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 LIC 4006 FORM Los Angeles 2022-2024

2022-2024 Form

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form LIC 500 Personnel report this is where I came up with the number for the LIC 401 so as you can see a lot of these forms kind of tie together so you want to make sure they flow when you're completing them so I pre-filled this form to in order to expedite the process a little bit here so the name of the facility the facility type the facility number you do not have prepare by will be your name not Bobby Brown the date you prepared the form and then the easiest way for me to explain this to you is the first the licensing the administrator names go there so Bobby Brown is the administrator he's going to work Monday through Friday from two to six the rest of the titles here are TBD to be determined because most likely if you're a new facility you're not going to have staff they're all going to be Direct Care staff and they're to be hired so the what I do is I want to make sure I have 24-hour coverage so that's why I run so Monday through Friday I have six to two two to ten 10 to 6 and

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