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Health & Human Services Agency California Department of Social Services APPLICATION FOR A FAMILY CHILD HOME LICENSE LIC 279, page 1
Moderate · 57/100Form Complexity Index

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What this form asks for

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The LIC 279 is the official application form used by the California Department of Social Services to grant licenses for family child care homes. It collects essential information about the applicant(s), the home's address, previous licensing history, and the type of care to be provided. This form is crucial for ensuring that child care providers meet state safety and operational standards. Today, this form can be filled out quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
Fillable fields65
Pages3
Sections19
Tables and lists3
Questions that depend on earlier answers12
Form Complexity IndexModerate, 57/100

The AI checks your answers before you download

16 checks built for this form, so a wrong date or a missing answer is caught before anyone else sees it.

Applicant Type Selection

Ensures that at least one 'Type of Application' (New Application, Capacity Change, Location Change, or Update) is selected. This is crucial for routing the application to the correct processing workflow and ensuring the agency understands the applicant's intent. Failure to select a type will prevent the application from being processed.

Applicant Age Verification

Validates that for each applicant listed, the 'Over 18 Years Old?' field is correctly answered. Applicants must be 18 or older to be licensed. If 'No' is selected for any applicant, their details should not be processed for licensing, or an error should be flagged to ensure compliance with age requirements.

Applicant Name Completeness

Checks that for each applicant marked as 'Over 18 Years Old? Yes', the First Name, Middle Name (or initial), and Last Name fields are completed. This ensures the applicant can be accurately identified and that the license will be issued with the correct legal name. Incomplete names will lead to processing delays or rejection.

Home Address Completeness

Verifies that the 'YOUR HOME ADDRESS' field (including street, city, county, state, and ZIP code) is fully populated. This address is the primary location for the licensed facility and must be accurate for inspections and official correspondence. An incomplete address will halt the application process.

Home Phone Number Format

Ensures the 'Phone:' field under 'YOUR HOME ADDRESS' is a valid phone number format (e.g., XXX-XXX-XXXX or (XXX) XXX-XXXX). This is essential for the agency to contact the applicant regarding their home. An invalid format may indicate an error and require correction.

Two-Year Residency County Check

Validates that if the applicant has not lived in the current county for the past two years, the 'Other counties resided in (past two years)' field is populated with the names of those counties. This check is important for understanding the applicant's history and potential jurisdictional considerations. Missing information here could lead to further investigation.

And 10 more checks
  • Mailing Address Consistency
  • License/Certification Status Selection
  • Conditional License/Certification Details
  • Other Adults in Home Identification
  • Type of License Capacity Selection
  • Ages to Be Served Format
  • Days & Hours Open Format
  • Applicant Signature Presence
  • Signature City and County
  • Signature Date

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How to Fill Out LIC 279 Online for Free in 2026

What the AI walks you through.

  1. Navigate to Instafill.ai and upload or select the LIC 279 form.
  2. Provide basic information such as the type of application (New, Capacity Change, etc.) and applicant details.
  3. Enter home and mailing addresses, contact information, and any previous licensing history.
  4. Specify the type of license desired (Small or Large Home) and details about the ages and hours of care.
  5. Review and confirm the applicant/licensee responsibilities and the perjury statement.
  6. Electronically sign the application and provide the city, county, and date of signing.
  7. Submit the completed form through Instafill.ai or download it for manual submission.

Common Mistakes in Completing LIC 279

The ones the AI is built to catch.

Incorrectly selecting 'Type of Application'
Applicants may misunderstand the distinctions between 'New Application', 'Capacity Change', 'Location Change', and 'Update'. For example, they might select 'Update' when they mean to increase capacity. This can lead to the application being misrouted or rejected, causing delays. Always carefully read the definitions for each application type provided in the instructions to ensure the correct option is selected.
Omitting or incorrectly formatting applicant names
Applicants may forget to enter all required name fields (First, Middle, Last) or use nicknames instead of legal names. This can cause issues with identification and verification. Ensure all applicants provide their full legal names exactly as they appear on official identification documents. AI-powered form filling tools can help by pre-filling this information accurately if it's stored.
Incomplete or incorrect home address entry
The home address field requires street, city, county, state, and ZIP code. Applicants sometimes omit parts of the address or use abbreviations that are not standard. This can hinder the agency's ability to locate the facility for inspection. Always provide the complete, official address. Using an AI tool can ensure all components of the address are captured correctly.
Failure to list previous counties of residence
If an applicant has not lived in the current county for the past two years, they must list all other counties where they resided during that period. Forgetting to list these or listing only some can raise concerns about background checks. Ensure all counties of residence from the last two years are listed, separated by commas if necessary.
Not providing complete previous license/certification details
When answering 'Yes' to having prior licenses or certifications, applicants often fail to provide all requested details such as the type of license, license number, date licensed, and the licensing agency's full contact information. This omission can lead to delays as the agency will need to request this missing information. Always fill out all fields related to previous licensing if applicable.
Excluding other adults residing in the home
Section 7 requires listing all adults (over 18) living in the home who are not applicants. Applicants sometimes forget to include family members, partners, or other residents. This is a critical safety and background check requirement. Ensure all adults residing in the home are listed, excluding only those under 18.
Incorrectly specifying the 'Type of License' capacity
Applicants may select 'Small Home (up to 8)' or 'Large Home (up to 14)' without fully understanding the implications or their intended capacity. This can lead to an incorrect license being issued or the need for a subsequent capacity change. Carefully consider the maximum number of children you intend to care for and select the appropriate license type accordingly.
Vague or incomplete 'Ages To Be Served' and 'Days & Hours Open' entries
For Section 9, applicants may provide unclear ranges for ages (e.g., 'all ages') or imprecise hours (e.g., 'daytime'). This information is crucial for determining compliance and operational scope. Be specific, listing age ranges (e.g., '2-5 years') and exact operating hours (e.g., 'Mon-Fri 7:00 AM - 6:00 PM').
Missing signatures or incorrect signing details
The application requires signatures from all applicants, along with the city, county, and date of signing. Forgetting to sign, signing with a name different from the one listed, or not filling in the location and date of signing will invalidate the application. Ensure all applicants sign in ink, using their full legal name, and provide the requested location and date details.
Not enclosing the application/licensing fee
The form explicitly asks if the applicant remembered to enclose the application/licensing fee. Failure to include the correct fee with the submission is a common reason for applications to be rejected or significantly delayed. Always verify the current fee amount and ensure it is submitted along with all required documentation.
Failure to attach required supplementary forms
While not explicitly detailed in every field, the application implies the need for other forms like LIC 279B (for children in the home) and potentially LIC 9151 or LIC 9149 (property owner notifications). Omitting these required attachments will cause delays or rejection. Review the instructions and any accompanying documentation requirements carefully to ensure all necessary forms are submitted.

Frequently Asked Questions About LIC 279

 

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How does the AI fill out LIC 279?
You answer a few questions in plain words, or upload your insurance card. The AI reads what you give it and puts each answer into the right field of LIC 279, on every page, in seconds. It checks the answers against the form's own rules, and you review and change anything before you download, print or sign.
What happens to my information?
It is encrypted in transit and at rest, and it is never used to train AI.
How complex is LIC 279 to fill out?
LIC 279 has a Form Complexity Index of 57 out of 100, in the moderate tier: 65 fillable fields across 3 pages. Instafill.ai's AI fills it in under a minute, with every field there for you to review before you download.
What is the purpose of the Application for a Family Child Home License (LIC 279)?
This form is used to apply for a new license to operate a family child care home, or to make changes to an existing license, such as capacity or location. It ensures that homes meet state health and safety standards for child care.
Who needs to fill out the LIC 279 form?
Individuals who wish to operate a family child care home, or those who currently hold a license and need to change its capacity or location, must complete this form. All applicants must be 18 years or older and live in the home where care will be provided.
What information is required to complete the LIC 279 form?
You will need to provide personal information for all applicants, including names and addresses, as well as details about your home, any other adults living in the home, and the type of license you are applying for (e.g., small or large home capacity). You may also need to provide information about previous licenses or certifications.
Do I need to provide directions to my home?
Yes, section 5 asks for directions to your home. It is recommended to attach a sketch or map if possible to help locate the residence easily.
What if I have lived in multiple counties in the past two years?
If you have not lived in the current county for the past two years, you must list all other counties where you have resided during that period in section 3b.
What is the difference between a 'Small Home' and a 'Large Home' license?
A 'Small Home' license allows you to care for up to 8 children, while a 'Large Home' license allows you to care for up to 14 children. You will need to specify the capacity you are applying for in section 9.
What are the 'Applicant/Licensee Responsibilities' listed in section 10?
Section 10 outlines your commitments as an applicant or licensee, including living in the home, having adequate financial resources, maintaining fire safety equipment, complying with regulations, and obtaining agency approval for changes. It also covers property owner notifications and consent requirements.
Do I need to list other adults living in my home?
Yes, section 7 requires you to list all other adults (over 18) who reside in the home, excluding yourself and any other applicants. Do not list the names of persons under 18 years of age.
What is the 'Perjury Statement' in section 11?
This statement means you are declaring under penalty of perjury that all information provided on the application and any attachments is true and correct to the best of your knowledge. Knowingly making false statements can have legal consequences.
How long does it take to process this application?
The form itself does not specify processing times. Processing times can vary depending on the licensing agency and the completeness of your application. It is best to contact your local licensing agency for an estimate.
Can I use AI tools to help fill out this form?
Yes, AI services like Instafill.ai can help you fill out form fields accurately and save time. These tools can often extract information from documents or guide you through the process.
What if the PDF form is not fillable?
If the PDF is not fillable, you can use a service like Instafill.ai to convert the flat, non-fillable PDF into an interactive, fillable form. This allows you to type directly into the fields.
Where can I find the LIC 279B form mentioned in section 8?
The LIC 279B form is referenced for listing current children in your home. You should be able to access it through the same source where you obtained the LIC 279 form, or by contacting the California Department of Social Services.
What should I do if I need more space for information, like listing other adults?
If you need more space than provided on the form, you should attach additional paper with the required information. Make sure to clearly label any attached pages with the corresponding section number.
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