Form Lic 281d - Application And Supporting Documentation Checklist - Foster Family Agency Page 7

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CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
COMMUNITY CARE LICENSING DIVISION
18.
CONTROL OF PROPERTY
It is necessary for the licensing agency to determine that the applicant/licensee has control over the facility property.
Once licensed, the licensee must be able to ensure that the facility and grounds are maintained and are in compliance
with regulations (i.e. repairs made to physical plant, swimming pools fenced, etc.).
Provide the name(s) and address(es) of the property owner(s) of the facility.
A copy of the lease agreement or rental agreement must be provided. (There are no requirements related to length
of the lease or rental agreement).
Proof of ownership must be provided if the applicant is the owner of the property.
The licensing agency can verify this by a Property Tax bill, Deed or other related document. The documents
provided must contain the facility street address within the document or its attachments.
The Lease agreement must be consistent with the LIC 401.
19. APPLICATION OR DOCUMENTATION OF ACCREDITATION
A FFA shall obtain national accreditation from an entity identified by the department.
The three approved accreditation agencies are:
The Commission on Accreditation of Rehabilitation Facilities (CARF):
The Council on Accreditation (COA):
The Joint Commission (JC):
For a FFA that has been licensed before January 1, 2017 the following will apply:
Shall have until December 31, 2018 to obtain accreditation.
Shall submit documentation of accreditation or application for accreditation or a copy of its application for
accreditation to the licensing agency as part of an updated program statement.
Shall provide documentation to the department reporting its accreditation status as of January 1, 2017,
January 1, 2018 and July 1, 2018.
For a FFA that has been licensed on and after January 1, 2017 the following will apply:
Shall have up to 24 months from the date of licensure to obtain accreditation.
Shall submit documentation of accreditation or application or a copy of its application for accreditation with its
application for licensure.
The licensing agency may request additional information from FFA regarding its accreditation status.
Shall provide a copy of its final accreditation summary report to the licensing agency within 30 days of its
release date.
20. PLAN OF OPERATION/PROGRAM STATEMENT(LIC 9128)
LIC 281D (1/17) (PUBLIC - OPTIONAL)
PAGE 7 OF 7

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