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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 children in recordkeeping violation that would impact the care of children or a violation that would impact those services required to meet children s needs. 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 children in recordkeeping violation that would impact the care of children or a violation that would impact those services required to meet children s needs.

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