Edit, Download, and Sign the California Child Care Centers Emergency Disaster Plan
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How do I fill this out?
To fill out this form, start by entering the facility details at the top of the document. Next, assign roles to staff for emergency procedures. Finally, ensure all emergency contact numbers are current.

How to fill out the California Child Care Centers Emergency Disaster Plan?
1
Enter the facility name and address.
2
List staff assignments for emergency situations.
3
Provide important emergency contact numbers.
4
Indicate exit locations on the facility sketch.
5
Sign and date the affirmation statement.
Who needs the California Child Care Centers Emergency Disaster Plan?
1
Child care center administrators need this file to ensure compliance with legal requirements.
2
Staff members require it for understanding their roles during emergencies.
3
Parents may want to review it for peace of mind about their child’s safety.
4
Licensing authorities need it for assessments and inspections.
5
Emergency responders require access to understand the facility layout and protocols.
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What are the instructions for submitting this form?
To submit this form, ensure all fields are fully completed and accurate. You can send completed forms via email at ccld@dss.ca.gov or fax to (123) 456-7890. Alternatively, mails can be sent to California Department of Social Services, P.O. Box 123, Sacramento, CA 95814.
What are the important dates for this form in 2024 and 2025?
Important dates regarding this form are regularly updated by the California Department of Social Services. In 2024, ensure compliance with new guidelines set to be implemented in January. In 2025, review and update the plan as necessary to reflect any regulatory changes.

What is the purpose of this form?
The purpose of this form is to ensure that child care centers are prepared for emergencies. It provides a structured approach to assigning roles and responsibilities during a crisis. This ensures safety for children, staff, and visitors.

Tell me about this form and its components and fields line-by-line.

- 1. Facility Name: The official name of the child care facility.
- 2. Address: Complete address including number, street, city, state, and zip code.
- 3. Telephone Number: Contact number for the facility.
- 4. Staff Assignments: List of staff members with their designated emergency roles.
- 5. Emergency Contacts: Important contact numbers for police, fire, and other emergency services.
- 6. Exit Locations: Designated evacuation routes as indicated on the facility sketch.
- 7. Utility Shut-off Locations: Information on where to shut off utilities in an emergency.
- 8. First Aid Kit Location: Indication of where the first aid kit is located.
- 9. Affirmation Statement: A declaration by the administrator regarding their responsibilities.
What happens if I fail to submit this form?
Failure to submit this form may result in non-compliance during inspections. This can jeopardize the facility's license and operational status.
- Legal Liability: Not having an emergency plan may expose the facility to legal actions.
- Safety Risks: Children and staff may be unprepared for emergencies, leading to potential harm.
- Licensing Issues: Failure to provide a plan can lead to penalties or revocation of license.
- Regulatory Non-Compliance: Inability to demonstrate preparedness can result in regulatory actions.
How do I know when to use this form?

- 1. Annual Review: Complete the form yearly to ensure all information is current.
- 2. Staff Changes: Update the form whenever there are significant staff changes.
- 3. Regulatory Changes: Fill out the form in response to new regulations regarding safety.
- 4. Emergency Situations: Use the form to prepare specific protocols for upcoming events.
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