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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376620613
Report Date: 02/03/2022
Date Signed: 02/03/2022 02:18:36 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:
02/03/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Esperanza MartinezTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) D. Sanchez made an unannounced Case Management inspection in response to the room addition inspection request. LPA was greeted and allowed entry into the facility by Esperanza Martinez, who was advised of the purpose of today’s inspection. This facility is a two story, four bedroom, three bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection.
Daycare areas includes: Living room, dining room, kitchen, new room addition located behind the garage and backyard. Off limits areas includes: second floor, bedrooms and bathroom located in the first floor and garage. LPA noticed that all required notices, License and forms were properly posted. The house smoke and carbon monoxide detectors are operable and fire extinguisher is fully charged. The new room addition will be the main daycare room. New room addition has a bathroom inside for daycare purposes.
The front door of the house will still remains as the main entrance to the daycare. Provider stated that she will no longer be using the bathroom located next to the dining room for daycare purposes.
A review of all adults living in this home who require caregiver background checks have received criminal record and child abuse clearances or exemptions. First Aid and CPR are up to date. Provider stated that they do not have hand gun or ammunition in this house.
LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.
Community Care Licensing WEB SITE: http://www.ccld.ca.gov

The following items needs to be corrected and completed by February 17, 2022:
· Place door knob protection on garage door
· Remove or Secure tall cubbies cabinet
No deficiencies were cited during today's inspection. An exit interview was conducted with Esperanza Martinez and a copy of this report left at the facility.
LPA observed provider placing the Notice of Cite Visit on the wall visible to parents during today’s inspection.
NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2022
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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