LIC 501: Personnel Record

The LIC501 form is only completed if the administrator is not the Licensee.  It lists the administrator's work experience, education and references for CCLD to review during the application process.  If the administrator is the Licensee, this same information is gathered on the LIC 215 form.   These forms and, therefore, the information on the qualifications of those individuals operating RCFEs, are not considered public documents.

View the document: http://www.dss.cahwnet.gov/cdssweb/entres/forms/English/LIC501.pdf