Statutes, codes, and regulations
California Code Of Regulations
Title 22 - Social SecurityDivision 6 - Licensing of Community Care FacilitiesChapter 8 - Residential Care Facilities for the Elderly (RCFE)
Article 1 - Definitions and Forms
Section 87102 - Descriptions of Forms

Cal. Code Regs. tit. 22 § 87102

Download
PDF
Current through Register 2024 Notice Reg. No. 45, November 8, 2024
Section 87102 - Descriptions of Forms

The forms specified in subsections (j) through (l) only apply to this chapter, Chapter 8 (Residential Care Facilities for the Elderly). The forms specified in subsections (a) through (i) also apply to the regulations in Title 22, Division 6, Chapters 5 (Group Homes) and 6 (Adult Residential Facilities). All forms in this section are incorporated, in their entirety, by reference.

(a) LIC 9139 (01/16) -- Renewal of Continuing Education Course Approval, Administrator Certification Program.
(b) LIC 9140 (01/16) -- Request for Course Approval, Administrator Certification Program.
(c) LIC 9140A (01/16) -- Request to Add or Replace Instructor, Administrator Certification Program.
(d) LIC 9141 (01/16) -- Vendor Application/Renewal, Administrator Certification Program.
(e) LIC 9142A (01/16) -- Roster of Participants -- for Vendor Use Only, Administrator Certification Program.
(f) LIC 9142B (01/16) -- Roster of Participants -- for Exam Proctoring Only, Administrator Certification Program.
(g) LIC 9163 (3/11) -- Request for Live Scan Service -- Community Care Licensing.
(h) LIC 508 (7/15) Criminal Record Statement.
(i) LIC 9214 (01/16) -- Application for Administrator Certification, Administrator Certification Program.
(j) PUB 325 (3/12) -- Your Right To Make Decisions About Medical Treatment.
(k) Core of Knowledge Training Standard (01/16) -- RCFE 80-Hour Initial Certification.
(l) PUB 475 (10/18) -- Residential Care Facility for the Elderly (RCFE) Complaint Poster.

Cal. Code Regs. Tit. 22, § 87102

1. New section filed 3-12-2001; operative 3-12-2001 pursuant to Government Code section 11343.4 (Register 2001, No. 11).
2. New subsection (d) and subsection relettering filed 9-24-2001; operative 9-24-2001 pursuant to Government Code section 11343.4 (Register 2001, No. 39).
3. Change without regulatory effect amending subsections (a)-(c) filed 11-8-2001 pursuant to section 100, title 1, California Code of Regulations (Register 2001, No. 45).
4. Amendment of subsection (e) filed 2-21-2002; operative 2-21-2002 (Register 2002, No. 8).
5. Change without regulatory effect amending section heading and NOTE filed 3-5-2008 pursuant to section 100, title 1, California Code of Regulations (Register 2008, No. 10).
6. Change without regulatory effect moving article 2 heading from preceding section 87102 to preceding section 87105 filed 10-28-2008 pursuant to section 100, title 1, California Code of Regulations (Register 2008, No. 44).
7. Amendment of subsection (d) filed 4-7-2015; operative 7-1-2015 (Register 2015, No. 15).
8. Amendment of section and NOTE filed 12-30-2015; operative 1-1-2016 pursuant to Government Code section 11343.4(b)(3) (Register 2016, No. 1).
9. Amendment of first paragraph, new subsection (l) and amendment of NOTE filed 8-24-2018; operative 10-1-2018 (Register 2018, No. 34).

Note: Authority cited: Sections 1530, 1569.616(i)(1) and 1569.30, Health and Safety Code. Reference: Sections 1522.41, 1562.3, 1569.267, 1569.269, 1569.33 and 1569.616, Health and Safety Code.

1. New section filed 3-12-2001; operative 3-12-2001 pursuant to Government Code section 11343.4 (Register 2001, No. 11).
2. New subsection (d) and subsection relettering filed 9-24-2001; operative 9-24-2001 pursuant to Government Code section 11343.4 (Register 2001, No. 39).
3. Change without regulatory effect amending subsections (a)-(c) filed 11-8-2001 pursuant to section 100, title 1, California Code of Regulations (Register 2001, No. 45).
4. Amendment of subsection (e) filed 2-21-2002; operative 2-21-2002 (Register 2002, No. 8).
5. Change without regulatory effect amending section heading and Note filed 3-5-2008 pursuant to section 100, title 1, California Code of Regulations (Register 2008, No. 10).
6. Change without regulatory effect moving article 2 heading from preceding section 87102 to preceding section 87105 filed 10-28-2008 pursuant to section 100, title 1, California Code of Regulations (Register 2008, No. 44).
7. Amendment of subsection (d) filed 4-7-2015; operative 7/1/2015 (Register 2015, No. 15).
8. Amendment of section and Note filed 12-30-2015; operative 1/1/2016 pursuant to Government Code section 11343.4(b)(3) (Register 2016, No. 1).
9. Amendment of first paragraph, new subsection (l) and amendment of Note filed 8-24-2018; operative 10/1/2018 (Register 2018, No. 34).