The provider operating the large family daycare home signs the statement and submits it with a copy of their state license to the city.

How do I submit the Large Family Daycare Home Requirements Form?

File the signed form with the Child Care Coordinator at 419 S. McClelland Street. The form lists (805) 925-0951, Ext. 268.

Do I need a notary for this form?

No. Sign and date this document without a notary, and submit a copy of the state license; the form does not state that any attachment must be sworn or notarized.

Santa Maria, CA · Santa Barbara County

No notary required

Large Family Daycare Home Requirements Form

Large family daycare home providers use this form to acknowledge city requirements and submit a copy of their state license to Santa Maria.

What this form is

This form records a provider’s acknowledgment of requirements for operating a large family daycare home, including living in the home, noise rules, play-area separation, and parking. The provider must submit a copy of their state license with the statement to the Community Development Department. The form also says violations of the conditions are violations of the Municipal Code.

Who needs it

A provider operating a large family daycare home in Santa Maria needs to sign this statement and submit a copy of their state license.

How to submit it

File the signed document with the Child Care Coordinator at the City of Santa Maria, 419 S. McClelland Street. The form lists phone number (805) 925-0951, Ext. 268.

About notarization

This document is signed and dated without a notary; the provider also submits a copy of the state license, with no sworn or notarized attachment stated.

How to submit this form

1
Download the Form
Download the Large Family Daycare Home Requirements Form.
2
Read and Sign
Read the requirements, then sign and date the statement acknowledging them.
3
Gather the License Copy
Include a copy of your state license with the statement.
4
File with the City
File the document with the Child Care Coordinator at 419 S. McClelland Street.

Frequently asked questions

What does the Large Family Daycare Home Requirements Form do?: It records a provider’s acknowledgment of city requirements for operating a large family daycare home, including conditions for the home, play areas, and parking.
Who files this form?: The provider operating the large family daycare home signs the statement and submits it with a copy of their state license to the city.
How do I submit the Large Family Daycare Home Requirements Form?: File the signed form with the Child Care Coordinator at 419 S. McClelland Street. The form lists (805) 925-0951, Ext. 268.
Do I need a notary for this form?: No. Sign and date this document without a notary, and submit a copy of the state license; the form does not state that any attachment must be sworn or notarized.

Need something notarized?

This Large Family Daycare Home Requirements Form doesn’t need a notary — but if you have another Santa Maria form that does, a commissioned online notary can help.