Transcription of STATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT …
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STATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT …
STATE OF california HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA department OF SOCIAL SERVICESSTATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT CHILD ABUSENOTE: RETAIN IN EMPLOYEE/LICENSEE FILENAMEPOSITIONC alifornia law REQUIRES certain persons to REPORT known or suspected child abuse. As a licensee or anemployee at a licensed facility or a child care institution, YOU are one of those persons - a "mandatedreporter."PERSONS WHO ARE REQUIRED TO REPORT ABUSEM andated reportersinclude a licensee, an administrator, or an employee of a licensed community careor child day care facility. [Penal Code ("PC") (a)(10)] Mandated reporters also include anemployee of a child care institution, including, but not limited to, foster parents, group home personnel,and personnel of residential care facilities. [PC (a)(14)] No supervisor or administrator mayimpede or inhibit an individual's reporting duties or subject the mandated reporter to any sanction formaking the REPORT .
lic 9108 (3/05) page 1 of 2 position facility number state of california—health and human services agency california department of socialservices . statement acknowledging requirement to report child abuse note: retain in employee/licensee file . name .
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