Community Approvals Form - Interior Health Authority

Community Care Licensing
Community Approvals Form
(Child Care)
See ‘The Guide’ to Applying for a Child Care Licence
In applying for a licence to operate a child care facility you must provide assurance to Community Care Licensing
that you have consulted the following agencies to ensure applicable approvals can be obtained.
Evidence of the necessary approvals will be verified during the initial inspection conducted by a Licensing Officer.
Submit this form only when complete. Do not send copies of your approvals to Licensing Direct.
Environmental Health (Food Safety & Nutrition, Drinking Water and Recreational Water Safety)
Consulted with Environmental Health
Date consulted:
Not applicable
If not applicable you must explain why:
Fire Safety
Consulted with Local Fire Department
Date consulted:
If unable to obtain approval you must explain why:
Local Government
Consulted with Municipality/Regional District
Date consulted:
Not applicable
If not applicable you must explain why:
Occupancy Permit
Consulted with Municipality
Date consulted:
Not applicable
If not applicable you must explain why:
Strata/Rental/Lease Agreement
Consulted with landlord or strata council
Date consulted:
Not applicable
If not applicable you must explain why:
Facility Name:
Applicant Signature
HP-CF-9038 February 2016
Date (dd/mm/yyyy)