Get Ca Hhsa Dss Lic 9142a 2006
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How to fill out the CA HHSA DSS LIC 9142A online
The CA HHSA DSS LIC 9142A form is essential for documenting the participation of individuals in various training programs. This guide will help you fill out the form efficiently and accurately, ensuring that all required information is captured correctly.
Follow the steps to complete the CA HHSA DSS LIC 9142A form online.
- Click the ‘Get Form’ button to access the form and open it in the editor.
- Select the Course Program Type by checking the appropriate box for either the RCFE Initial 40-Hour Course, RCFE CEU, ARF Initial 35-Hour Course, ARF CEU, GH Initial 40-Hour Course, or GH CEU.
- Enter the Vendor Name and the Instructor(s) Name in the designated fields.
- Fill in the Course Name and the Location of the Course. This information helps identify the specific training event.
- For each participant, provide their Last Name, First Name, Middle Initial, City, Address, and Phone Number in the corresponding fields. Ensure that the information is accurate and clearly legible.
- Input the Course Date, Time In, and Time Out for each participant. These details are crucial for attendance tracking.
- Designate the Name and Title of the Authorized Representative. Include their signature and the date on which the form is completed.
- Review all entries for accuracy, ensuring that each field is filled as required.
- Once all information is accurate and complete, proceed to save the changes made to the form. You may also download, print, or share the form as needed.
Complete your CA HHSA DSS LIC 9142A form online today and ensure your compliance with training documentation requirements.
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The California Community Care Licensing Division is responsible for licensing, monitoring, and setting standards for community care facilities, including child care centers and family child care homes. Their primary goal is to ensure that facilities comply with state regulations, which include requirements laid out in CA HHSA DSS LIC 9142A. Through regular inspections and assessment of facilities, the division works to maintain a safe environment for children and vulnerable populations. They play a pivotal role in safeguarding the welfare of those entrusted to their care.
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