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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455407741
Report Date: 05/17/2021
Date Signed: 05/17/2021 04:49:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:MARTIN FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407741
ADMINISTRATOR:MARTIN, KATIE & WILLARD JRFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 921-1935
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:14CENSUS: 0DATE:
05/17/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:27 PM
MET WITH:Katie MartinTIME COMPLETED:
02:46 PM
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 On 5/17/21 at 2:27pm The facility inspection was conducted via tele-inspection Zoom due to the current state of emergency regarding the COVID-19 outbreak by Licensing Program Analyst, Mendez.

The Case Management inspection was in response to an application for an additional room that was received by the Department. The licensee has requested to use an additional room that was built outside. Licensee's CPR/First Aid is current, Mandated Reporter Training was completed on 3/10/21 and submitted.


LPA Mendez toured the facility. Licensee had turned pool house into a classroom which is next to the house, parents dropping off and picking up children will be entering through the side gate. The main house will be off limits. The additional room is the classroom, all areas of the room are accessible except for the kitchen area which is blocked off by baby gates. Children have access to a bathroom inside the classroom. There are two hand washing stations for the children. There is a working smoke alarm and carbon monoxide detector.

Based on the space/accommodations available at this facility and the fire marshal granting their approval on 5/11/21 for the additional room to accommodate 14 children, the request is granted. LPA Mendez will add facility sketch to licensee's file An exit interview was conducted with licensee.

Notice of Site Visit was given to licensee to post for 30 days.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2021
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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