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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005559
Report Date: 02/22/2022
Date Signed: 02/25/2022 08:12:42 AM

Document Has Been Signed on 02/25/2022 08:12 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MARTINS, MEIRE R.FACILITY NUMBER:
214005559
ADMINISTRATOR:MARTINS, MEIRE R.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 913-8239
CITY:GREENBRAESTATE: CAZIP CODE:
94904
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
02/22/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Meire Rosa MartinsTIME COMPLETED:
12:10 PM
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LPA Haydee Caliboso arrived at home on 2/22/22 at 11:25am and met with Licensee, Meire Rosa Martins in response to a request for a change of areas of care in the home. Present during the inspection were the licensee, licensee’s 10-year old son, 3 infants and 1 toddler children. The licensee is operating within capacity requirements on this day. LPA inspected the home for health and safety hazards. The home has multiple smoke detectors, carbon monoxide detector, and fully charged fire extinguisher and a working telephone. The licensee’s home is clean, orderly, and equipped with age-appropriate toys for children. . Licensee has installed a pull fire alarm,

Daycare areas: lower lever of the home, lower/upper outdoor yard, kitchen area/nook only during rainy days for napping infant, restroom hallway located at the 2nd level of the home. Off limit areas: all bedrooms located at the 2nd level of the home, living room area of the home, all closets at the lower level of the home. LPA reminded the Licensee that all closets shall remain locked during the hours of care. Off limit areas ar gated and made inaccessible to children. LPA reminded the Licensee about Safe Sleep Regulations that all napping infant (at kitchen area/nook during rainy days) must be supervised at all times and Licensee must be on the same level of the home while infants are napping. The backyard is completely gated and fenced off, and the surface of the play area is made from artificial turf. Home does not have a swimming pool, spa, hot tub, fishpond, or any other bodies of water. Licensee stated there is no firearms of weapons in the home.
Cont. 809-C pg. 2
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MARTINS, MEIRE R.
FACILITY NUMBER: 214005559
VISIT DATE: 02/22/2022
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/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.

The Licensee was reminded about Mandated Reporter training available on the CCLD website. In addition to the AB1207 a total of 7 hrs training must be completed every two years by all staff hired, a one-time General Training is also required. Training can be taken online at www.mandaterreporterca.com.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm
Cont. 809-C pg. 3
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022
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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MARTINS, MEIRE R.
FACILITY NUMBER: 214005559
VISIT DATE: 02/22/2022
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Capacity limits for a large family day care has been reviewed with the Licensee. Licensee was reminded that when operating at a large capacity, there must be a helper present. Capacity limit resource was provided to the licensee through email.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with Meire Rosa Martins. Today’s report and notice of site visit will be sent to the Licensee by the end of the day on 02/22/22. Confirmation of receipt is required.

>No deficiencies were cited today under Title 22 Division 12 of the California Code of Regulations.
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022
LIC809 (FAS) - (06/04)
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