Exemption Details

Form Lic 995 is an important form that should be completed when starting a new business in California. The form can be downloaded from the Secretary of State's website, and it is important to ensure that all required information is included on the form. Filing this form will help to ensure that your new business is registered with the state and that you are in compliance with any relevant laws.

You will find information regarding the type of form you wish to prepare in the table. It can show you the length of time you will need to complete form lic 995, exactly what fields you will need to fill in and several further specific details.

QuestionAnswer
Form NameForm Lic 995
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesNOTIFICATION, Detach, Caregiver, LIC

Form Preview Example

STATE OF CALIFORNIA—HEALTH AND HUMAN SERVICES AGENCY

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

 

COMMUNITY CARE LICENSING DIVISION

CHILD CARE CENTER

NOTIFICATION OF PARENTS’ RIGHTS

PARENTS’ RIGHTS

As a Parent/Authorized Representative, you have the right to:

1.Enter and inspect the child care center without advance notice whenever children are in care.

2.File a complaint against the licensee with the licensing office and review the licensee’s public file kept by the licensing office.

3.Review, at the child care center, reports of licensing visits and substantiated complaints against the licensee made during the last three years.

4.Complain to the licensing office and inspect the child care center without discrimination or retaliation against you or your child.

5.Request in writing that a parent not be allowed to visit your child or take your child from the child care center, provided you have shown a certified copy of a court order.

6.Receive from the licensee the name, address and telephone number of the local licensing office.

Licensing Office Name:

_________________________________________________

Licensing Office Address:

_________________________________________________

Licensing Office Telephone #:

_________________________________________________

7.Be informed by the licensee, upon request, of the name and type of association to the child care center for any adult who has been granted a criminal record exemption, and that the name of the person may also be obtained by contacting the local licensing office.

8.Receive, from the licensee, the Caregiver Background Check Process form.

NOTE: CALIFORNIA STATE LAW PROVIDES THAT THE LICENSEE MAY DENY ACCESS TO THE CHILD CARE CENTER TO A PARENT/AUTHORIZED REPRESENTATIVE IF THE BEHAVIOR OF THE PARENT/AUTHORIZED REPRESENTATIVE POSES A RISK TO CHILDREN IN CARE.

For the Department of Justice “Registered Sex Offender”database, go to www.meganslaw.ca.gov

LIC 995 (9/08)(Detach Here - Give Upper Portion to Parents)

A C K N O W L E D G E M E N T O F N O T I F I C AT I O N O F PA R E N T S ’ R I G H T S

(Parent/Authorized Representative Signature Required)

I, the parent/authorized representative of ________________________________________________, have

received a copy of the “CHILD CARE CENTER NOTIFICATION OF PARENTS’ RIGHTS” and the CAREGIVER BACKGROUND CHECK PROCESS form from the licensee.

_____________________________________

Name of Child Care Center

______________________________________________

__________________

Signature (Parent/Authorized Representative)

Date

NOTE: This Acknowledgement must be kept in child’s file and a copy of the Notification given to parent/authorized representative.

For the Department of Justice “Registered Sex Offender”database go to www.meganslaw.ca.gov

LIC 995 (9/08)

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