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Get the free LIC 859 - Review of Staff/Volulnteer Records - dss cahwnet

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This document serves as a notice for a change in the form regarding the review of staff and volunteer records by the California Department of Social Services.
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How to fill out LIC 859 - Review of Staff/Volulnteer Records

01
Obtain a copy of the LIC 859 form from the relevant authority.
02
Start by filling out the identification section including the name of the organization, address, and contact information.
03
Provide details of the staff or volunteer whose records are being reviewed, including their full name and position.
04
List all required background checks that have been completed for the individual, such as criminal background checks.
05
Include any training or certifications the staff or volunteer has completed relevant to their role.
06
Document any disciplinary actions taken against the individual, if applicable.
07
Ensure that all information is accurate and complete before submitting the form.
08
Sign and date the form where required.

Who needs LIC 859 - Review of Staff/Volulnteer Records?

01
Organizations and facilities that employ staff or utilize volunteers in positions requiring oversight and background checks.
02
Childcare providers, schools, and any entities that require compliance with state licensing requirements.
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LIC 859 is a form used to review and document the records of staff and volunteers in a licensed community care facility to ensure compliance with regulations.
All licensed community care facilities that employ staff or utilize volunteers are required to file LIC 859.
To fill out LIC 859, gather the necessary information about staff and volunteers, including employment dates, roles, and background check results, and enter it into the form as instructed.
The purpose of LIC 859 is to ensure that staff and volunteers meet the required qualifications and background checks to provide safe care in community facilities.
The information required on LIC 859 includes the names, positions, and background check status of all staff and volunteers, along with the dates of their employment or service.
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