Lic 9108-2026

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The document outlines the legal obligations of mandated reporters in California, specifically those working in licensed child care facilities, to report known or suspected child abuse. It details the types of abuse that must be reported, the process for reporting, and the protections and penalties associated with failing to report. Additionally, it emphasizes the confidentiality of the reporter's identity and provides an acknowledgment section for employees to confirm their understanding of these responsibilities.

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Click ‘Get Form’ to open the lic 9108 in the editor.
Begin by entering your name in the designated field at the top of the form. This identifies you as the mandated reporter.
Next, fill in your position within the facility. This helps clarify your role and responsibilities.
Enter the facility number, which is crucial for tracking and reporting purposes.
Review the sections detailing when and what types of abuse must be reported. Familiarize yourself with these definitions to ensure compliance.
In the acknowledgment section, sign and date the form to confirm your understanding of your reporting responsibilities.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is lic 9052?

The California Department of Social Services (CDSS) requires child care facilities to record employees acknowledgment of having received an Employee Rights document using the Notice: Employee Rights (LIC 9052) form.

What is lic 9108?

The LIC 9108 California document is required by the mandated reporter, the administrator, licensee, or employee that works in a child care institution, visits foster parents houses, or received complaints from the witnesses of child abuse in the family.

Do mandatory reporters have to report past abuse?

Mandated reporters being required to report past abuse varies by each State. If they have reasonable suspicion or evidence, even if the abuse occurred years earlier, reporting past abuse ensures that victims receive appropriate support and that any ongoing risks are addressed.

How soon does a mandated reporter file in CA?

Any mandated reporter who has knowledge of or observes a child, in his or her professional capacity or within the scope of his or her employment, whom he or she knows or reasonably suspects has been the victim of child abuse or neglect shall report such suspected incident of abuse or neglect to a designated agency

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