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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334844210
Report Date: 05/31/2024
Date Signed: 05/31/2024 11:59:25 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2024 and conducted by Evaluator Lorena Valenzuela
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240328090850
FACILITY NAME:MARTINEZ FAMILY CHILD CAREFACILITY NUMBER:
334844210
ADMINISTRATOR:MIRELLA MARTINEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 702-1166
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 5DATE:
05/31/2024
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Mirella MartinezTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Licensee exposed children to toxic chemicals
INVESTIGATION FINDINGS:
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On May 31, 2024, Licensing Program Analyst (LPA) Lorena Valenzuela conducted an unannounced inspection at Martinez Family Child Care home and met with Licensee Mirella Martinez. The purpose of the inspection was to deliver the findings on the above stated allegation.

On April 4, 2024, LPA Lorena Valenzuela conducted a health and safety inspection of the facility, and no immediate concerns were noted. Copies of children’s roster, and other facility documents were obtained. Interviews were conducted with licensee, assistant #1, Adult 1, and two parents/authorized representatives.

On March 28, 2024, the Department received information that licensee exposed children to toxic chemicals. Confidential interviews revealed that licensee sprayed a weed killing product in the back yard, at least once, in the month of March 2024. Information received revealed licensee sprayed the toxic chemical while day care children were in care. Additional interviews revealed children in care played in the backyard while licensee sprayed the product.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 10-CC-20240328090850
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MARTINEZ FAMILY CHILD CARE
FACILITY NUMBER: 334844210
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2024
Section Cited
CCR
102417(g)
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102417 (g) Operation of a Family Child Care Home. The home shall be free from defects or conditions which might endanger a child.
This requirement was not met as evidence by:
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Licensee states will provide a written plan/statement on how will ensure children in care are not exposed to toxic chemicals, inlcuding not being accessible to children in care, will submit to the Department by due date 06/07/2024.
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Based on interviews, records review, evidence gathered, the licensee exposed children to toxic chemicals on at least one occasion. This poses a potential health, safety or personal rights risk to the 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.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20240328090850
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MARTINEZ FAMILY CHILD CARE
FACILITY NUMBER: 334844210
VISIT DATE: 05/31/2024
NARRATIVE
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Based on interviews and records review, the preponderance of evidence standard has been met, and the allegation that licensee exposed children to toxic chemicals, is substantiated. The facility is being cited under Title 22, Section 102417 (g) Operation of a Family Child Care Home. See deficiency report for citation cited.
An exit interview was conducted, and a copy of this report, LIC 9099-D, and appeal rights was provided to Licensee Mirella Martinez.
The Notice of Site Visit was provided, the licensee was reminded this notice must be posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2024 and conducted by Evaluator Lorena Valenzuela
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240328090850

FACILITY NAME:MARTINEZ FAMILY CHILD CAREFACILITY NUMBER:
334844210
ADMINISTRATOR:MIRELLA MARTINEZFACILITY TYPE:
810
ADDRESS:50212 SAN CAPISTRANO DRIVETELEPHONE:
(760) 702-1166
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: DATE:
05/31/2024
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Mirella MartinezTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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9
Licensee does not spend an adequate amount of time at the facility
Staff fed moldy food to children in care
INVESTIGATION FINDINGS:
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On May 31, 2024, Licensing Program Analyst (LPA) Lorena Valenzuela conducted an unannounced visit and met with Licensee, Mirella Martinez to deliver the findings of the above allegations.
On April 4, 2024, LPA Lorena Valenzuela conducted a health and safety inspection of the facility, and no immediate concerns were noted. Copies of children’s roster, and other facility documents were obtained. Interviews were conducted with licensee, assistant #1, Adult 1, and two parents/authorized representatives.
On March 28, 2024, the Department received information staff in the day care home fed moldy food to children in care and licensee does not spend an adequate amount of time at the facility.
Regarding the allegation that day care staff fed moldy food to children in care, interviews revealed Staff 1 was observed feeding moldy bread to children in care as part of a meal. Interviews revealed Staff 1 had removed the moldy parts of the bread but served the part that had no visible mold to children. Additional confidential interviews revealed no day care staff had served moldy food to children in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20240328090850
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MARTINEZ FAMILY CHILD CARE
FACILITY NUMBER: 334844210
VISIT DATE: 05/31/2024
NARRATIVE
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Regarding the allegation licensee does not spend an adequate amount of time at the facility, interviews revealed that licensee was leaving the day care home at least three times a week for an unknown amount of time. Confidential interviews revealed licensee has left the day care home to do errands but has not left the day care more than the twenty percent of the time allowed per day.
Based on interviews and records review, the allegations, staff in the day care home fed moldy food to children in care and licensee does not spend an adequate amount of time at the facility, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report, appeal rights and Notice of Site Visit were provided to licensee, Mirella Martinez.
The Notice of Site Visit was posted by the licensee prior to LPA leaving the facility and the licensee was reminded this notice must be posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5