAL/NEEDS AND …

WEBNEEDS OBJECTIVE/PLAN TIME FRAME PERSON(S) RESPONSIBLE FOR IMPLEMENTATION METHOD OF EVALUATING PROGRESS MENTAL – Difficulty with …

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CRIMINAL BACKGROUND CLEARANCE TRANSFER REQUEST

WEBThe transfer request must be submitted to the Department before the individual who is the subject of the transfer has client contact or the facility will be in violation of the law and …

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Residential Services, Rehabilitative Training and Therapy in San …

WEBVila Victoria Inc (adults ages 18-59 years old ) 64/68 South 10th street San Jose Ca. 95112 ( 32 beds) All Males Tel: 408-293-8166 FAX: (408) 947-1923 licensed #435202471 393 …

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CLIENT WEIGHT RECORD

WEBstae of california – health and human services agency department of social services

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CRIMINAL RECORD EXEMPTION TRANSFER REQUEST

WEBTitle: STATE OF CALIFORNIA-HEALTH AND HUMAN SERVICES AGENCY Author: Glen Coulter Created Date: 3/30/2011 2:31:18 PM

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STATE OF CALIFORNIA – HEALTH AND WELFARE AGENCY

WEBstate of california – health and human services agency department of social services personnel record date (form to be completed by employee) name of facility facility address

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CLIENT/RESIDENT PERSONAL PROPERTY AND VALUABLES

WEBLicensee/Administrator is responsible for maintaining a record of personal property/valuables entrusted to and removed from the facility. Under “Number”, enter the …

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STAE OF CALIFORNIA – HEALTH AND WELFARE AGENCY

WEBTitle: STAE OF CALIFORNIA – HEALTH AND WELFARE AGENCY Author: Glen Coulter Last modified by: Glen Coulter Created Date: 5/19/2000 4:39:00 PM Company

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