Instructions For Form Lic 283 - Foster Family Home Application printable pdf download

Instructions For Form Lic 283 - Foster Family Home Application

Foster Family Home

Application

Instructions

Community Care Licensing

INTRODUCTION — Before a Foster Family Home License can be issued, the licensing agency

must review information that you provide to show that you meet the regulatory requirements

for the license. Please note that the application process may vary according to whether FFHs

in your county are licensed by county staff or through a state district office. In particular,

attention is drawn to the procedural differences in submitting criminal record clearance

materials and conducting in-home interviews.

SECTION A (Licensing Application Documents) — To initiate the application process the

required documents in Section A must be properly completed and submitted to the appropriate

licensing agency. Incomplete application materials will be returned.

SECTION B (Placement Matching Documents) - To initiate the placement matching process,

the required documents in Section B must be properly submitted to the appropriate licensing

agency. No one will be matched with the caregiver unless these documents are submitted.

FORMS COMPLETION — To prevent delays in processing your application, be sure that you

have all the necessary information completed, properly signed in ink with original signatures

and dated. Make a photocopy of your application for your records. Additional forms can be

downloaded

from

the

CDSS

website

h t t p : / / w w w . c d s s . c a . g o v / i n f o r e s o u r c e s / F o r m s - B r o c h u r e s

or by contacting

your local licensing agency office.

ORDERING REGULATIONS — The regulations that govern the licensing of Foster Family

Homes are under the California Code of Regulations, Title 22, Division 6. Copies of the

regulations

and

amendments

can

downloaded

from:

INFORMATION PRACTICE ACT: — This information is requested by the Department of Social

Services in compliance with Title 22, Division 6 of the California Code of Regulations and

Section 1500 et. Seq. of the Health and Safety Code. Submission of the information is

mandatory. The local licensing office is responsible for maintaining the information. Access to

this information will be provided to the public unless prohibited by the Information Practice

Act of 1977. Certain authorized public and private agencies may have access to confidential

information including County Welfare Departments, Department of Justice, Regional Centers,

the Department of Developmental Services and the Department of Mental Health.

PAGE 1 OF 3

LIC 283A (12/07)

Instructions For Form Lic 283 - Foster Family Home Application

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