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Children's files must contain the following documents/information:

Parent Notification, Additional Children in Care (LIC 9150), if you plan to care for more than 6 children for a Small Family Child Care Home, or more than 12 for a Large Family Child Care Home.

Affidavit Regarding Liability Insurance (LIC 282) - This form is required to be signed by each parent of a child in care if you do not have either liability insurance or a bond.

 

Consent for Medical Treatment (LIC 627) - This document gives you permission by the parent to seek emergency medical or dental care for their child if needed.

 

Consent/Verification for Nebulizer Care (LIC 9166) - Before a child care licensee or staff person can administer inhaled medication to a child in care, this form must be completed and filed in the child's record and in the personnel file. A separate form must be filled out for each person who administers inhaled medication to the child. ● Identification and Emergency Information (LIC 700) - This form must be kept for each child in care and identifies whom to call in an emergency.

 

Notification of Parents' Rights (LIC 995A) - This form must be given to each parent at the time a child is accepted for care, along with the LIC 995E.

 

Caregiver Background Check Process (LIC 995E) - This form must be given to each parent at the time a child is accepted for care, along with the LIC 995A.

 

Family Child Care Consumer Awareness Information (LIC 9212) - This form must be given to the parents of each child in care.

 

California School Immunization Record (blue card) (PM 286) - For every infant, toddler, or preschool age child admitted into a Family Child Care Home, the provider must maintain current immunization records on the PM 286. It can be downloaded from the following website: http://www.dhs.ca.gov/publications/forms/immunization.htm but must be printed on blue paper only.

 

Acknowledgement of Receipt of Licensing Reports (LIC 9224), if applicable

Children's Files

 ALL Counties:

 in CALIFORNIA

(partial listing)

Amador

Alameda

Contra Costa

Humbolt

Kern

Los Angeles

Madera

Marin

Mendocino

Monterey

Napa

Riverside

Sacramento

San Bernardino

San Diego

San Francisco

San Joaquin

San Mateo

Santa Clara

Santa Cruz,

Solano

Sonoma

Stanislaus

Yuba

Yolo

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