Parents Rights Acknowledgement - Tender Learning Care printable pdf download

STATE OF CALIFORNIA—HEALTH AND HUMAN SERVICES AGENCY

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

COMMUNITY CARE LICENSING DIVISION

NOTIFICATION OF PARENTS’ RIGHTS

INSTRUCTIONS:

This form is intended to meet the requirements of California Health and Safety Code Sections 1596.857 and

1596.859, which pertain to the right(s) of parents or guardians to inspect the child care facility their child

attends. The facility is required to:

1. Post this notice in a prominent place.

2. Make sure the child’s parent(s) or guardian(s) completes and signs the acknowledgement at the

bottom of this form.

3. Detach the signed parental acknowledgement and file it in the child’s record--and give the child’s

parent(s) or guardian(s) the top portion of this form.

Parents’ Rights

1. Parents/guardians, upon presentation of identification, have the right to enter and inspect the child

care facility their child attends without advance notice to the provider. This right can only be exercised

during the facility’s normal operating hours or at any time the child is receiving care in the facility.

2. Parents/guardians have the right to file a complaint against the facility with the licensing agency.

3. Parents/guardians have the right to review, at the facility site, licensing reports of facility visits and

substantiated complaints against the facility. The facility is not required to keep this information beyond

three years. Only information available in the public file of the local licensing agency is to be made

available to parents/guardians at the facility. Public information on inconclusive complaints is only

available at the local licensing agency.

4. The law prohibits discrimination or retaliation against any child or parent/guardian should the

parent/guardian choose to exercise his or her right to inspect the facility or to file a complaint against

the facility.

5. The law requires that parents/guardians be informed of their rights (see Nos. 1, 2 and 3 above).

6. The law requires that this notice be posted in the facility in a location accessible to parents/guardians.

7. The law authorizes the person in charge of the child care facility to deny access to a parent/guardian if:

a) The parent/guardian is behaving in a way that poses a risk to children in the facility. OR:

b) The adult is a noncustodial parent, and the custodial parent has requested the facility in writing not

to permit access to the noncustodial parent.

LIC 995 (2/99)

(Detach Here)

—————————————————————————————————————————————————————————————————————————

A C K N O W L E D G M E N T O F

P A R E N T S ’ R I G H T S N O T I F I C A T I O N

This will acknowledge that I/we, the parent(s)/guardian(s) of _____________________________________,

have received a copy of “PARENTS’ RIGHTS” from the licensee or authorized representative.

Tender Learning Care

______________________________________________________________

Name of Facility

_____________________________________________________

__________________

Signature of Parent(s)/Guardian(s)

Date

NOTE: This form must be kept in the child's file.

LIC 995 (2/99)

Parents Rights Acknowledgement - Tender Learning Care

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