Form LIC 125. Entrance Checklist - Child Care Centers
Form LIC 125 is a mandatory checklist required by the California Department of Social Services, Health and Human Services Agency for child care centers. The primary purpose of this form is to ensure that all necessary requirements are met before admitting a child to a licensed child care center.
The form consists of several sections that cover different areas such as health and safety, immunization status, parent/guardian consent and information, emergency contacts, and child pickup authorization. Additionally, the form also contains areas to record any special needs or accommodations required by the child and their family.
Important fields include the child's full name, date of birth, and gender, as well as the parent or guardian's contact information, emergency contact details, and preferred method of communication. It is important to note that all information provided in the form must be accurate and up to date.
There are no specific documents that need to be attached while submitting Form LIC 125. However, it is recommended to attach the child's immunization records, medical history, and any other relevant documents related to special needs or accommodations.
This form is typically required when enrolling a child in a licensed child care center in California. The completed form helps child care providers ensure that they have all the necessary information to provide appropriate care for the child while they are at the center.
Strengths of the form include its comprehensive nature, which ensures that all necessary requirements are met before a child is admitted to a child care center. Weaknesses may include the potential for errors or omissions on the part of the parents or guardians, which could lead to incorrect data being used during emergency situations. Opportunities include the potential for improved data collection and analysis, while threats may include data breaches or unauthorized access to stored information.
Alternative forms that may be related to LIC 125 include medical release forms, allergy action plans, and medication administration forms. However, these forms do not cover all the information required under California law for licensed child care centers.
The completion of the form affects the future of both the child and the child care center. Accurate information provided on this form can help ensure that appropriate care is provided to the child while they are at the center, which may impact the child's development and well-being.
The completed form can be submitted either online or in-person to the concerned authority. The information provided in the form is stored securely by the California Department of Social Services and is accessible only to authorized personnel.