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state of california - health and human services agency california department of social services . physician's report for residential care facilities for the elderly (rcfe) i. facility information (to be completed by the licensee/designee) 1. name of facility 2. telephone ( ) 3. address . city . zip code . 4. licensee’s name . 5. telephone ( ) 6.
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state of california - health and human services agency california department of social services community care licensing division death report licensee must report the death of a client of any cause, regardless of where the death occurred. instructions : notify licensing agency, placement agency and responsible persons, if any, by next working day.
LICENSEE MUST REPORT THE DEATH OF A CLIENT OF ANY CAUSE, REGARDLESS OF WHERE THE DEATH OCCURRED. INSTRUCTIONS : NOTIFY LICENSING AGENCY, PLACEMENT AGENCY AND RESPONSIBLE PERSONS, IF ANY, BY NEXT WORKING DAY. SUBMIT WRITTEN REPORT WITHIN 7 DAYS OF OCCURRENCE. RETAIN COPY OF REPORT IN CLIENT’S FILE. MEDICAL TREATMENT NECESSARY?
Title: LIC 602A.pdf Author: ecotrials Created Date: 4/14/2020 1:20:09 PM
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING PHYSICIAN’S REPORT FOR COMMUNITY CARE FACILITIES For Resident/Client Of, Or Applicants For Admission To, Community Care Facilities (CCF). ... LIC 602 (7/11) PAGE 3 OF 3. Title: LIC602.pdF
Personnel Report – LIC 500. Physician’s Report – Child Care Centers – LIC 701. Physician’s Report For Community Care Facilities – LIC 602. Physician’s Report For Residential Care Facilities For The Elderly (RCFE) – LIC 602A. Pre-placement Appraisal Information – LIC 603. Q. N/A. R. Record Of Clients Cash Resources For Change ...
