LIC 995 Notification of Parents' Rights


State of California – Health and Human Services Agency.
California Department of Social Services – Community Care Licensing Division
LIC 995 (9/08)

CHILD CARE CENTER
NOTIFICATION OF PARENTS’ RIGHTS

 


PARENTS’ RIGHTS

As a Parent/Authorized Representative, you have the right to:

  1. Enter and inspect the child care center without advance notice whenever children are in care.
  2. File a complaint against the licensee with the licensing office and review the licensee’s public file kept by the licensing office.
  3. Review, at the child care center, reports of licensing visits and substantiated complaints against the licensee made during the last three years.
  4. Complain to the licensing office and inspect the child care center without discrimination or retaliation against you or your child.
  5. Request in writing that a parent not be allowed to visit your child or take your child from the child care center, provided you have shown a certified copy of a court order.
  6. Receive from the licensee the name, address and telephone number of the local licensing office.

    Licensing Office Name: Community Care Licensing: Sacramento Child Care Regional Office
    Licensing Office Address: 2525 Natomas Park Drive Ste 250, Sacramento CA 95833
    Licensing Office Telephone #: 916.263.5744

  7. Be informed by the licensee, upon request, of the name and type of association to the child care center for any adult who has been granted a criminal record exemption, and that the name of the person may also be obtained by contacting the local licensing office.
  8. Receive, from the licensee, the Caregiver Background Check Process form.

NOTE: CALIFORNIA STATE LAW PROVIDES THAT THE LICENSEE MAY DENY ACCESS TO THE CHILD CARE CENTER TO A PARENT/AUTHORIZED REPRESENTATIVE IF THE BEHAVIOR OF THE PARENT/AUTHORIZED REPRESENTATIVE POSES A RISK TO CHILDREN IN CARE.

For the Department of Justice “Registered Sex Offender”database, go to www.meganslaw.ca.gov

 


ACKNOWLEDGEMENT OF NOTIFICATION OF PARENTS’ RIGHTS
(Parent/Authorized Representative Signature Required)


I, the parent/authorized representative of

CHILD'S NAME:  

have received a copy of the “CHILD CARE CENTER NOTIFICATION OF PARENTS’ RIGHTS” and the CAREGIVER BACKGROUND CHECK PROCESS form from the licensee.

Name of Child Care Center:  Technique Adventure & Activity center


NOTE: This Acknowledgement must be kept in child’s file and a copy of the Notification given to parent/authorized representative.

For the Department of Justice “Registered Sex Offender” database go to www.meganslaw.ca.gov

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Signed by Kathy Olvera
Signed On: January 9, 2021

Signature Certificate
Document name: LIC 995 Notification of Parents' Rights
lock iconUnique Document ID: 261b2ce56277f3e2f5ca7089515e0e887f85cf0e
Timestamp Audit
January 9, 2021 7:15 pm PSTLIC 995 Notification of Parents' Rights Uploaded by Kathy Olvera - info@techniquegym.com IP 192.163.242.93