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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629269
Report Date: 01/11/2023
Date Signed: 01/11/2023 04:04:39 PM

Document Has Been Signed on 01/11/2023 04:04 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MARTIN, HEIDI FAMILY CHILD CAREFACILITY NUMBER:
376629269
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
01/11/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Heidi MartinTIME COMPLETED:
04:10 PM
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On 1/11/2023 at 1:30 pm, Licensing Program Analyst (LPA), Vicky Williamson conducted an unannounced inspection for the purpose of a room addition. LPA met with Licensee Heidi Martin and disclosed the purpose of the inspection. Also present was Assistant Yolanda Gomez Diaz and six (6) daycare children (ages 8 months to 10 years), two (2) of whom were infants. Hours of operation are Monday – Friday, 6:00 am – 6:00 pm.

On 12/1/2022, Licensee submitted a request to utilize the master bedroom as an accessible area to daycare children.



The inside and outside of this single story 3-bedroom, 3-bathroom home was toured and inspected. Licensee will use the following areas for childcare: living room, kitchen, dining area, master bedroom, bathroom #1, covered back patio in backyard, and fully fenced front yard. Off-limits areas include: master bathroom, bedroom #2, bedroom #3, bathroom #2, laundry room, pantry area, fenced dog run area on right side of backyard and backyard area outside of covered patio. Inaccessible areas are made inaccessible to daycare children through the use of door locks, safety latches, gates, and fencing.

A review of staff and children records verified that the facility is in compliance. First Aid and CPR certifications for Licensee Heidi Martin expire 9/2023 and Assistant Yolanda Gomez Diaz 8/2024. Fire extinguisher, smoke alarms and carbon monoxide meet requirements. The last safety drill was on conducted on 9/2/2022. There are no bodies of water on the premises. Per the Licensee, there are no weapons or ammunition present at the facility.

LPA observed two play yards for each infant. Play yards are free from all loose articles and objects. The provider physically checks on sleeping infants every 15 minutes. An Individual Infant Sleeping Plan is maintained for each infant up to 12 months of age.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2023
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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MARTIN, HEIDI FAMILY CHILD CARE
FACILITY NUMBER: 376629269
VISIT DATE: 01/11/2023
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The Licensee is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248.

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



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.

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.

No deficiencies cited. Exit interview conducted and copy of this report was provided to Licensee Heidi Martin. A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023
LIC809 (FAS) - (06/04)
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