Violation

California Code § 102419(d)Required Enrollment Forms

How CCLD inspectors cite this regulation, what providers do to stay clear of it, and where it appears in the public record.

Type A, seriousAffects Family Child Care Homes3 facilities cited in the last 90 days

ℹ️ Educational reference based on public CCLD inspection records. Not legal or compliance advice. Verify requirements with official sources. Full disclaimer →

Regulation text

What California Code § 102419(d) actually says

California Code § 102419(d)

At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). REPRESENTATIVE’S RIGHTS

From the field

What providers tell us about this citation

Based on community experience, not official guidance.

Inspectors pull enrollment files at random and check for all three forms: LIC 995A, LIC 995E, and LIC 9212. They don't just look for the forms. They verify the version dates printed on each one match the current version. If you're using a 995A from 2004 instead of the 8/06 version, that's a deficiency even though you technically gave the parent a copy. Print fresh forms from the CDSS website every six months and swap out your enrollment packets. Keep a signed acknowledgment sheet in each child's file showing the parent received all three on the enrollment date. That signature is what saves you during a dispute.

By the numbers

3^*CCLD: facilities cited in the last 90 days
3^*CCLD: counties where this citation appeared
50^*CCLD: rank among most-common citations
Trajectory: Fewer citations than the prior period
4 facilities

3 facilities were cited for this in the last 90 days. See if yours is one of them.

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What other providers do

Common practices to stay clear of Required Enrollment Forms

Common practices shared by providers. Confirm requirements with your licensing analyst.

Common practices

Provide all three required forms at time of enrollment
Use current versions of LIC 995A, LIC 995E, and LIC 9212 forms
Give forms to parent or authorized representative directly
Keep copies in child's file showing forms were provided
Update forms when new versions are released by licensing

What to avoid

Providing two of the three required forms and missing one, usually the LIC 9212 Consumer Awareness Information. Providers remember the Parent's Rights notice because parents ask about it, but the Consumer Awareness form gets overlooked because nobody requests it.
Using outdated form versions. The forms have specific revision dates (LIC 995A dated 8/06, LIC 995E dated 6/05, LIC 9212 dated 10/05), and inspectors check those dates in the footer. Photocopies from years ago may be the wrong version.
Not having a parent signature confirming receipt. Without a signed acknowledgment, you have no proof the forms were given, and the inspector documents it as not provided.
Giving forms to a nanny or babysitter who drops the child off instead of the parent or authorized representative named on file. The regulation specifies the parent or authorized representative, and an unauthorized pickup person doesn't qualify.
Adding forms to the file after enrollment when an inspector flags the gap. Backdating paperwork is a separate violation and inspectors can tell when forms were recently printed versus stored in a file for months.

Regional record

Where this citation appeared in the past 90 days

Citation counts and rates by California county, drawn from CCLD inspection records. Click a county to see its weekly intelligence report.

Regional citations for Required Enrollment Forms, last 90 days
County	Citations	Facilities	Citation rate
PLACER	1	--	--
Stanislaus	1	--	--
Santa Barbara	1	--	--

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citations2026-05-14Updated weekly

Articles about this topic

FAQ

Frequently asked questions

Answers based on public CCLD data and regulation text. May not reflect recent changes.

What is Required Enrollment Forms?

California Code 102419(d) requires you to provide every parent with three specific licensing forms at the time of enrollment: the Parent's Rights notice (LIC 995A), the Caregiver Background Check Process (LIC 995E), and the Consumer Awareness Information (LIC 9212). Each form serves a different purpose, from explaining background check procedures to outlining a parent's right to visit unannounced. Skipping even one of the three counts as a separate deficiency during an inspection.

How common is the Required Enrollment Forms citation?

According to California CCLD inspection records as of February 08, 2026, 10 facilities have been cited for this violation in the past 90 days across 7 California counties. That's roughly 1 in 4,000 inspected facilities, or about 0.02%. Los Angeles County accounts for 3 of those citations, with San Diego at 2. Santa Cruz, Shasta, and Solano each had one. This citation tends to come up during routine file reviews when inspectors pull random enrollment folders.

What triggers this citation during an inspection?

Inspectors open children's enrollment files at random and check for all three forms by name and version date. Based on CCLD inspection patterns, they flip to the footer of each form to confirm the revision date matches the current version (LIC 995A dated 8/06, LIC 995E dated 6/05, LIC 9212 dated 10/05). A missing form, an outdated version, or no parent signature acknowledging receipt all get documented as deficiencies. They also note whether forms were clearly added after enrollment, since recently printed pages in an old file stand out.

How can I prevent this citation?

Build an enrollment packet with all three forms pre-loaded, and include a signed acknowledgment sheet listing each form by name. Print fresh copies from the CDSS website every six months so you're always using current versions. Before filing any new enrollment, do a quick three-form check: 995A, 995E, 9212, plus the parent's signature. It takes 30 seconds and prevents a write-up that could have been avoided entirely.

What should I do if I receive this citation?

Get the correct, current-version forms to every affected family immediately. Have parents sign and date a new acknowledgment sheet, and file it alongside the original enrollment paperwork. Don't backdate anything. In your Plan of Correction, describe your updated enrollment checklist and how you'll verify form completeness going forward. Audit every active enrollment file within the week to catch other gaps before the follow-up visit. For complex situations, consider consulting a licensed childcare compliance specialist.

Related violations

Other citations in this regulation family

This information is educational and does not constitute legal advice. Consult a licensed child care compliance consultant for guidance specific to your facility. Citation data is sourced from California Community Care Licensing Division public records and is refreshed regularly.

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