543910466-3-3-2020-04-CC-JTHN-BMCVMU-20200303153409

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543910466
Report Date: 03/03/2020
Date Signed: 03/03/2020 03:34:14 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	MARTINEZ, TANYA FAMILY CHILD CARE		FACILITY NUMBER:	543910466
ADMINISTRATOR:	MARTINEZ, TANYA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 741-5708
CITY:	VISALIA	STATE: CA	ZIP CODE:	93291
CAPACITY:	14	CENSUS: 11	DATE:	03/03/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Tanya Martinez - Licensee		TIME COMPLETED:	03:40 PM

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 03/03 Licensing Program Analyst (LPA) Jessika Thompson conducted an unannounced One Year Required inspection. LPA with met with Licensee Tanya Martinez and a census was taken. Also present was licensee’s assistant/husband Gabriel Martinez. A tour of the facility was made. Background clearances were discussed, and licensee confirmed all adults residing and/or providing care and supervision have a criminal record clearance. Licensee and Mr. Martinez have current pediatric CPR and First Aid that expire on 02/23/22. Accessible rooms are the living room, dining area, kitchen, bedroom #1, office, and hall bathroom. Bedroom #1 is used as a napping room for preschool children, and the office is used as a napping room for children under age one. Off-limit rooms are made inaccessible with child safety plastic doorknob covers. The home is clean and orderly, with heating and ventilation for safety and comfort. Safe, healthful, and comfortable accommodations, furnishings, toys and equipment were observed. There are no pets on the premises. A current roster of children in care is maintained. LPA verified that immunization records are maintained, and licensee updates records for children in care. Licensee provides a copy of Parent’s Rights to all parents and/or child’s representatives. Licensee ensures that children in care are supervised at all times. Fire and disaster drills are conducted at least once every six months and documented with the date and times. There are firearms or no bodies of water on the premises. Detergents, cleaning compounds, and other items which could pose a danger to children are stored where they are inaccessible to children. Facility has required fire extinguisher and smoke detector, both meet State Fire Marshall standards. Facility has one functioning carbon monoxide detector that meets statutory requirements. Safe sleep practices for infants were discussed and LPA provided the licensee with a handout. Lead safety was discussed, and LPA provided Licensee with a brochure. Licensee understands that lead safety information must also be provided to parents and/or authorized representatives of children in care. Provider Information Notices were discussed, and licensee is subscribed to receive updates via email. Licensee is aware that forms and updated information may be obtained on the following Community Care Licensing (CCL) website: www.ccld.ca.gov.The requirement of Child Abuse Mandated reporter training certification was discussed. Licensee was advised that this certification must be renewed every two years(Continued on LIC809-C).

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika Thompson	TELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MARTINEZ, TANYA FAMILY CHILD CARE	FACILITY NUMBER: 543910466
	VISIT DATE: 03/03/2020

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Licensee understands that it is her responsibility to stay current with Title 22 Regulations. Licensee was encouraged to visit the U.S. Consumer Product Safety Commission web page at www.cpsc.gov to ensure that equipment purchased for the day care has not been recalled.

Incidental Medical Services (IMS) are not currently being provided. Licensee was advised that if/when any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

Licensee was advised that the Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO (1-844-538-8766).

Hours of operation are Monday through Friday from 6:00 AM to 5:30 PM and as arranged; less than 24 hours. Licensee is reminded of inspection authority by employees of the Department at any time, with or without advance notice.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiencies were cited today.

Notice of Site Visit (LIC9213) is required to be posted for 30 days.

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika Thompson	TELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

LIC809 (FAS) - (06/04)

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