Form LIC624B Unusual Incident / Injury Report - Family Child Care Home - California

What Is Form LIC624B?

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 the LIC624B form?
A: The LIC624B form is an Unusual Incident/Injury Report for Family Child Care Homes in California.

Q: Who needs to fill out the LIC624B form?
A: Family Child Care Home providers in California need to fill out the LIC624B form in case of an unusual incident or injury.

Q: What is the purpose of the LIC624B form?
A: The LIC624B form is used to report and document any unusual incidents or injuries that occur at a Family Child Care Home in California.

Q: When should the LIC624B form be filled out?
A: The LIC624B form should be filled out immediately or as soon as possible after an unusual incident or injury occurs at a Family Child Care Home.

Q: What information is required on the LIC624B form?
A: The LIC624B form requires information such as the date and time of the incident, details of the individuals involved, a description of the incident or injury, and any actions taken in response.

Q: Who should receive a copy of the LIC624B form?
A: A copy of the LIC624B form should be provided to the licensing agency, the child's parent or guardian, and any other relevant parties as required by the California Department of Social Services.

Q: Is the LIC624B form confidential?
A: Yes, the information provided on the LIC624B form is confidential and protected by privacy laws.

Q: What happens after the LIC624B form is submitted?
A: The licensing agency will review the LIC624B form and may conduct an investigation or take appropriate action based on the incident or injury reported.

Q: Are there any consequences for not filling out the LIC624B form?
A: Failure to fill out the LIC624B form in a timely and accurate manner may result in penalties or sanctions against the Family Child Care Home provider in accordance with California regulations.