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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION IDENTIFICATION AND EMERGENCY INFORMATION CHILD CARE CENTERS/FAMILY CHILD CARE HOMES To Be Completed by Parent or Authorized Representative LUS QHIA TXOG TUS KHEEJ THIAB KEV XWM TXHEEJ CHAW ZOV MENYUAM/TSEV ZOV TSEV NEEG MENYUAM Cia rau Tus Niam Txiv lossis Tus Muaj Cai Sawv Cev Mam Teb MENYUAM NPE XEEM NPE NRAB CHAW NYOB.

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