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