California Department of Social Service (CDSS) Renewal Notice
Haven’t received your renewal notice from the Department of Social Services and you are ready to submit your continuing education hours? Not to worry, you can locate this LIC form on the Community Care Licensing Division website by searching for LIC 9215. Normally this form is mailed to providers approximately ninety (90) days prior to your expiration date as a reminder. But, if you did not receive your renewal notice, maybe because of an address change, then you can download one. Once you’ve downloaded your form, be sure to submit the application, along with your required amount of continuing education units (CEUs) and the appropriate fee, so DSS can process it through the system. In order to maintain compliance with the provisions of the Administrator Certification Program, you are required to submit your renewal information and fee prior to the certificate expiration date.
The Department of Social Services will have you submit the following:
1. A copy of certificate(s) of completion of required continuing education.
A total of (40) forty hours of continuing education is required if you are an Administrator for either a Residential Care Facility for the Elderly, an Adult Residential Facility (ARF), or a Group Home (GH). If you are a Nursing Home Administrator, (20) twenty hours of continuing education are required.
Hours may be completed through any combination of courses provided by:
- CDSS approved Vendors
- Department of Developmental Services and approved by the Regional Center for ARF and GH Administrators (Regional Center Orientation(s) and/or challenge tests are not acceptable)
2. The processing fee is $100. If your certificate has expired and/or your application is deemed incomplete, you will be required to pay an additional $200. This application for renewal must be post-marked on or before the certificate expiration date.
Mail to:
California Department of Social Services
Administrator Certification Section
744 P Street, M.S. 19-47
Sacramento, CA 95814
If you have any questions regarding this form, please contact the Community Care Licensing Division, Administrator Certification Section at (916) 324-3755.
Hello,
My sister’s RCFE Administrator certificate had expired 3 years ago. Is enough for her if she pays the $300 renewal fee and completes the 40 hours?
Thank you,
Mihaela Badea