197418421-2-4-2025-30-CC-VWHY-DDKPD5-20250204101256

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418421
Report Date: 01/31/2025
Date Signed: 02/04/2025 10:13:06 AM

Document Has Been Signed on 02/04/2025 10:13 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	MARTINEZ FAMILY CHILD CARE		FACILITY NUMBER:	197418421
ADMINISTRATOR/ DIRECTOR:	CHERYL MARTINEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 818-9398
CITY:	GARDENA	STATE: CA	ZIP CODE:	90247
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 9	DATE:	01/31/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:20 PM
MET WITH:	Cheryl Martinez		TIME VISIT/ INSPECTION COMPLETED:	05:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On January 31, 2025, Licensing Program Analyst (LPA), Veronica Wheatley and conducted an unannounced Annual Inspection and met with Licensee, Cheryl Martinez and licensee Abundio Martinez husband was also present. Days and hours of operation are currently Monday through Friday, 8am to 5:30pm. LPA toured the home inside of home and a census was taken. LPA observed nine day care children on the premises napping of which two are infants. Current facility sketch reviewed and confirmed that the living room is used for the children. The bedrooms are off-limits and made inaccessible. The children also use the converted garage called The Rainbow Room. The room is clean and safe. LPA observed several safe toys and equipment. Licensee states the children use this room for play time during the day. LPA observed a portable heater used to heat the room. The children do not eat or sleep in this room. The children eat and sleep inside of the home. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises per licensee. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible with locks. There is a working fire extinguisher, smoke detector, and carbon monoxide detector. The home has central heat and air conditioning for safety and comfort.The home has working telephone service and LPA confirmed the phone number. LPA discussed Safe Sleep Regulations with licensee. Cribs and play yards will be kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants up to 2 years old every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age will be placed on their backs for sleeping.

Maureen Neal	TELEPHONE: (424) 301-3042
Veronica Wheatley	TELEPHONE: (424) 301-3051
	DATE: 01/31/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 197418421
	VISIT DATE: 01/31/2025

NARRATIVE

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Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Licensee states she does not transport children. The children play outside in the front yard. LPA observed safe age appropriate equipment. There is one dog kept inaccessible from children. Licensee will conduct fire drills every 6 months. Roster is on hand for emergencies.
LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training expires September 2025. Licensee’s pediatric CPR/First Aid expires 6/2025 for Abundio and 6/2026 for Cheryl. A review of records indicates that all employees and/or volunteers will have immunization records on file for influenza, pertussis and measles.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA discussed with the licensee the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations. LPA discussed the requirements for hiring an assistant.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, a Type B deficiency is cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

Exit interview conducted. A copy of this report was read and provided to the licensee.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 02/04/2025 10:13 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 197418421
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/31/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

CCR

102425(i)

Infant Safe Sleep

If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observation,, the licensee did not comply with the section cited above in that LPA observed an infant sleeping in an infant chair. The infants must sleep in a play pen or crib. This poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/03/2025
	Plan of Correction
1 2 3 4	Licensee will submit a plan of correction to the Department by February 3, 2025 stating how this will be prevented in the future.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Maureen Neal	TELEPHONE: (424) 301-3042
Veronica Wheatley	TELEPHONE: (424) 301-3051
	DATE: 01/31/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025

LIC809 (FAS) - (06/04)

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