Form Lic 9213 – Fill Out and Use This PDF

The LIC 9213 form serves as a crucial document in the ecosystem of child care services in California. Issued by the California Department of Social Services, it details the outcomes of site visits or complaint investigations at child care facilities, informing on whether any regulatory violations were found, their potential impact on children's health and safety, and the necessity for corrective actions. Engaging with this form is a step toward ensuring the highest standards of care for California’s children. For those looking to understand or fill out the LIC 9213 form, click the button below.

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Form Lic 9213 PDF Details

In the realm of child care services within California, the oversight and regulation by the California Department of Social Services play a crucial role in ensuring the safety and welfare of children. Integral to this oversight are the procedures and documentation mandated by the state, among which the LIC 9213 form serves as a fundamental instrument. This document, officially titled "Notice of Site Visit by a Child Care Licensing Office Representative," records the findings of either a routine site visit or a complaint investigation conducted at a child care facility. It details whether any regulatory violations were identified, categorizing them based on the level of risk they pose to children—either immediate risk (Type A) or potential risk if unaddressed (Type B). Furthermore, the LIC 9213 form outlines the mandatory posting of the visit report in the facility if Type A violations are found, for a duration of 30 consecutive days, thereby ensuring transparency and accountability. This process not only informs facility operators of their compliance status but also empowers parents and guardians by providing them access to critical safety information. This requirement for a public display of the findings, alongside the availability of the report upon request from the local Child Care Regional Office, underscores the commitment of the California Department of Social Services to uphold high standards of child care and protect the rights and safety of children.

Question	Answer
Form Name	Form Lic 9213
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	CONSECUTIVE, contacting, todays, recordkeeping

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

NOTICE OF SITE VISIT

BY A CHILD CARE LICENSING OFFICE REPRESENTATIVE

A site visit or complaint investigation was conducted at:

__________________________________________________________________ ,

(Name of Facility)

_______________________________ on ________________________________ .

(License Number)	(Date of Visit)
1. Were regulatory violations issued during this visit?	■ Yes ■ No

2.If regulatory violations were cited, would they pose an immediate risk to the health and safety of children in

care, if not corrected (Type A)?

■ Yes ■ No

3.If regulatory violations were cited, could they become a risk to the health, safety, or personal rights of children in care if not corrected (Type B)? (Examples include a recordkeeping violation that would impact the care of children or a violation that would impact those services

required to meet children’s needs.)

■ Yes ■ No

ONLY VISIT REPORTS DOCUMENTING TYPE A VIOLATIONS AND CORRECTIONS OF VIOLATIONS MUST BE POSTED IN THE CHILD CARE FACILITY FOR 30 CONSECUTIVE DAYS.

Regardless of whether or not this child care facility is required to post a copy of today’s site visit report, you may view the report at the facility or obtain one by contacting the local Child Care Regional Office at:

Regional Office Contact Person:

Contact Person Telephone Number:

THIS NOTICE MUST BE POSTED FOR 30 DAYS

LIC 9213 (1/04)

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Form Lic 9213 – Fill Out and Use This PDF

Form Lic 9213 PDF Details

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How to Edit Form Lic 9213 Online for Free

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