Licensing

In this section, you will find information about:

Licensing Forms

The licensing forms required for family child care homes and child care centers are available on-line. This is an abbreviated list of the more commonly used forms. For additional forms, see the California Department of Social Services (CDSS) On-line Forms/Brochures page.

(The files below require free Acrobat Reader to view)

LIC 282  Affidavit Regarding Liability Insurance for Family Child Care Home

LIC 610  Emergency Disaster Plan For Child Care Facilities

LIC 610A  Emergency Disaster Plan For Family Child Care Homes

LIC 613A  Personal Rights – Child Care Facilities

LIC 624  Unusual Incident/Injury Report

LIC 624B  Unusual Incident/Injury Report – Family Child Care Homes

LIC 627  Consent For Emergency Medical Treatment – Child Care Centers Or Family Child Care Homes

LIC 700  Identification And Emergency Information Child Care Centers

LIC 702  Child’s Preadmission Health History – Parent’s Report

LIC 995  Child Care Center Notification Of Parents’ Rights

LIC 995A  Family Child Care Home Notification Of Parents’ Rights

LIC 995E  Caregiver Background Check Process

LIC 995F  Caregiver Background Check Information

LIC 9040   Child Care Facility Roster

LIC 9148   Earthquake Preparedness Checklist (EPC)

LIC 9149   Family Child Care Home Property Owner/Landlord Consent Form

LIC 9150   Parent Notification Additional Children In Care

LIC 9166   Nebulizer Care Consent/Verification (Child Care Facilities)

 

PUB 269   Child Car Seat Law (POSTER)

PUB 393   Child Care Center Notification Of Parents’ Rights (POSTER)

PUB 394   Family Child Care Home Notification Of Parents’ Rights (POSTER)

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