426216798-3-21-2025-17-CC-JMEZ-DEYU92-20250321152225

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216798
Report Date: 03/21/2025
Date Signed: 03/21/2025 03:22:42 PM

Document Has Been Signed on 03/21/2025 03:22 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	MARTINEZ FAMILY CHILD CARE		FACILITY NUMBER:	426216798
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 5	DATE:	03/21/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:20 PM
MET WITH:	Margarita Martinez		TIME VISIT/ INSPECTION COMPLETED:	03:45 PM

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On 3/21/25, at 1:20 PM, Licensing Program Analyst (LPA) Joaquin Mendez conducted an unannounced Annual Random inspection and capacity increase visit of the abovementioned Family Childcare Home (FCCH). LPA met with Margarita Martinez, Licensee of the FCCH, and explained the nature and purpose of the inspection. The Licensee is requesting a capacity increase from 8 children (small license) to 14 children (large license). LPA observed appropriate licensing forms and documents posted prominently to a bulletin board at the entry of the FCCH. At the time of inspection there were the licensee, with five (5) children in care. Licensee reports two (2) adults live in the home. LPA confirmed through Guardian website that two (2) adults have been criminal record cleared.

LPA notes there is an ADU on the property. The ADU is confirmed to have city permits with appropriate address reflecting as 939 W. Lee Drive Unit #A. Santa Maria, Ca. 93458.

The LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The FCCH is a three bedroom and two-bathroom single story home. The living room (converted play area), bathroom located in the hallway, and part of the home’s backyard are utilized for childcare services, while the remainder of the home (three bedrooms, additional bathroom, kitchen, dining room, and garage) will remain inaccessible to children in care. LPA observed doorknob covers on the remaining bedrooms making them inaccessible. Additionally, a gate is attached to the entrance of the dining room preventing access to the dining room, kitchen, and garage door.

LPA observed the FCCH to be orderly and clean.

· The bathroom, utilized for childcare services, is clean and free of toxins.

· Cleaning compounds were observed in the garage and passed the kitchen inaccessible to children in care.

Continue on LIC809C pg2

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 426216798
	VISIT DATE: 03/21/2025

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· Sharps were observed in an elevated cabinet in kitchen.

· Medication was observed in an elevated cabinet in the kitchen.

· LPA observed toys, books, furnishings, and other age-appropriate equipment throughout the interior (living room area) of the FCCH.

· LPA observed various combination smoke/carbon monoxide detectors throughout the home. A combination carbon monoxide/smoke detector was tested at 1:49PM and were found to be operational.

· LPA observed a regulation fire extinguisher in the FCCH, which was last serviced on 2/3/25. LPA reminded the Licensee to service or purchase a regulation fire extinguisher yearly.

· When reviewing records LPA notes fire/disaster drill logged 3/17/2025 at 11:15 AM with six (6) children present. LPA reminded the licensee that the disaster drills must be conducted every 6 months per regulation.

LPA observed the backyard area to be fully fenced by wood. The playground is made up of concrete pavement. Part of the backyard is fenced off, preventing access to the rest of the back yard. In the inaccessible area is where the licensee keeps the family pet (dog). Licensee informed LPA that children are always supervised when engaged in outdoor activities.

· LPA observed a shed in the backyard that is inaccessible by means of a padlock. Inside the shed was the storage of yard tools and supplies.

· Like the interior of the FCCH, the backyard has age-appropriate equipment throughout the area that can appropriately afford for childcare services.

· LPA also observed and confirmed that there are no bodies of water on site.

· At 2:05PM LPA observed a baby walker in the backyard play area. LPA informed the licensee that the baby walker is prohibited from use in a FCCH. The Licensee stated the baby walker was gifted to the FCCH by Resource and Referral and was unaware it was not allowed. (see LIC9102TV)

LPA reviewed children's records. The records are current, complete, and possessed emergency contact Continue on LIC809C pg3

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 426216798
	VISIT DATE: 03/21/2025

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information and immunization records, among other relevant licensing documents and forms. The Licensee's records were also viewed and found to be complete.

· The Licensee’s Pediatric CPR and First Aid certifications (EMSA approved) expiring on 8/26/2025.

· Mandated Reporter Training, expiring on 9/28/25, is current and complete as are other relevant licensing forms and documents. Licensee was reminded to renew certifications and training prior to expirations.

· The Licensee verbally stated that there is a firearm stored on site. LPA observed the firearm is stored in a safe and inaccessible to children. Ammo for the firearm is separated from the firearm and inaccessible.

The Licensee does not currently provide medication or Incidental Medical Services (IMS) to current children in care. IMS policy was discussed. For IMS information see PIN 22-02CCP. 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) or (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.

No prohibited equipment will be allowed or used in the home. No baby bouncers, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.

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.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or Continue on LIC809C pg4

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 426216798
	VISIT DATE: 03/21/2025

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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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility. LPA completed a RSO profile in FAS on 3/21/25.

On January 13, 2025, the Licensee submitted documentation for a FCCH change of capacity. The Licensee is seeking to change the FCCH’s capacity from 8 (Small FCCH) to 14 (Large FCCH). The Santa Maria Fire Department granted a fire clearance following an inspection completed at FCCH on March 12, 2025.

Today, no deficiencies were cited under Title 22 Division 12 Appeal rights given. However, an LIC9102TV was issued during todays visit.

The home meets Title 22 of CCR provisional requirements for a Large Family Childcare license effective today. Effective date of license is today 3/21/2025.

A notice of site visit was given to licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the licensee, Margarita Martinez in the licensee’s preferred language, Spanish.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

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