376100788-7-22-2021-51-CC-JREG-C56MD2-20210722093025

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100788
Report Date: 07/22/2021
Date Signed: 07/22/2021 09:30:42 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	MARTIN, ISABEL FAMILY CHILD CARE		FACILITY NUMBER:	376100788
ADMINISTRATOR:	ISABEL MARTIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 975-3581
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92069
CAPACITY:	14	CENSUS: 0	DATE:	07/22/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Applicant Isabel Martin		TIME COMPLETED:	09:40 AM

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 7/22/21 @ 8:50 a.m., LPA, Joelle Redding, met with Applicant Isabel Martin, for the purpose of a Pre-Licensing inspection. Applicant has applied for a change of location on 6/14/21. Fire clearance clearing the converted garage for use was received on 7/8/21. License is a Head Start Provider. LPA toured the home. It is a one story home with four bedrooms and two bathrooms. The garage was converted by the owners almost 50 years ago. Although the fire marshal wasn't able to locate the permits as they were issued so long ago, she cleared it for use and it looks like any other room in the home. Drop off and pick up is through the side gate. Applicant has posted all required documents and has all Covid-19 recommended postings and procedures in place. There is a working telephone on the premises. LPA did not note any hazardous items accessible to children. The fireplace is secured and there are no bodies of water or weapons/firearms or ammunition in the home or on the property. Licensee does have a small blow up pool she uses for her grandkids when they visit but does not have water in it when the day care children are here. The fire extinguisher size (2A10BC or larger) meets requirements and is fully charged, mounted in the child care room. The dual smoke detector/carbon monoxide detector (located on the ceiling in the family room) is operational. Applicant’s Pediatric CPR/FA certification with Heartsaver is valid through 1/22. All adults living or working in the home have been fingerprint cleared and associated and immunization requirements have been met. Control of property was verified. Current Mandated Reporter Certificate is on file. Applicant will use the converted garage, a gated portion of the fully fenced back yard and the hallway bathroom for day care. The children will nap in the family room. Off limits areas of the home include the bedrooms, laundry room and one half of the yard. These areas have been made inaccessible with the use of gates and door knob covers. Bathroom and kitchen cabinets and drawers are latched. Outdoor play area is fully-fenced and equipped with age-appropriate play equipment and toys, in good condition. Applicant has divided half of the yard for use by the day care children with the other half for personal use.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: MARTIN, ISABEL FAMILY CHILD CARE	FACILITY NUMBER: 376100788
	VISIT DATE: 07/22/2021

NARRATIVE

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Applicant was reminded of requirements for children’s records, child abuse reportingunusual incident reporting, immunizations, criminal background clearance procedures and policies, posting requirements. and Safe Sleep procedures. Applicant was reminded that walkers, exersaucers, bouncy seats, jumpers, drop side cribs and napping portables are not to be used for day care. Smoking during in or around day care areas is prohibited.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. No services are being provided. Applicant will contact LPA for assistance if a Plan is required.

Applicant is signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov.

No corrections are required. Upon final file review, the change of location will be granted and a new license will be sent for posting.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021

LIC809 (FAS) - (06/04)

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