147700015-12-3-2024-12-CC-CALI-DBLW5R-20241203155934

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 147700015
Report Date: 12/03/2024
Date Signed: 12/03/2024 03:59:51 PM

Document Has Been Signed on 12/03/2024 03:59 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	Cassie and Luis Martinez		FACILITY NUMBER:	147700015
ADMINISTRATOR/ DIRECTOR:	Cassie&Luis Martinez		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 872-3272
CITY:	Bishop	STATE: CA	ZIP CODE:	93514
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 9	DATE:	12/03/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:55 PM
MET WITH:	Cassie Hernandez, Licsenee		TIME VISIT/ INSPECTION COMPLETED:	04:10 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 12/3/2024, Licensing Program Analyst (LPA) Crystal Ali conducted an unannounced annual random inspection. The LPA disclosed the purpose of the inspection and was granted entry by the Licensee. The Licensee guided the LPA on a tour of the home. Upon entry to the facility, the LPA observe 9 children in care and licensee and assistant (daughter) providing care and supervision. An adult son lives in the home. The adult children have been fingerprinted. LPA received proof of completion and other evidence. However, the clearances are not in guardian. LPA provided the guardian contact information to licensee to fix this issue. Licensee's facility child roster is current and maintained up to date. There are no IMS children. The operational childcare hours are Monday through Friday from 8am to 5pm. Staffing Ration and Capacity: This is a one-story family home. There is a living room, dining room, den, kitchen, three bedrooms, two bathrooms, laundry area, backyard and detached attached garage. The off-limits areas are all bedrooms, one bathroom (left side of home with two bedrooms), and detached garage. There are no bodies of water on premises. Per the Licensee, there is no smoking and no weapons on the premises.

Claretta Yates	TELEPHONE: (661) 202-3318
Crystal Ali	TELEPHONE: (661) 202-3409
	DATE: 11/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024

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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: Cassie and Luis Martinez	FACILITY NUMBER: 147700015
	VISIT DATE: 12/03/2024

NARRATIVE

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Physical Plant: The daycare areas are the living room, dining room, kitchen, den, bathroom next to the den. Licensee does provide food for the children. Licensee is in the food program. The children can bring packed lunches and snacks. Those lunch boxes that don’t have ice packs are placed in the refrigerator for the children in care. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. The window blind cords are inaccessible to children. There are three dogs, eight cats, and one tortoise on premises that do interact with the children. Licensee states all pets are current on their vaccinations. There is a working landline and cell phone, always charged and kept with licensee. There are age-appropriate toys and equipment on the premises. The First Aid kit included a temperature thermometer, tweezer, scissors, gauzes, and cleansing pads/solution was observed to be complete and inaccessible to children kept high in hallway cabinet near kitchen with safety latch. LPA informed licensee that since she has a large capacity daycare, the facility is required to have a singe action door handle on the two main exits and requires a fire pull system.
Napping: Children are provided napping when needed. Licensee has one play pen and couch current for napping. Licensee states that when she has several children, she will bring out the cots to be used. Eight cots are stored in the garage. Two additional play pens are stored in closet and garage.
Transportation: The licensee does not provide transportation. Licensee and her assistant will walk to the school to pick up the children.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: Cassie and Luis Martinez	FACILITY NUMBER: 147700015
	VISIT DATE: 12/03/2024

NARRATIVE

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Kitchen: Knives are kept in the kitchen drawer to the left of the sink, inaccessible to children in care. Medication is kept in the kitchen in a high cabinet on top of the stove in locked boxes, inaccessible to children in care. Licensee reports that there are no children on medication. Cleaning supplies and chemicals are kept in the inaccessible under the kitchen sink area away from children in care. Children with allergies is written on the child file. Licensee states there are no children with allergies at this time.
Fire Extinguisher: The required fire extinguisher (2A10BC) is reading in green and is located on the wall in the hallway near the kitchen. Smoke and carbon monoxide detectors were found to be in compliance. Tested at 3:13pm. Fire and Disaster drills are conducted at least every six-months, last drills were recorded on 10/4/24 for Earthquake/Disaster and Fire Drill. Licensee stated they will complete fire/earthquake drill this month.
Bathroom: The daycare bathroom is located across from the den next to the bedroom #3. It has 1 sink, 1 toilet and 1 shower. Bathroom is clean and in good repair.
Outdoor Space Activity: The outdoor area is the backyard. The back yard is free of sharp objects, broken toys/furniture & equipment, and other debris. The backyard has the attached garage locked, three cat enclosures, and one large play equipment anchored to the ground.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: Cassie and Luis Martinez	FACILITY NUMBER: 147700015
	VISIT DATE: 12/03/2024

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Records/Documentation: LPA reviewed with facility representative the LIC 311A, records to be maintained at the facility, for child’s records, personnel records, administrative records, and parent board. Licensee was able to provide a valid Pediatric CPR/First Aid training valid until 12/2/25. Child Care Provider Mandated Reporter Training Certificate has been completed expires 11/6/26. Licensee’s and assistant (daughter) files are complete. Licensee informed LPA that her husband (co-licensee) is not helping her currently care for the children due to him working. Licensee daughter is her assistant. Children’s Records files are complete. Licensee had all the required posted documents: Facility License (LIC 203A, Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148).
Criminal Record Clearance - Family Child Care Homes
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 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.
Safe Sleep - Family Child Care Homes
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-andresources/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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: Cassie and Luis Martinez	FACILITY NUMBER: 147700015
	VISIT DATE: 12/03/2024

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, 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: https://www.ada.gov/resources/child-care-centers/.
MyChildCarePlan.org – Family Child Care Homes
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
Megan’s Law - Family Child Care Homes
During the exit interview, the Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Cassie Martinez.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

LIC809 (FAS) - (06/04)

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