LIC 300A - Removal Confirmation - Exemption Needed

Form LIC 300A is used to confirm the removal of a child from a licensed facility and request an exemption from further licensing requirements. The form is completed by the licensee or facility operator to notify the California Department of Social Services (CDSS) about the removal of a child from their care. By utilizing this form, the licensee seeks an exemption from certain licensing provisions that may no longer apply due to the child's removal from the facility.