Form LIC9166 Nebulizer Care Consent / Verification Child Care Facilities - California

What Is Form LIC9166?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form LIC9166?
A: Form LIC9166 is a consent/verification form for nebulizer care in child care facilities in California.

Q: Who needs to complete this form?
A: This form needs to be completed by parents or legal guardians of children who require nebulizer care in child care facilities.

Q: What is the purpose of this form?
A: The purpose of this form is to provide consent and verification for the administration of nebulizer treatments to children in child care facilities.

Q: What information is required on this form?
A: This form requires information about the child's name, date of birth, medical condition requiring nebulizer care, medication details, and the parent or legal guardian's signature.

Q: Is this form required for all child care facilities in California?
A: Yes, this form is required for all child care facilities in California that administer nebulizer treatments to children.