California Daycare Disaster Plan and Floor Plan — Forms LIC 610A and LIC 999A

Two Required Forms, Two Different Purposes

Your California family child care home application packet requires two physical planning documents that many applicants underestimate: the Emergency Care and Disaster Plan (Form LIC 610A) and the Facility Sketch (Form LIC 999A). Both are submitted with your LIC 279 application and verified during the pre-licensing inspection.

These aren't formalities. Your Licensing Program Analyst will physically walk your home using the floor plan to verify room usage, and they'll test whether your disaster plan is operationally realistic — not just filled in.

Form LIC 610A: Emergency Care and Disaster Plan

This form documents how you'll respond to emergencies — earthquakes, fires, floods, power outages, and any other disaster that could threaten the children in your care. California's earthquake and wildfire risk makes this more than a bureaucratic exercise.

What the form requires:

• Evacuation routes — Identify evacuation routes from the rooms used for childcare. For large family child care homes, every story used for childcare must have at least two remotely located exits, and your LPA will check that the routes are usable and unobstructed. Exit doors must have single-action, self-releasing hardware (no deadbolts or chains that require a key from inside).
• Relocation sites — List pre-arranged locations where you'll take children if the home becomes unsafe. Include the name, address, and phone number for each site. Choose locations in different directions from your home in case one route is blocked.
• Child tracking plan — How you'll account for every child during an evacuation. Most providers use a printed roster kept near the primary exit and a portable emergency binder with parent contact information.
• Drill schedule — CCLD requires documented evacuation drills every six months. The LPA checks your drill log during inspections — dates, times, number of children present, and any issues noted.

Common mistakes on LIC 610A:

• Listing evacuation routes that do not match the rooms and exits used for childcare
• Using a relocation site without confirming the owner/manager has agreed in advance
• Forgetting to include procedures for children with mobility limitations or medical needs
• Not updating the plan when room usage changes (a spare bedroom converted to a nap room needs its own evacuation route)

Form LIC 999A: Facility Sketch (Floor Plan)

This form is a hand-drawn or digitally created map of your entire home — both the indoor layout and the outdoor yard measurements. It tells the LPA exactly which spaces are used for childcare and which are off-limits.

Indoor floor plan requirements:

• Every room labeled by function: playroom, nap room, kitchen, bathroom, storage, off-limits
• All doors and windows marked, including which ones serve as emergency exits
• Off-limits rooms (home office, garage, master bedroom) clearly labeled and noted as locked during operating hours
• Location of smoke detectors, carbon monoxide alarms, fire extinguishers, and first aid kits

Outdoor yard requirements:

• Property boundary dimensions
• Fencing height and gate locations
• Play equipment placement and fall zones
• Pool, spa, or water feature locations with barrier details
• Storage sheds and their contents (garden tools, chemicals — must be locked)

What the LPA actually does with this form:

During your pre-licensing inspection, the analyst walks through your home with your LIC 999A in hand. They verify that the sketch matches reality — room dimensions are roughly accurate, marked exits actually open, off-limits rooms are actually locked, and outdoor fencing matches what's drawn. A sketch that doesn't match your home sends the message that you haven't prepared carefully, and it triggers a more detailed inspection.

AB 495: The Family Preparedness Plan (Effective January 1, 2026)

Assembly Bill 495 added a new layer to emergency planning that goes beyond natural disasters. Every licensed child care facility must now integrate a family preparedness protocol into its enrollment and emergency processes. This isn't a separate CCLD form — it's an operational requirement that your LPA verifies alongside your LIC 610A.

AB 495 addresses situations where a parent is suddenly detained, deported, or incarcerated. Your facility must:

• Maintain an expanded emergency contact system that lists a chain of "designated safe adults" to contact before CPS
• Exhaustively contact every person on the emergency card before making any report to child protective services
• Provide parents with written information on how to access the California Attorney General's model family preparedness safety guidelines
• Prohibit collection of immigration status data for children or family members (unless mandated by state or federal law)

If an enforcement officer enters your facility or requests child records, you must document the incident and report it to both CDSS and the California Attorney General.

Getting Both Forms Right the First Time

The LIC 610A and LIC 999A are part of your application packet — they go in with the LIC 279 before your inspection is even scheduled. Submitting an incomplete or inaccurate version can delay your application processing.

Draft your floor plan by walking through every room with a measuring tape and sketching it to rough scale. Mark every exit, hazard, and safety device. Then build your disaster plan by physically walking your evacuation routes while holding an infant carrier and leading a toddler — if the route doesn't work in practice, it won't work during an earthquake.

Our California Home Daycare Licensing Guide includes templates for both forms with room-by-room prompts, so you don't miss the details that trip up first-time applicants.

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