How to Obtain More Information. As a parent or authorized representative of a child in licensed child care, you have the right to ask the licensed child care home or center whether anyone working or living there has an exemption. If you request this information, and there is a person with an exemption, the child care home or center must tell you the person’s name and how he or she is involved with the home or center and give you the name, address, and telephone number of the local licensing office. You may also get the person’s name by contacting the local licensing office. You may find the address and phone number on our website. The website address is xxxx://xxxx.xx.xxx/contact.htm. STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES PARENT CONSENT FOR ADMINISTRATION OF MEDICATIONS AND MEDICATION CHART NOTE: Regulation Section 101221 requires the following information be on file. CHILD CARE CENTER NAME: LICENSE NUMBER: DATE:
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Samples: www.ymcasd.org, www.ymcasd.org, www.ymcasd.org
