Get Lic 610a

The Lic 610a form is essential for creating a comprehensive emergency plan for child care homes in California. This guide provides clear instructions to help you fill out the form correctly and efficiently.

Follow the steps to complete the Lic 610a form online.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Begin by entering the name of the licensed individual in the designated field at the top of the form.
3. Next, insert the current date in the specified area to indicate when the emergency plan is being completed.
4. Detail the emergencies that pose a life-threatening risk by documenting the home address and nearest major intersection. Include clear directions to the home from this intersection.
5. List emergency contact names and phone numbers, ensuring that you fill in at least the required fields for emergency services, including fire, police, and medical assistance.
6. Complete the evacuation section by utilizing a copy of the establishment drawing (LIC 999A) to mark the safest exit routes from different rooms.
7. Identify temporary relocation locations and ensure you acquire permission from property owners. Record their names and contact information.
8. In the disconnection of utilities section, specify the locations and contact numbers for gas, electricity, and water shut-off points, using the establishment drawing as a reference.
9. Include the locations of essential equipment, such as fire extinguishers and smoke detectors, ensuring they comply with safety standards.
10. Document the placement of additional emergency supplies like first aid kits, food, water, and flashlights, providing their specific locations.
11. Finally, review all entries for accuracy, save your changes, and download or print the completed Lic 610a form to keep a copy near the phone and submit another to the licensing office.

Complete your Lic 610a form online today to ensure the safety and preparedness of your child care facility.