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CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSINGSTATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYPHYSICIANS REPORTCHILD CARE CENTERS (CHILD READMISSION HEALTH EVALUATION)PART A
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Gather all the necessary information and documents required to fill out the child care center/school application.
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Begin by providing the basic details such as the child's name, date of birth, and contact information.
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Fill out the sections regarding the child's health and medical history. Include any allergies, medications, or special conditions that need to be considered during their time at the center/school.
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Proceed to complete the enrollment section. Provide information about the desired start date, preferred schedule, and any specific requirements or preferences for the child's care.
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In the emergency contacts section, provide the names, phone numbers, and relationships of individuals who can be contacted in case of any unforeseen events or emergencies.
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If the child has any specific dietary restrictions or preferences, indicate them in the appropriate section.
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Sign and date the application form to acknowledge the accuracy of the provided information.
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Review the completed form for any missing or incomplete information before submitting it to the child care center/school.

Who needs this child care centerschool?

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This child care center/school is needed by parents or guardians who require reliable and professional care for their children during working hours or when they are unable to personally attend to their child's needs.
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It is also beneficial for parents who want their children to engage in social interactions, learn new skills, and have a structured environment for growth and development.
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Families with young children who are in need of early childhood education and stimulation can also benefit from enrolling their children in a child care center/school.
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This child care center/school is a facility that provides care and education for young children.
Any person or organization operating a child care center/school is required to file.
You can fill out this form online or by submitting a paper form to the appropriate authority.
The purpose of this form is to ensure that child care centers/schools are operating in compliance with regulations and standards.
You must report information about the facility, staff, curriculum, and safety protocols.
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