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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376620613
Report Date: 06/24/2019
Date Signed: 06/24/2019 03:13:23 PM

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:MARTINEZ, ESPERANZA FAMILY CHILD CAREFACILITY NUMBER:
376620613
ADMINISTRATOR:ESPERANZA MARTINEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 587-5010
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 0DATE:
06/24/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Esperanza MartinezTIME COMPLETED:
03:00 PM
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LPA Armando Locano, completed an unannounced case management site inspection today, met with licensee Esperanza Martinez, no daycare children were present during the visit. Licensee is in the process of adding a new large play room to the home, the construction is being completed with all proper City of Chula Vista and Zoning Department permits. LPA is verifying on this visit, that the construction of the new addition continues to be off limits and does not interfere with the daycare operation.

Per tour of the home, there were plenty of toys and equipment available for various age groups in the home and other areas used for childcare were found to be properly childproofed.

LPA Reviewed with licensee SIDS and Shaken Baby Syndrome information, car seat regulations and new LEAD information regarding effects of lead exposure.

There are no deficiencies cited on this visit, all paperwork was in order, properly posted and the home was properly childproofed.

LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed licensee posting notice during visit.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019
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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