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 LIC 9213 1/04 THIS NOTICE MUST BE POSTED FOR 30 DAYS. 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 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 risk to the health safety or personal rights of....
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How to fill out the Lic 9213 online
The Lic 9213 is an important document used by the California Department of Social Services related to child care facility inspections. This guide provides step-by-step instructions to assist users in accurately completing the form online.
Follow the steps to successfully complete the Lic 9213.
- Click the ‘Get Form’ button to access the Lic 9213 document and open it in the online editor.
- Enter the name of the facility in the designated field. This should be the full legal name of the child care facility being visited.
- Input the license number assigned to the facility in the appropriate section. This is a unique identifier granted by the licensing authority.
- Record the date of the visit in the specified format. Ensure that you accurately document the exact date the site visit occurred.
- Respond to the question about whether any regulatory violations were issued during the visit. Select 'Yes' or 'No' as applicable to the circumstances.
- If violations were cited, indicate whether they pose an immediate risk to children's health and safety (Type A). Again, choose 'Yes' or 'No' as appropriate.
- Next, address whether the violations could become a risk to children's health, safety, or personal rights if not corrected (Type B). Select 'Yes' or 'No' accordingly.
- If there were Type A violations, note that these must be posted in the child care facility for a duration of 30 consecutive days.
- Finalize your completion of the form by saving any changes made. You can then download, print, or share the Lic 9213 as needed.
Start filling out your Lic 9213 online today!
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