Active criminal record clearances may be transferred from one state licensed facility/organization to another by a license applicant or licensee. The transfer request must be submitted to the Department before the individual who is the

LIC 9182 (3/23) Page 1 of 5 Active criminal record clearances may be transferred from one state licensed facility/organization/home to another by a license applicant or licensee.

To request a clearance transfer between state licensed facilities, a licensee or license applicant must submit an LIC 9182, Criminal Record Clearance Transfer Request form, to the local CCLD office. Transfers to more than one facility may be requested on one form.

Active criminal record clearances may be transferred from one state licensed facility to another by a license applicant or licensee. Clearances cannot be transferred from a state licensed facility to a county licensed facility, or from county to state.

LIC 9182 (11/23) - Criminal Background Clearance Transfer Request ; LIC 9186 (2/01) - Client Death Report ; LIC 9187 (7/00) - Child Care Client Death Report ; LIC 9188 (11/23) - Criminal Record Exemption Transfer Request ; LIC 9200 (9/11) - Pre-Licensing Facility Evaluation Checklist ; LIC 9211 (9/21) - Request For Inactive Child Care License ...

september 12, 2016 community care licensing division adult & senior care program regional offices woodland hills adult & senior care regional office