Facility files must contain the following documents/information:
● Personnel Records as required in Title 22, Division 12, Chapter 3, Section 102416.1, including but not limited to, proof of current pediatric first aid, CPR and preventive health practices certificate and criminal record information.
● Unusual Incident/Injury Report (LIC 624B) (Family Childcare Home) - You must use this form and submit it to your local licensing office when reporting any incidents or injuries occurring during day care hours.
● Unusual Incident/Injury Report (LIC 624 - Child Care Center) - You must use this form and submit it to your local licensing office when reporting any incidents or injuries occurring during day care hours.
● Child Care Facility Roster (LIC 9040) - It is required that each child care facility maintain a current roster of children who are provided care.
● Notice of Employee Rights (LIC 9052) - This form must be filled out by all employees working in the Family Child Care Home.
● Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC 9108) -This form is the Child Care Custodian's acknowledgement of the requirement to report suspected child abuse.
● Property Owner/Landlord Consent Form (LIC 9149), 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.
● Property Owner/Landlord Notification Form (LIC 9151).
● A copy of your deed or lease/rental agreement.
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