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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629728
Report Date: 11/18/2024
Date Signed: 11/18/2024 09:32:15 AM

Document Has Been Signed on 11/18/2024 09:32 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:QUEZADA MARTINEZ, WENDY FAMILY CHILD CAREFACILITY NUMBER:
376629728
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
11/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Wendy Quezada MartinezTIME VISIT/
INSPECTION COMPLETED:
09:30 AM
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On 011/18/24 at 8:40 am, Licensing Program Analyst (LPA) Adrian Castellon conducted an announced capacity increase inspection with licensee Wendy Quezada Martinez. Purpose of the inspection is to ensure that all requirements are met so that a large license capacity 14 may be issued A San Diego Fire Department fire clearance report dated 10/23/24 was received by the SDRO. Licensee Martinez will use the following areas for child care: living room, playroom, bedroom #1, hallway bathroom, and fully fenced backyard. Off limits areas include: bedrooms #2, 3 and 4, kitchen, and garage which are properly secured. Licensee will utilize a fully fenced backyard for outdoor activities. There are no bodies of water observed during time of visit. Licensee states that there are no firearms in the home. The fire extinguisher, carbon monoxide detector and smoke detector meet requirements and are operational. There was one child present along with a cleared assistant (husband).

LPA Castellon discussed Safe Sleep process on this date. LPA reviewed Safe Sleep 15 minute check log on this date. LIC9227 present in child's folder.

A large license may be issued after a final file review. An exit interview was conducted, and the report was reviewed with the licensee. 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 penatly of $100. No deficiencies were cited.
SUPERVISORS NAME: Cynthia Biszant
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2024
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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