Interested in enrolling your child? Complete the Application for Admission at your convenience. All the forms you will need are provided below.
- Current immunization record
- TB clearance within the last 12 months
- Physical within the last 12 months
- Complete Admission packet and forms
- At least 2 years of age
- Potty Trained
- Application for Admission

- Physical Form

- Identification & Emergency Information

- Child's Pre-Admission Health history (Parent Report)

- Notification of Parent's Rights

- Caregiver Background Check Process

- Personal Rights

** All the forms must be completed per Department of Social Services, Community Care Licensing Division
The local licensing office, serving this center is:
Community Care Licensing
3737 Main Street Suite 700
Riverside, CA. 92501
(951) 782-4200

