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Admission

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Please Complete All Forms Listed Below:

Identification and Emergency Information

http://www.dss.cahwnet.gov/cdssweb/entres/forms/English/lic700.pdf

Child’s Preadmission Health History

http://www.dss.cahwnet.gov/cdssweb/entres/forms/English/LIC702.pdf

Physician’s Report

http://www.dss.cahwnet.gov/cdssweb/entres/forms/English/LIC701.pdf

Child Care Centers Notification of Parent’s Rights

http://www.dss.cahwnet.gov/cdssweb/entres/forms/English/LIC995.PDF

Personal Rights

http://www.dss.cahwnet.gov/cdssweb/entres/forms/English/LIC613A.PDF

Caregiver Background Check Process

http://www.dss.cahwnet.gov/cdssweb/entres/forms/English/LIC995E.PDF