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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423505
Report Date: 03/25/2025
Date Signed: 03/25/2025 02:29:08 PM

Document Has Been Signed on 03/25/2025 02:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:MARTINEZ SANCHEZ, KARLAFACILITY NUMBER:
013423505
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
03/25/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Karla Martinez SanchezTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 03/25/2025 at 8:30am Licensing Program Analyst (LPA) Janai McClain arrived at the facility for an unannounced required inspection. LPA met with the licensee Karla Martinez Sanchez. Present during the inspection were 5 preschoolers and 1 school age child in care. LPA toured the areas of the home that are used for children in care, with the licensee, to conduct a health and safety inspection. The operating hours are Monday through Friday 8:30am to 6pm.

The home is an apartment on the second floor which is neat and clean with heating and ventilation for safety and comfort. The home consists of the living room, kitchen, dining room, three bedrooms and two bathrooms.

The OFF LIMIT areas include the kitchen, dining area, bathroom and two bedrooms on the right side of the hall which will be made inaccessible by closed and/or locked doors. The ON LIMIT areas include the living room and dining room, as well as, the bathroom and bedroom on the left side of the hall. The ISOLATION AREA will be in the living room near the window.

The outdoor play area is a park where the licensee will maintain one hundred percent supervision. There is an ample supply of age appropriate furniture, equipment, toys and activities that are safe and appear to be in good repair. LPA did not observe any hazardous items, or medications accessible to children today. Per licensee there are no firearms in the home.
**********************************Report Continues on LIC 809-C*******************************
NAME OF LICENSING PROGRAM MANAGER: Mayla Mendoza
NAME OF LICENSING PROGRAM ANALYST: Janai McClain
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2025
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: MARTINEZ SANCHEZ, KARLA
FACILITY NUMBER: 013423505
VISIT DATE: 03/25/2025
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The home has a fully charged 2A10BC fire extinguisher, smoke detector, carbon monoxide detector, and telephone. The licensee's CPR/First Aid certificates are current and expire in 07/2025. The licensee's mandated reporter training was completed on 02/8/2024. The last fire/disaster drill is documented as being conducted on 11/18/24. LPA verified that all required postings are visible. The licensee has liability insurance.

Incidental Medical Services (IMS) policy was discussed. The Licensee is not currently providing IMS to the children in care. For IMS information see PIN 22-02. When any IMS is a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed on Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. LPA provided the Licensee with the Infant Safe Sleep Regulations.
**********************************Report Continues on LIC809-C*******
NAME OF LICENSING PROGRAM MANAGER: Mayla Mendoza
NAME OF LICENSING PROGRAM ANALYST: Janai McClain
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: MARTINEZ SANCHEZ, KARLA
FACILITY NUMBER: 013423505
VISIT DATE: 03/25/2025
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

During the Exit Interview, Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

No deficiencies were cited during today's visit.

Exit interview conducted and report was reviewed with Licensee Karla Martinez Sanchez.
Report and Appeal Rights were provided.
A notice of site visit was given and must remain posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Mayla Mendoza
NAME OF LICENSING PROGRAM ANALYST: Janai McClain
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC809 (FAS) - (06/04)
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