"Closed Business Notice"
STATE OF CALIFORNIA—HEALTH AND HUMAN SERVICES AGENCY DEPARTMENT OF SOCIAL SERVICES NOTICE Under the terms of a Temporary Suspension Order the license of __________________________________________________________ FACILITY NAME AND ADDRESS is suspended and the facility is CLOSED FOR BUSINESS as of ________________________________ until further notice by Order of the DATE AND TIME Director of the Department of Social Services. This action is taken under Sections 1596.885 and 1596.886 of the California Health and Safety Code, to protect the health and safety of the children in care. If you are the parent or person responsible for a child in care in this facility, you will receive a copy of this Notice in person or by mail. The Accusation filed against the facility, which contains the specific reasons why the license is suspended, is available. ______________________________________________________________________ NAME, ADDRESS AND PHONE NUMBER OF LOCAL LICENSING OFFICE ______________________________________________________________________ REMOVAL OR CONCEALMENT OF THIS NOTICE WHILE THE TEMPORARY SUSPENSION ORDER IS IN EFFECT IS PUNISHABLE AS A MISDEMEANOR WITH A FINE OF UP TO $500.00, UNDER SECTION 1596.8895 OF THE CALIFORNIA HEALTH AND SAFETY CODE. LIC 9031 (11/99)