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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845433
Report Date: 06/19/2019
Date Signed: 06/19/2019 11:53:12 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MARTINEZ FAMILY CHILD CAREFACILITY NUMBER:
334845433
ADMINISTRATOR:MARTINEZ, EDNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 858-9482
CITY:EASTVALESTATE: CAZIP CODE:
92880
CAPACITY:14CENSUS: 0DATE:
06/19/2019
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:41 AM
MET WITH:Edna MartinezTIME COMPLETED:
11:55 AM
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Licensing Program Analyst (LPA) Kim Leung arrived at the facility to conduct a follow up inspection. During this inspection, applicant Edna Martinez submitted an updated LIC279 Application Form updating the hours of operation. Applicant is now requesting to operate the facility Monday through Friday from 8am to 8:30pm. Applicant stated that the operation of the family child care home, once licensed, would begin on 9/3/2019.

During previous inspection on 3/29/2019, applicant was required to complete the following:
1. Secure the gates to prevent access by children to the off limit kitchen where batteries and sharp knives are stored
2. Make the hazards stored in the garage inaccessible to children
3. A fire clearance

A fire clearance has been obtained on 6/10/2019.

During this inspection, LPA toured the facility, inside and out and observed that the kitchen has been gated at both ends. The cleaning solutions in the garage have been removed. LPA observed no hazards accessible to children during this inspection. Applicant stated that the backyard would be inspected on a daily basis to remove dog feces prior to the arrival of child care children.

Facility meets regulatory requirements, this application would be submitted for approval for a capacity 14 children, ages 3 years to 12 years. Exit interview was conducted with Ms. Martinez and a copy of this report was provided to Ms. Martinez.

This report must be made available at the facility for 3 years for public review upon request.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2019
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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