Follow the steps to complete the CA LIC 102 form online.

1. Press the ‘Get Form’ button to access the CA LIC 102 form and open it in the online editor.
2. Input the date in the designated field to indicate when the inspection request is being made.
3. Fill in the file number associated with the facility, if applicable.
4. Enter the name of the facility that requires inspection in the corresponding section.
5. Provide the complete address of the facility including street, city, and zip code.
6. Select the type of facility from the options provided in the form.
7. Indicate whether the facility is currently in operation by selecting ‘Yes’ or ‘No.’
8. Provide the facility's telephone number in the appropriate field.
9. Describe the directions to reach the facility to assist the inspector.
10. Fill in the contact person's information, including their name, telephone number, and address as necessary.
11. Specify the total capacity requested for the facility, alongside the total capacity by standard.
12. Indicate the age range of the individuals the facility serves, if applicable.
13. Note any previous sanitation inspections by entering the date of the last clearance and the name of the operator.
14. Provide information on the type of care offered by the facility.
15. Include any other relevant changes recommended by the Department or planned by the applicant in the designated section.
16. Review all details entered to ensure accuracy and completeness.
17. Once satisfied with the information provided, save changes, and choose to download, print, or share the completed form.

Complete your CA LIC 102 form online today and ensure your facility meets all sanitation requirements.