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LICENSING FORMS

Licensing forms are available in person or online. For your convenience, here are links to licensing forms required prior to enrollment.

 

Parent Notification – Additional Children in Care (LIC 9150)

Affidavit Regarding Liability Insurance (LIC 282)

Consent for Medical Treatment (LIC 627)

Nebulizer Care Consent/Verification (LIC 9166)

Identification And Emergency Information (LIC 700)

Notification of Parents’ Rights (LIC 995A)

Caregiver Background Check Process (LIC 995E)

Consumer Awareness Information (LIC 9212)

Child’s Preadmission Health History – Parent’s Report (LIC 702)

Personal Rights (LIC 613A)

 

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CONTACT INFO

13225 Carolyn Street
Cerritos, CA 90703

(C) 562 537-6683
(E) Reach5PlayHouse@hotmail.com

License #: 24315
Facility #: 198019797

REACH 5 PLAY HOUSE

Where learning is always fun and play

 

 

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CONTACT REACH 5

13225 Carolyn Street, Cerritos, CA 90703

(562) 537-6683

reach5playhouse@hotmail.com

Copyright 2018 Reach 5 Play House | Katayama Family Child Care | All Rights Reserved