Form LIC9040. Child Care Facility Roster

Form LIC9040 is a Child Care Facility Roster form used in the state of California. The main purpose of this form is to gather information about licensed child care facilities and the children who attend them. The form consists of several parts, including the facility information, the children's information, and the parent or guardian's information.

Some of the important fields that must be completed on this form include the facility name and license number, the children's names and ages, and the parent or guardian's contact information. It is important to consider the accuracy of the information provided as it will be used by the state to ensure compliance with licensing regulations.

When completing the form, data such as the names and ages of the children, the facility's license number, and the parent or guardian's contact information will be required. Additionally, the form may require additional documents to be attached, such as proof of the facility's license or immunization records for the children.

An example of an application for this form would be a child care facility submitting it to the state as part of their licensing requirements. Another application could be a parent or guardian submitting it to their child's school or daycare.

Strengths of this form include its ability to gather important information about licensed child care facilities and the children who attend them, which can help ensure compliance with state regulations. Weaknesses may include the potential for errors or inaccuracies if the form is not completed correctly.

An alternative form to LIC9040 could be the Child Care Licensing Application, which is used by the state to license new child care facilities. The main difference between the two forms is that the Child Care Licensing Application is used to apply for a license, while LIC9040 is used to maintain compliance with licensing regulations.

To fill and submit the form, it can be downloaded from the California Department of Social Services website, completed electronically or by hand, and submitted to the appropriate state agency. The form is stored electronically by the state for record-keeping purposes.