Form LIC 9121. Facility Visit Checklist Family Child Care - California

Form LIC 9121 is a Facility Visit Checklist specifically designed for Family Child Care providers in California. This checklist is used by representatives from the California Department of Social Services during facility visits to assess compliance with state regulations and licensing requirements.

The form consists of various sections that cover different aspects of operation, including health and safety practices, caregiver qualifications, child supervision, nutrition, emergency preparedness, physical environment, recordkeeping practices, and documentation requirements. When filling out the form, Family Child Care providers should focus on ensuring compliance with health and safety standards, properly documenting caregiver qualifications, maintaining appropriate child supervision protocols, providing nutritious meals and snacks, implementing effective emergency preparedness measures, maintaining a suitable physical environment, keeping accurate records, and meeting all necessary documentation requirements.

Application Example: A Family Child Care provider in California utilizes Form LIC 9121 during a facility visit. The provider ensures compliance with health and safety practices, accurately documents caregiver qualifications, demonstrates proper child supervision, provides nutritious meals and snacks, showcases effective emergency preparedness measures, maintains a suitable physical environment, keeps accurate records, and meets all necessary documentation requirements. By utilizing the checklist, the Family Child Care provider can identify any areas needing improvement and maintain compliance with state regulations.