197492900-6-21-2019-54-CC-VWHY-BDCQ6T-20190621115404

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197492900
Report Date: 06/20/2019
Date Signed: 06/21/2019 11:54:11 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	MARTINEZ FAMILY CHILD CARE		FACILITY NUMBER:	197492900
ADMINISTRATOR:	MARTINEZ, JASMINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 427-0134
CITY:	COMPTON	STATE: CA	ZIP CODE:	90222
CAPACITY:	14	CENSUS: 7	DATE:	06/20/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Jasmine Martinez		TIME COMPLETED:	01:15 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	Licensing Program Analyst, V. Wheatley conducted an Annual inspection and met licensee at 11am. LPA observed 7 children with the licensee of which one child is school aged. LPA observed the children eating lunch. The licensee's assistant arrived during the inspection. The home is clean, orderly, comfortable and well ventilated. LPA observed a working smoke detector, carbon monoxide detector, charged 2A10BC fire extinguisher and working telephone. The home has central heating and air conditioning. There are several age appropriate toys and a first aid kit on the premises. All cleaning supplies and chemicals are inaccessible. The licensee has current CPR and first aid that expires July 2020 and assistant expires April 2020. All detergents, cleaning supplies, medications and sharp objects are inaccessible. Per the licensee, there are no firearms on the premises. LPA inspected the backyard which is clean and fenced. The entire backyard is paved. LPA observed safe toys and equipment. There are two dogs on the premises which are kept inaccessible There are no bodies of water. LPA informed the licensee about Incident Medical Services. Licensee states there are no children enrolled with I.M.S. Licensee understands if children receive services an operational plan is required.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 197492900
	VISIT DATE: 06/20/2019

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Licensee was reminded that children are to be supervised inside and outside of the home.
LPA discussed discipline policies, personal rights, civil penalties and appeal rights. LPA reminded licensee about reporting unusual incidents and injuries.

LPA reviewed children's records at 12:45PM which are complete. Immunization records are to be obtained from parent's prior to a child being left with provider. Immunization records shall be kept on blue cards from the local health department. Licensee has immunization records for herself and assistant. Licensee was informed in regards to obtaining quarterly child care updates and mandated training on the department's website www.ccld.ca.gov.

LPA reminded licensee that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome). Also no smoking is allowed on a day care premises. Never shake a baby to prevent Shaken Baby Syndrome. Children may only be in high chairs if they are eating. Hands must be washed after every diaper change. No baby walkers, exersaucers or baby bouncers are allowed on day care premises. No infant seats that bounce, rock or shake are allowed on the premises.

The licensee has the required forms posted for parents to view.

There are no violations observed.

Exit interview.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

LIC809 (FAS) - (06/04)

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