What is the California Department of Social Services "Notice: Employee Rights (LIC 9052)" form?

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Locations
California
Agencies
Department of Social Services
Forms
Notice Employee Rights

This article is provided for educational purposes only. Information presented here does not constitute legal, financial, or other advice. Consult with appropriate professionals before preparing and filing any documents.

This guide is an overview of the California Department of Social Services "Notice: Employee Rights (LIC 9052)" form and provides a summary of requirements for child care facility licensees and employees, relevant laws and regulations, and other considerations.

California child care facilities (as defined in Health and Safety Code (H&SC) § 1596.750 and § 1596.76) must inform employees of their rights to file complaints against their employer for violating any licensing laws or regulations.

The California Department of Social Services (CDSS) requires child care facilities to record employees' acknowledgment of having received an "Employee Rights" document using the Notice: Employee Rights (LIC 9052) form.

This notice is required under H&SC § 1596.881 and § 1596.882, which forbid discrimination, retaliation, or disciplinary actions against employees who report violations of California laws or regulations.

What does the "Notice: Employee Rights (LIC 9052)" form mean if I am an employee?

By completing and signing the Notice: Employee Rights (LIC 9052) form, you acknowledge that you have received an "Employee Rights" document in writing from your employer. This document, also called the "Notice of Employee Rights and Responsibilities," explains your rights as an employee in California, including:
  • health and safety
  • working conditions
  • work hours, meals, rest periods
  • compensation, wages, overtime pay, deductions
  • benefits and insurance
  • employee files
  • medical records

The "Employee Rights" document must also explain your right to file complaints against your employer for violating California laws or regulations.

What does the "Notice: Employee Rights (LIC 9052)" form mean if I am a California child care facility licensee?

  • You must provide each employee with an "Employee Rights" document describing their rights as an employee in California, including the right to file complaints against you.
  • You are then required to ask the employee to complete and detach the bottom of the Notice: Employee Rights (LIC 9052) form and maintain the signed acknowledgment of receipt in the employee's file.

References

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