STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

PARENT NOTIFICATION

ADDITIONAL CHILDREN IN CARE

As required by Health and Safety Code Sections 1597.44(c) and 1597.465(c), you are hereby

notified that: (Check one)

[ ] I am licensed as a Small Family Child Care Home and may provide care for more than six

and up to eight children when one child is enrolled in and attending kindergarten

(including transitional kindergarten) or elementary school, and another child is at least six

years old, and no more than two infants are in care.

[ ] I am licensed as a Large Family Child Care Home, and with an assistant provider, may

provide care for more than 12 and up to 14 children when one child is enrolled in and

attending kindergarten (including transitional kindergarten) or elementary school, and

another child is at least six years old, and no more than three infants are in care.

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RECEIPT OF PARENT NOTIFICATION (Facility Copy)

Additional Children in Care

I, , acknowledge receipt of the notification that this Small

Family Child Care Home may be providing care for more than six and up to eight children, or that

this Large Family Child Care Home may be providing care for more than 12 and up to 14...

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