CA HHSA DSS LIC 9092 2011-2025 free printable template

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES FIRE PRE-INSPECTION/CONSULTATION REQUEST NOTE: Complete and submit this form and payment of fee, to the

How to fill out lic 9092 consultation fillable form

How to fill out CA HHSA DSS LIC 9092

1. Obtain a copy of the CA HHSA DSS LIC 9092 form.
2. Fill in the date at the top right corner.
3. Provide the facility name and address in the designated fields.
4. Enter the license number if applicable.
5. Indicate the type of care provided by checking the appropriate boxes.
6. Complete the section on staff information, including names and positions.
7. Fill out any additional information requested about the facility's program.
8. Review the completed form for accuracy.
9. Sign and date the bottom of the form where indicated.
10. Submit the completed form to the appropriate licensing authority.

Who needs CA HHSA DSS LIC 9092?

1. Individuals or organizations that operate a care facility in California.
2. Providers who are seeking a license to operate a group home, foster family agency, or other types of care facilities.
3. Professionals involved in the licensing process for health and human services.

Video instructions and help with filling out and completing fire pre inspection

Instructions and Help about pre inspection consultation request

Hi I'm Patrick builder of Waller plumbing heating air conditioning and this is my brother Andy and where your barefoot plumbers today we wanted to talk to you a little about water conservation in conjunction with the EPA's Waterline fix a leak week and also are partnering with the Leo Club which is part of the Lions Club their kids group to go around and look for leaks in the neighborhoods around town a couple items we like to talk to you about is the shower head this particular shower head is a low-flow 15 gallons per minute shower head that will actually watch the soap and shampoo off your hair because boy we all remember those shower heads back to the 90s that you could even get wet with when we were all trying to save and conserve water another item is the flapper that is one of the causes one of the biggest water waste in your home with the toilet this goes up against the flush valve and if any debris or if the flapper is warped or if it's disintegrated that that will allow water to leak by through the bowl and directly down to the sewer thus wasting water you can lose up to 10000 gallons or more of water a year just from this leaking by one of the newer items on the market today is this fill valve that will also it helps conserve water by pushing the debris field out from underneath the flapper and also this goes down into your Douglas valve and that will allow you to adjust the water amount in the bowl and that saves even more water so combining these three items right here in your house for minimal investment can save a substantial amount of water back on the restroom a lot of times we get used to hearing it run, and it just becomes a standard sound but if you realize again of how many thousands of gallons of water that are wasted it's amazing we've been on houses before that their water bill was extremely high, and it turns out that the only leak that they had was the toilets basically running full blast they just got acclimated to the noise and didn't really think about it until their water bill started going over a hundred dollars a month other than that I encourage everybody to think about doing water on it on their house this will allow you to minimize the amount of water that you have to use for irrigation showers etc we have one device that's out there called a home comfort system that will actually you won't have to wait two three four minutes in some cases to get hot water out to your shower it works by putting that hot water right at the fixture via a timer or a Milano switch so when you're ready to take a shower, or you waste maybe in some cases no more than one cup of hot water versus you know 20 30 40 gallons anyways those are a couple of items that we wanted to discuss today, and we'll be back with part two soon

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What is CA HHSA DSS LIC 9092?

CA HHSA DSS LIC 9092 is a reporting form used by California's Department of Social Services for the collection of specific data pertaining to child or foster care services.

Who is required to file CA HHSA DSS LIC 9092?

Entities such as licensed foster care agencies, group homes, and other organizations providing care to children in California are required to file CA HHSA DSS LIC 9092.

How to fill out CA HHSA DSS LIC 9092?

To fill out CA HHSA DSS LIC 9092, entities must accurately complete the form by entering required information such as agency details, number of children served, and data on placements, ensuring compliance with specified guidelines.

What is the purpose of CA HHSA DSS LIC 9092?

The purpose of CA HHSA DSS LIC 9092 is to collect essential data to enhance oversight, improve child welfare services, and ensure compliance with state regulations regarding the care and placement of children.

What information must be reported on CA HHSA DSS LIC 9092?

The CA HHSA DSS LIC 9092 form requires reporting information including the number of children in care, types of services provided, demographic details, and various compliance metrics related to child welfare.