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Get CA LIC 999 1999

FACILITY NAME LIC 999 3/99 ADDRESS The yard sketch should show all buildings in the yard including the home with no detail garage and storage building. STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING FACILITY SKETCH Floor Plan Applicants are required to provide a sketch of the floor plan of the home or facility and outside yard. The floor sketch must label rooms such as the kitchen bath living room etc* Circle the names of the rooms that will be used by staff/residents/clients/children* Door and window exits from the rooms must be shown in case of an emergency see Emergency Disaster Plan. Show room sizes e*g* 8. 5 x 12. Keep close to scale. Use the space below. See back for yard sketch. Include walks driveways play area fences gates. Show any potential hazardous area such as pools garbage storage animal pens etc* Show the overall yard size. STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING FACILITY SKETCH Floor Plan Applicants are required to provide a sketch of the floor plan of the home or facility and outside yard. The floor sketch must label rooms such as the kitchen bath living room etc* Circle the names of the rooms that will be used by staff/residents/clients/children* Door and window exits from the rooms must be shown in case of an emergency see Emergency Disaster Plan. The floor sketch must label rooms such as the kitchen bath living room etc* Circle the names of the rooms that will be used by staff/residents/clients/children* Door and window exits from the rooms must be shown in case of an emergency see Emergency Disaster Plan. Show room sizes e*g* 8. 5 x 12. Keep close to scale. Use the space below. See back for yard sketch. STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING FACILITY SKETCH Floor Plan Applicants are required to provide a sketch of the floor plan of the home or facility and outside yard. The floor sketch must label rooms such as the kitchen bath living room etc* Circle the names of the rooms that will be used by staff/residents/clients/children* Door and window exits from the rooms must be shown in case of an emergency see Emergency Disaster Plan. Show room sizes e*g* 8. 5 x 12. Keep close to scale. Use the space below. See back for yard sketch. .

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