Get Soc 170 (5/12) - Application To Become A - California Department ...

Filling out the SOC 170 (5/12) application to become a Transitional Housing Program-Plus-Foster Care provider is a pivotal step in ensuring quality support for non-minor dependents. This guide provides clear and supportive instructions to help users navigate the application process effectively.

Follow the steps to successfully complete your application online.

1. Click the ‘Get Form’ button to access the SOC 170 form and open it in the designated editor.
2. In the first section, input your name as the applicant in the space provided. Ensure you provide complete and accurate information regarding your county of operation.
3. Attach the completed application along with signatures from the Executive Director, Chief Executive Officer, or a Board member as required. This section is critical to validate your application.
4. Provide the necessary disclosures regarding any prior affiliations with non-profits, ownership interests, and any disciplinary actions. This information must be comprehensive and truthful.
5. Include a written statement regarding the Board of Directors' performance and duties, specifying any additional responsibilities they may hold.
6. Ensure to attach a Plan of Operation, the most recent A-133 audit report, and documentation verifying three months of operating capital.
7. Compile a Secondary County Letter of Support that confirms your intent to serve in that county.
8. Confirm that criminal record and Child Abuse Central Index clearances have been obtained for all relevant individuals as per the required guidelines.
9. Record findings from the facility inspection, ensuring the inclusion of employee documentation, medical screenings, and background clearance results.
10. Indicate compliance with child personal rights and record completion of orientation and training, ensuring alignment with the approval standards.
11. After reviewing all sections for accuracy, save your changes, and choose to download, print, or share the completed application as needed.

Begin the application process now and ensure you submit your SOC 170 online for timely processing.