LIC 9242 — Entrance Checklist — Residential Care Facilities for the Elderly
LIC 9242 is the entrance checklist Community Care Licensing uses when it arrives at an RCFE. Reading it in advance tells you exactly what an evaluator will ask for in the first thirty minutes.
Official PDF
The current LIC 9242 is published by the California Department of Social Services. We link to the live source rather than hosting a copy, so you always get the latest revision.
Open LIC 9242 on cdss.ca.govWho completes it and when
The licensing evaluator completes it; the facility should use it to prepare.
Used at inspection.
How to complete LIC 9242
- 1Walk the checklist yourself quarterly as a mock entrance inspection.
- 2Assemble a single inspection binder or folder holding every item the checklist names.
- 3Fix gaps you find while you have time, and note the date each item was last verified.
- 4Brief whoever is on shift when you are not there, because inspections are unannounced.
Mistakes evaluators flag
- Documents that exist but cannot be found within the first minutes of an inspection.
- Only the administrator knows where anything is kept.
Questions about LIC 9242
Are RCFE inspections announced?
Licensing inspections are generally unannounced, which is why the entrance checklist items should stay ready at all times.
Fill this form from data you already have
- Resident, staff, and facility details populate the form fields automatically.
- Track which forms are on file, which are missing, and which are about to expire.
- Incident reports draft the LIC 624 narrative and finalize an immutable PDF.
Related operational forms
RCFE OS is not affiliated with the California Department of Social Services. This guide is operational information for licensees, not legal advice. Always follow the current form instructions and guidance from your licensing analyst.