Forms and documents
LIC 9188 - Criminal Record Exemption Transfer Request
Form LIC 9188 is used to request the transfer of a criminal record exemption for individuals who have previously been granted an exemption to work or volunteer in care facilities in California.
LIC 9200 - Pre-Licensing Facility Evaluation Checklist
Form LIC 9200 is used as a checklist during the pre-licensing evaluation of child care facilities in California. It provides a comprehensive list of items that need to be assessed and evaluated before granting a child care license.
LIC 9211 - Request For Inactive Child Care License Status
Form LIC 9211 is used by child care providers in California to request an inactive status for their child care license. This form is typically utilized when a provider temporarily suspends their child care services and wants to maintain their license without actively operating.
LIC 9214 - Application for Administration Certification - Administrator Certification Program
Form LIC 9214 is used by individuals seeking administrator certification in the care facility setting in California.
LIC 9216 - Complaint And Type A Violation Log
Form LIC 9216 is used by care facilities in California to document complaints received and Type A violations identified within their operations.
LIC 9219 - Crisis Nursery Monthly Report
Form LIC 9219 is used by crisis nurseries in California to submit monthly reports on their operations and activities. This form collects data related to the number of children served, services provided, staff-to-child ratios, utilization rates, and other relevant information.
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.
LIC 9221 - Parent Consent For Administration Of Medications And Medication Chart
Form LIC 9221 is used in child care facilities in California to obtain parental consent for the administration of medications to children while in their care. The form collects information about the child, the medication to be administered, dosages, frequency, and any specific instructions.
LIC 279B - Current Children In Your Home - Application For A Family Child Care Home License
Form LIC 279B is an application form used in conjunction with LIC 279 for family child care home licenses. It specifically focuses on gathering information about the current children residing in the applicant's home.
LIC 279A - License Application And Instructions For Family Child Care Homes
Form LIC 279A is a license application form specifically designed for family child care homes. It provides applicants with instructions on how to complete the application process accurately.