WebDepartment of SOCIAL SERVICES. Community Care Licensing. FACILITY EVALUATION REPORT Facility Number: 300608929 Report Date: 05/07/2024 Date Signed: 05/07/2024 11:17:12 AM WebPursuant to the Governor’s Proclamation as set forth in PIN 20-04-CCLD dated March 6, 2024, and Executive Order N-52-20 dated April 16, 2024, CDSS is issuing a ... Statement (LIC 508), signed under penalty of perjury, that does not include any . PIN 20-09-CRP Page Three . disclosed criminal history. Additionally, a new hire must submit a copy ...
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WebIn order to initiate a background check, the person signs a criminal record statement, LIC 508, and agrees to be fingerprinted. ... Check with the CCLD if you have any questions about conditional exemptions. Anyone with a criminal record for anything other than a minor traffic violation must apply and qualify for an exemption to be at the ... WebNov 1, 2015 · Form LIC 508, Criminal Record Statement. Use this form to provide a truthful and complete history of any criminal record you may have. The exception is minor traffic violations; Form LIC 9108, Statement Acknowledging Requirement to Report … mechanics bank cust svc no
Community Care Licensing Division - California …
WebIHSS Ops V - Burbank - 73. ADDRESS: 3307 N. Glenoaks Blvd. Burbank, CA 91504. PHONE: 1-888-822-9622. Programs Offered: IHSS. You can apply In person at any Department of Public Social Services (DPSS) District Office or outreach site. Find the LA County services and facilities that serve your area. WebQuestions and comments are moderated. Minimum of 10 characters. All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, … WebApr 4, 2024 · Welcome to the Community Care Licensing Division. We serve the most vulnerable people of California and our mission is to promote the health, safety, and quality of life of each person in community care … mechanics bank hilltop richmond