Get the free Community Care Licensing Complaint Form - CA.gov

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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSINGCOMPLAINT INVESTIGATION REPORTCOMPLAINT CONTROL NUMBER ___This is an official report

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How to fill out community care licensing complaint

01

Obtain the necessary complaint form from the Community Care Licensing office or website.

02

Fill out the complaint form with detailed information about the issue or concern.

03

Include any supporting documentation or evidence that can help investigate the complaint.

04

Submit the completed complaint form to the Community Care Licensing office through mail, email, or fax.

05

Follow up with the office to ensure that the complaint is being investigated and addressed.

Who needs community care licensing complaint?

01

Anyone who has concerns or complaints about a licensed community care facility, such as a daycare center, nursing home, or residential care facility, may need to file a community care licensing complaint.

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What is community care licensing complaint?

A community care licensing complaint is a formal grievance filed against a facility or provider regulated by the licensing department for violations of licensing regulations.

Who is required to file community care licensing complaint?

Anyone who has knowledge of licensing violations or concerns about the quality of care provided by a facility can file a community care licensing complaint.

How to fill out community care licensing complaint?

Community care licensing complaints can typically be filled out online on the licensing department's website or submitted in writing through mail or email.

What is the purpose of community care licensing complaint?

The purpose of community care licensing complaints is to ensure the safety and well-being of individuals in care facilities by holding providers accountable to licensing regulations.

What information must be reported on community care licensing complaint?

Information such as the name and address of the facility/provider, details of the alleged violations, and contact information of the complainant must be included in a community care licensing complaint.

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