198400668-7-24-2024-54-CC-CKAM-D7GQ7T-20240724115541

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400668
Report Date: 07/24/2024
Date Signed: 07/24/2024 11:55:58 AM

Document Has Been Signed on 07/24/2024 11:55 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	MARTINEZ FAMILY CHILD CARE		FACILITY NUMBER:	198400668
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS:	DATE:	07/24/2024
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:40 AM
MET WITH:	Erika Martinez		TIME VISIT/ INSPECTION COMPLETED:	12:35 PM

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On 7/24/24 at 9:40 AM Licensing Program Analysts (LPA) Claudia Kam conducted an unannounced a capacity increase inspection to the above-mentioned address. LPA disclosed the purpose of the inspection and was granted entry to the facility by the licensee.

Entrance Checklist was provided to the applicant. The licensee is requesting a large family childcare home license. Per licensee, operation hours will be Monday through Friday, 6:00 AM to 6:00 PM. Applicant states that they will care for children ages 0-13 years old and up. Licensee, Erika Martinez guided LPA on a tour of the home. LPA observed 4 total adults present during the inspection. All adults living in the home have been live scanned, cleared and associated to the home. Individuals residing in the home have been noted and discussed. There were 5 children present all of preschool age during the inspection. Licensee has 7 children enrolled per verification with licensee and review of roster.

This is a single-story home that consists of 3 bedrooms, 1 bathroom, kitchen, living room, dining room, backyard and detached garage. The off-limit areas of the home are the kitchen and all bedrooms. The kitchen is made off limits via a wooden gate at the entry and exit doors. The bedroom doors are maintained closed and locked during care hours. LPA has observed doors to be closed and locked at time of inspection. Main care area is located at the entry of the facility in the living room and dining room area. LPA observed a child size sofa, large sofa, reading nook, dramatic play area, science area, music corner, activity area rug for rug time. For meals there is a dining table and child size table and chairs, chairs for feeding with trays for infants and toddlers. A crib, cots for sleeping were observed. There are cubbies at the front door for the children's belongings in the main care area. Required postings observed at time of inspection. The licensee has completed the required Health and Safety Training, Nutrition, and Lead Training, Mandated Reporter Training and Pediatric First Aid and CPR. Licensee has proof of required immunization records. Assistants have required training and immunization records on file. There are first aid supplies available. LPA observed that the Applicant has a 2A10 BC fire extinguisher in the home serviced 12/26/2023. Smoke detector was tested and was operable at time of inspection. Cleaning supplies, chemicals, solvents, poisons and medications are stored out of reach and inaccessible to children; in the garage which is kept locked and inaccessible as it is separated from the property and backyard.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 198400668
	VISIT DATE: 07/24/2024

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The licensee was advised that any poisons must be locked, not just inaccessible. Licensee states there are no guns in the home. LPA did not observe any of the bodies of water, hazardous items, or firearms at time of inspection. Licensee stated they do have a small dog but it stays the off limits bedrooms at all times. All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. In addition the areas accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. Wall air conditioning unit observed functioning at time of visit. The licensee understands that licensing staff may have access to off-limit areas during inspection visit if necessary.

The bathroom was observed to be clean with an operable sink, faucet and toilet. Licensee has reported that food will be provided by the licensee. Meal area will be in the main care area. Licensee kitchen has been observed to be free of hazards and refrigerator has been observed to be in good condition at time of inspection. Food was observed to be properly stored and refrigerated at time of inspection.

The outdoor play area is located off the kitchen in the backyard. LPA have observed perimeter fencing and play area to be equipped with a dramatic play area with a toy kitchen and toy foods, a toddler size wooden play structure, water table with water toys, preschool size slide, cubbies with book, Legos, toy cars, mazes, musical instruments. There is a large shade sail shading the play area. There is padding and artificial grass covering the floor of the play area. Off limits areas are separated by a wooden gate that surrounds the play area in the outdoor play area. LPA observed the area to be free of loose and sharp parts available for the children in the yard. All trees, shrubs, and plants are maintained and those in the play area have the trunks covered in a soft mesh.

LPA observed operable telephone service via a cell phone. Licensee was advised the cell phone must be kept at the facility during operation hours.

Licensees reminded that smoking is prohibited on the premises. LPA advised to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations. LPA informed the Child Care Advocate Program (CCAP) provide many other helpful resources to the licensees and the public. Visit www.cdss.ca.gov to receive important updates.
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 198400668
	VISIT DATE: 07/24/2024

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LPA reviewed with licensee, the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

Employee records must be maintained by the applicant and shall contain the following: A review of the employee records was conducted. All employees must have the following in their facility file: LIC 9052/Employee Rights, LIC 9108 Mandated Reporter Form, An employment contract or application containing the following information: Employees Full Name, Date of Birth, Driver's License Number, Date of Employment, Documentation of Health and Safety Training, Duties of the employee. Records for employees as well as children must be maintained for 3 years after separation for the FCCH. LPA advised the applicant how to access forms, regulations, and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Because the licensee rents the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

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) or (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.

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,

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 198400668
	VISIT DATE: 07/24/2024

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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.

On this date, 7/17/24, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Licensee was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview conducted and report was reviewed with the licensee Erika Martinez. A copy of this report was given, and appeal rights were issued and discussed.

No corrections needed at time of inspection.

A family childcare license may be granted upon Licensing Program Manager (LPM) Approval for requested large facility license. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024

LIC809 (FAS) - (06/04)

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