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What is LIC 603?

Published in California Residential Care Forms 3 mins read

LIC 603 is an official form utilized by the California Department of Social Services (CDSS), specifically under its Community Care Licensing division. It is designated as the Preplacement Appraisal Information form, primarily used for the admission process within residential care facilities.

Understanding the Purpose of LIC 603

The core function of the LIC 603 form is to gather crucial information required for evaluating an individual prior to their admission into a residential care facility. This "preplacement appraisal" helps ensure that the facility can adequately meet the needs of the prospective resident and that the placement is appropriate.

  • Community Care Licensing: The form falls under the purview of Community Care Licensing, which oversees various types of care facilities in California, ensuring they meet health, safety, and care standards.
  • Residential Care Facilities: This form is specifically tailored for the admission process in residential care settings, which typically provide housing, meals, and assistance with daily activities for individuals who may need supervision or support.

Who Provides Information for LIC 603?

The information required for the LIC 603 form is primarily obtained from the applicant themselves or their authorized representative. This ensures that the data collected is accurate and reflective of the individual's current status and needs.

  • Applicant: The individual seeking admission to the residential care facility.
  • Authorized Representative: This can be a relative, a social agency, a hospital, or a physician who is assisting the applicant in the admission process and is authorized to provide information on their behalf. Their involvement helps facilitate a smooth and informed admission by providing comprehensive details about the applicant's background, health, and care requirements.

Key Aspects of the Preplacement Appraisal

While the form itself details specific fields, the overarching goal of the preplacement appraisal is to collect data that assists facilities in making informed decisions. This information typically covers aspects relevant to the individual's:

  • Health Status: Current medical conditions, medications, and any specific health needs.
  • Functional Abilities: Level of independence with daily activities such as bathing, dressing, eating, and mobility.
  • Social and Behavioral History: Information relevant to their social interactions and any behavioral considerations that might impact their living situation in a communal setting.
  • Care Preferences: Any personal preferences or requirements regarding their care.

This comprehensive appraisal ensures that both the prospective resident and the facility are a suitable match, leading to better care outcomes and a more harmonious living environment.

For further details or to view the official document, you can access the LIC 603 form through the California Department of Social Services website: LIC 603 - California Department of Social Services.