Child’s Records
- Identification and Emergency Information – Child Care Centers (LIC 700)
- Child’s Preadmission Health History – Parents’ Report (LIC 702)
- Child’s Preadmission Health Evaluation if not enrolled in a public or private elementary school – Physician’s Report (LIC 701)
- Consent for Medical Treatment (LIC 627)
- Written statement from parent(s) or authorized representative exempting child from medical assessment, immunizations, and treatment because of adherence to a religious faith that practices healing by prayer or other spiritual means; or physician’s statement that immunization is not indicated.
- California School Immunization Records (“blue cards”, PM 286) for non-school-age children
- Current Admission Agreement, with authorized signature(s).
- Centrally Stored Medication and Destruction Record (LIC 622) , if medications are handled.
- Document of unusual behavior or signs of illness.
- Unusual Incident/Injury Report (LIC 624)
- Signed and dated receipt of Notification of Parents’ Rights (LIC 995)
- Infant needs and services plan (for infant centers).
- Toilet-training plan (for infant centers).
- Infant-feeding plan (for infant centers).
- Personal Rights — Community Care Facilities, Child Care Facilities (LIC 613A)receipts, signed and dated.
- Authorizations for dispensing medication, signed by each child’s authorized representative.
- Documentation required for health-related services (e.g., blood-glucose monitoring and nebulizer care).(LIC 9166)
- Gastrostomy Tube Care: Physician’s Checklist (LIC 701A)
- Acknowledgement of receipt of licensing reports (LIC 9224) , if applicable
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