
STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESPROPERTY OWNER/LANDLORD NOTIFICATION FAMILY CHILD CARE HOME As required by Health and Safety Code Section.
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How to fill out the CA CDSS Form LIC 9151 online
The CA CDSS Form LIC 9151 is a crucial document for property owners or landlords regarding the notification of a licensed Family Child Care Home. This guide will provide step-by-step instructions to assist users in filling out the form online efficiently and accurately.
Follow the steps to complete the CA CDSS Form LIC 9151 online.
- Press the ‘Get Form’ button to access the form and open it in your editing tool.
- Print the facility address in the designated area of the form. Ensure that the address is complete and accurate, as this is critical for the notification.
- Input the applicant’s or licensee’s name in the specified field. This should reflect the official name of the individual or entity operating the Family Child Care Home.
- Indicate whether the facility is currently operating or will be operating as a Family Child Care Home by checking the appropriate option provided within the form.
- The applicant or licensee must sign the form in the signature field, certifying the truthfulness of the information provided.
- Enter the date on which the form is signed to record when the notification was completed.
- After filling out the form, it is important to maintain a copy on file at the licensed Family Child Care Home for future reference and compliance.
- Once completed, save the changes, and you can choose to download, print, or share the form as required.
Complete your CA CDSS Form LIC 9151 online today!
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