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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566208643
Report Date: 07/25/2022
Date Signed: 07/26/2022 02:01:35 PM


Document Has Been Signed on 07/26/2022 02:01 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 07/26/2022 12:06 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

NARRATIVE
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 This is an amendment to report issued July 25, 2022
On July 25, 2022 at 3:15 PM Licensing Program Analyst (LPA) Laura Villanueva conducted an unannounced Case Management-Legal/Non-compliance inspection. Licensee was not present at the time of inspection.

The department has determined that a Civil Penalty will be issued for the substantiated allegation of sexual abuse of day care children, while in the care of the Licensee, Leonila Martinez. LPA left a copy of the Civil Penalty Assessment-Serious Bodily Injury/Physical Abuse (LIC421D) on front porch, The facility has been found in violation of one or more requirements for which an immediate civil penalty is warranted in accordance with one of the following California Health and Safety Code Sections: 1596.99 (e) or (f) 1597.58(e) or (f). You are hereby notified that a civil penalty of $2,000 is assessed for a violation that resulted in serious bodily injury/serious injury to a client of that constitutes physical abuse of a client.

The following deficiencies are being cited in accordance to Title 22 of the California Code of Regulations and/or Health & Safety codes. Please refer to LIC9099D OR LIC809D for documentation of deficiencies cited.

An exit interview was not conducted due to Licensee not being available. A copy of this report, along with Appeal Rights (LIC9058 10/16), and the LIC421D were left on the front porch of the facility. LPA left a voicemail for licensee advising her of documents left for her review. LPA left a business card with paperwork. A notice of site visit was left to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA observed and took a picture showing the Temporary Suspension Order (TSO) posted on front door of facility indicating closure of child care.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:
DATE: 07/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/25/2022
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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Document is an Amendment of Original Document on 07/26/2022 12:12 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117


FACILITY NAME: MARTINEZ FAMILY CHILD CARE
FACILITY NUMBER: 566208643

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/25/2022
Section Cited

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1596.885 Conduct Inimical. The Department may...revoke any license...issued...upon the following grounds...(c)Conduct which is inimical to the health, morals, welfare, or safety of...an individual...receiving services from the facility...
This requirement was not met as evidenced by:
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Based on police reports: S1 engaged in inimical conduct, which poses an immediate Health and Safety risk to the children in care.
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Type A
07/25/2022
Section Cited

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102417 Operation of a Family Child Care Home(a) The Licensee shall be present in the home and shall ensure that children in care are supervised at all times...

This requirement was not met as evidenced by :
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Based on police reports reviewed, Licensee's absence led to the abuse of C1 and C2 by S1which poses an immediate Health and Safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:
DATE: 07/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/25/2022
LIC809 (FAS) - (06/04)
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