LIC 9219A - Crisis Day Care Sign-In

Form LIC 9219A is used by crisis day care programs in California to document the sign-in and sign-out information of children attending the facility. This form includes fields for recording the child's name, time of arrival, time of departure, and the signature of the parent or guardian. By utilizing this sign-in form, crisis day care programs maintain accurate records of attendance, ensuring proper supervision and safety during the provision of temporary care services to children in crisis situations.