Get Ca Lic 200 2003

The CA LIC 200 is an essential application for obtaining a license for a community care facility or residential care facility for the elderly in California. This guide provides clear and comprehensive steps to assist users in completing the form online.

Follow the steps to complete the CA LIC 200 application online.

1. Click ‘Get Form’ button to access the form and open it in the appropriate online editor.
2. Begin by entering the name(s) of the applicant(s) legally responsible for the facility in the designated field. Ensure to use full names.
3. Indicate the requested action by checking the correct box, selecting from options like initial application, change of capacity, or change of location.
4. Fill in the applicant mailing address, ensuring to include the legal home address for individuals or headquarters address for organizations. Also, provide a telephone number with area code.
5. Select the applicable category for application filed by, choosing from individual, partnership, nonprofit corporation, or other options.
6. Input the facility or agency name, as designated for the application, followed by the facility street address, and include a telephone number for contact.
7. Provide the mailing address for the facility where correspondence should be sent.
8. Specify the name and title of the administrator or person in charge of the facility. If not yet determined, write 'unknown'.
9. Choose the correct type of agency or facility, and if necessary, provide the common name for the facility in the designated ‘other’ section.
10. Enter the total requested capacity, or the number of persons to be accommodated in the facility within a 24-hour period. If applicable, specify the number for non-ambulatory clients.
11. For facilities serving children, indicate the number of infants and the number of children expected to be served.
12. List the days and hours during which the facility will operate.
13. Indicate property ownership by checking the appropriate box and provide information regarding control of property, including the owner’s details if renting.
14. Answer whether the facility has been previously licensed. If yes, include the facility name and number.
15. Specify if major construction is needed and include the relevant dates for construction commencement and completion.
16. Identify the source of water for human consumption by checking either public or private.
17. Disclose information about any previous or present facilities as required, including any additional facilities on a separate sheet if necessary.
18. Review the applicant's responsibilities and ensure understanding of compliance with applicable laws and regulations.
19. Provide the required signatures of all applicants or authorized representatives on the form, confirming their responsibilities.
20. Once all fields are completed, save your changes, and prepare to download, print, or share the form as necessary.

Get started on filling out the CA LIC 200 online today to ensure your application is processed efficiently.