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.

  1. Press the ‘Get Form’ button to access the form and open it in your editing tool.
  2. 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.
  3. 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.
  4. 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.
  5. The applicant or licensee must sign the form in the signature field, certifying the truthfulness of the information provided.
  6. Enter the date on which the form is signed to record when the notification was completed.
  7. 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.
  8. 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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