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CA CDSS Form LIC 9151 2005 free printable template

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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES PROPERTY OWNER/LANDLORD NOTIFICATION FAMILY CHILD CARE HOME Property owner notification for all leased
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How to fill out CA CDSS Form LIC 9151

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How to fill out CA CDSS Form LIC 9151

01
Begin with personal information at the top of the form such as the applicant's name, address, and contact details.
02
Fill out section one regarding the type of application - indicate if it is for a new license, renewal, or other changes.
03
In section two, provide details about the facility including its name, address, and facility number, if applicable.
04
Complete section three with information on the applicant's background, including previous licenses, if any.
05
In section four, list all individuals who will be associated with the facility, including their roles and any pertinent background information.
06
Ensure that all required disclosures are completed accurately in section five, which may include criminal history or other past infractions.
07
Sign and date the form at the designated area, confirming that all information provided is true and correct.
08
Review the form for any errors or omissions before submitting it to the appropriate regulatory body.

Who needs CA CDSS Form LIC 9151?

01
Individuals or organizations applying for a license to operate a community care facility in California.
02
Current license holders seeking to renew their license or update facility information.
03
New applicants looking to establish a residential care facility for children or adults.
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People Also Ask about

Health and Safety Code Section 1597.41(a)-(c) prohibits any restriction on the use of rental property for family child care. Therefore, under California law, a landlord's permission is not required.
Your landlord cannot stop you from providing licensed family child care for up to 6 children if you are licensed for a small family child care home or 12 children if you are licensed for a large family child care home. However, you still need to follow all the rules in your lease.
The landlord must give you 24-hour advance written notice before entering. The notice should state a specific time of entry, which must be during normal business hours.
If you are providing care for your children (or those of a relative), and children from only one other family then you do not need a child care license and you are legally exempt (license-exempt) from licensure requirements in California.
California approves two types of daycare licenses: Family Child Care Home Licenses for family childcare homes (FCHs) and Child Care Center Licenses for childcare centers (CCCs). You will need the Family Child Care Home License to start and operate a daycare in your home.
Landlords cannot stop providers from providing family child care services on rental property, ing to Section 1597.40 of the Health and Safety Code. Providers with a small family child care license can care for up to 6 children and up to 12 in case of a large family child care license.

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CA CDSS Form LIC 9151 is a form used in California for reporting the criminal record information of individuals who are applying for or currently working in licensed community care facilities.
Individuals who are seeking employment in, or are currently employed by, a licensed community care facility in California are required to file CA CDSS Form LIC 9151.
To fill out CA CDSS Form LIC 9151, individuals must provide personal identification information, details about their criminal history, if any, and signatures affirming the accuracy of the information provided.
The purpose of CA CDSS Form LIC 9151 is to collect information that helps ensure the safety and well-being of clients in community care facilities by screening employees for criminal backgrounds.
CA CDSS Form LIC 9151 requires individuals to report personal details such as name, address, and social security number, as well as detailed criminal history including arrests, convictions, and pending charges.
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