Community Care Licensing

Document Has Been Signed on 05/05/2022 11:51 AM - It Cannot Be Edited

FACILITY NAME:	MARTINEZ, GRACIELA FAMILY CHILD CARE		FACILITY NUMBER:	376620238
ADMINISTRATOR:	GRACIELA MARTINEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 421-3576
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91911
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 6	DATE:	05/05/2022
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Graciela Martinez, Provider		TIME COMPLETED:	11:55 AM

SUPERVISORS NAME: Jason Garay LICENSING EVALUATOR NAME: Diana Sanchez LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2022

Link to Parent Document Below:

FACILITY NAME: MARTINEZ, GRACIELA FAMILY CHILD CARE	FACILITY NUMBER: 376620238
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/05/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/09/2022 Section Cited CCR 102416.2(b)	1 2 3 4 5 6 7	Reporting Requirements. The licensee shall report to the Department any of the events as specified in Health and Safety Code Section 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee understands that any future incidents that affect the health and safety of any child in care must be reported verbally to the San Diego Child Care Regional Office (SDCCRO) within 24 hours and then in written form LIC-624B within 7 days. Licensee states she will submit a written unusual incident report to analyst by 05/09/2022 to correct the deficiency.
	8 9 10 11 12 13 14	Based on licensee’s admission and records reviewed, licensee failed to submit a written unusual incident report about a significant lack of supervision incident that occurred on 02/10/2022, when three children walked out of the day care facility unsupervised, which poses an immediate Health and Safety risk to children in care.	8 9 10 11 12 13 14
Type B 05/09/2022 Section Cited HSC1596.8662(b)(1)	1 2 3 4 5 6 7	On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training... and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.	1 2 3 4 5 6 7	Provider stated that she will ensure to take the online training this week and will send a copy of current certificate to the San Diego Child Care Regional Office (SDCCRO) by the due date of 5/09/2022.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. Provider failed to renew AB-1207 Mandated Reported certificate dated 02/02/2018, which posed a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14

SUPERVISOR'S NAME: Jason Garay LICENSING EVALUATOR NAME: Diana Sanchez LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2022