Form LIC 9219. Crisis Nursery Monthly Report - California

Form LIC 9219 is used in California by crisis nurseries to submit monthly reports to the licensing agency, providing information about their operations and services. This form is completed by crisis nurseries to document their activities throughout the month and ensure compliance with reporting requirements.

The form consists of sections that require information about the nursery's operations, including the number of children served, staffing levels, incidents or emergencies, and any significant events or changes. Important fields include the nursery's name, contact information, dates covered by the report, and accurate documentation of the requested information. It is crucial to provide complete and accurate information to the licensing agency to demonstrate compliance with regulations and maintain transparency in the operation of crisis nurseries.

An application example of this form would involve a crisis nursery completing Form LIC 9219 at the end of each month to report on their activities and operations. The nursery would enter the required information, such as the number of children served, incidents or emergencies that occurred, and any notable changes during the reporting period. By regularly submitting this form, crisis nurseries can keep the licensing agency informed about their operations and ensure compliance with reporting requirements.