LIC 624 incident reports for six-bed RCFEs — from the shift note to a report ready to send

For small residential care facilities for the elderly in California: caregivers write what happened in the shift note, and the administrator gets a draft LIC 624 report and a resident file ready for a licensing visit.

I need this

Service in preparation · No payment is accepted on this page

What you get

Shift notesCaregivers write short notes per resident on a phone or tablet.
I need this
LIC 624 draftAn unusual incident report drafted from the shift note, for the administrator to review.
I need this
Resident fileNotes, incidents and documents per resident in one place, exportable as PDF.
I need this
Ready for a visitA checklist of what an evaluator usually asks to see, with what is missing.
I need this

Example (fictional data)

Six-bed home in Sacramento. Night shift note: a resident slipped in the bathroom at 02:40, no visible injury, family and physician called in the morning. The administrator opens a draft LIC 624 with the facts filled in from the note, adds the follow-up, and sends the report.

Choose your plan

How it works

A six-bed residential care facility for the elderly is usually run by the owner or a small team. When an unusual incident happens, the administrator writes an LIC 624 unusual incident report. The facts are already in the caregiver's shift note; the work is turning them into the report and keeping everything in order for the next licensing visit.

CareLog Six starts with the shift note. Caregivers write short notes per resident on a phone or tablet: what happened, when, who was present, what was done. When a note describes an incident, it is flagged for the administrator.

From the flagged note the service drafts the LIC 624: the resident, the date and time, the description of what happened, the immediate action taken and who was notified. The administrator reviews the draft, adds the follow-up and any missing details, and saves it as a PDF to send. The original note and the final report stay linked.

Every resident has a file: shift notes, incident reports, care documents and anything you upload. When you need to show the history of one resident, you export the file in one click instead of searching through binders.

Before a licensing visit, a checklist shows what an evaluator usually asks to see and what is missing or out of date in your files. The checklist is a working aid for your preparation, not an official list from the licensing agency.

The service is built for small homes with up to six residents, where one administrator does the paperwork alongside everything else. Caregivers need only a phone; there is nothing to install.

Access is by role: caregivers write notes, the administrator reviews and sends reports, and the owner sees everything. Records are kept in the facility's account.

Notes can be written in plain language; caregivers do not need to know the form. The administrator sees all flagged notes in one list, with the ones still waiting for a report at the top, so nothing stays in a notebook over the weekend. Corrections are kept with the date and the name of the person who made them, which keeps the history of each report clear. Every report and every note can be found again by resident, by date or by type of incident.

CareLog Six is not the California Department of Social Services and does not give legal advice. The administrator remains responsible for the content of each report and for sending it as required.

Questions

Who is it for?

Small residential care facilities for the elderly in California with up to six residents.

Does it send the LIC 624 for me?

It drafts the report from the shift note; the administrator reviews it and sends it.

Do caregivers need a computer?

No. Notes are written on a phone or tablet.

Is the visit checklist official?

No. It is a working aid for your preparation, not a list issued by the licensing agency.

Can I use it already?

Not yet. The service is in preparation, and we are checking whether facilities need it.

Add your facility

Add facility