STATE OF CALIFORNIA—HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHILD CARE CENTER
NOTIFICATION OF PARENTS’ RIGHTS
THIS NOTICE MUST BE POSTED IN AN AREA OF THE FACILITY ACCESSIBLE TO
PARENTS/AUTHORIZED REPRESENTATIVES
PARENTS’ RIGHTS
As a Parent/Authorized Representative, you have the right to:
1. Enter and inspect the child care facility without advance notice whenever children are in care.
2. File a complaint against the facility with the licensing office and review the facility’s public file kept by
the licensing office.
3. Review, at the facility, reports of licensing visits and substantiated complaints against the facility
made during the last three years.
4. Complain to the licensing office and inspect the facility without discrimination or retaliation against
yourself or your child.
5. Request in writing that the non-custodial parent not be allowed to visit your child or take the child
from the facility, provided you have shown the appropriate documentation from a court.
6. Receive from the licensee the name, address and telephone number of the licensing office.
Licensing Office Name: _________________________________________________
Licensing Office Address: _________________________________________________
Licensing Office Telephone #: _________________________________________________
NOTE: CALIFORNIA STATE LAW PROVIDES THAT THE LICENSEE MAY DENY ACCESS TO A
PARENT/AUTHORIZED REPRESENTATIVE IF THE BEHAVIOR OF THE PARENT/AUTHORIZED
REPRESENTATIVE POSES A RISK TO CHILDREN IN CARE.
LIC 995(ENG/SP) (12/00) (Detach Here)
ACKNOWLEDGMENT OF NOTIFICATION OF PARENTS’ RIGHTS
(Parent/Authorized Representative Signature Required)
I, the parent/authorized representative of ____________________________________, have received
a copy of the “CHILD CARE CENTER NOTIFICATION OF PARENTS’ RIGHTS” from the licensee or
designated representative.
_____________________________________
Name of Facility
______________________________________________ __________________
Signature (Parent/Authorized Representative) Date
NOTE: This form must be kept in child’s file and a copy given to parent/authorized representative.
LIC 995(ENG/SP) (12/00)
