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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700105
Report Date: 04/24/2024
Date Signed: 04/24/2024 01:23:48 PM

Document Has Been Signed on 04/24/2024 01:23 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MARTINEZ FAMILY CHILD CAREFACILITY NUMBER:
197700105
ADMINISTRATOR/
DIRECTOR:		MARTINEZ, VIRGINIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 939-1869
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
04/24/2024
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Virgina Martinez, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 04/24/2024, Licensing Program Analyst (LPA)Isabel Ortega met with Licensee, Virginia Martinez for the purpose of conducting a required compliance Health check inspection. LPA toured the facility, inside and out and completed an observation. Upon entry LPA observed 6 children in care and two staff providing care and supervision(all fingerprint cleared and associated to facility).

Licensee Participates in the Food Nutrition Program and provides children enrolled with breakfast, morning snack, lunch, after snack and dinner as needed.

The operational childcare hours continue to be Monday through Friday varied up to 23 hours depending on family’s need and Saturday from 8:00 a.m. to 4:00 p.m.



Licensee provided a valid pediatric CPR/First Aid training certificate and does not expire until 10/14/2025. Child Care Provider Mandated Reporter training (AB1207) is required to be renewed every two-years. Licensee provided Child Care Provider Mandated Reporter (AB1207) training certificate dated 06/17/2022.

The First Aid kit with a temperature thermometer was observed and complete. The required fire extinguisher (2A10BC) is reading in green(receipt of purchase within one year observed).
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MARTINEZ FAMILY CHILD CARE
FACILITY NUMBER: 197700105
VISIT DATE: 04/24/2024
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Fire and disaster drills are conducted every six-month. Last drill was conducted on 02/14/2024 and time recorded was 12:45 p.m.

Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following... To be treated with dignity in his/her personal relationship with staff and other personal... At time of arrival children were engaged in free play then transitioned to lunch. During inspection LPA observed licensee engage with children and interact with children with a calm voice. LPA observed positive interactions and redirection.

During transition from lunch to hand washing and then nap time, Licensee announced each transition activity. Staff were attending to children and met children's needs.

Licensee is required to maintain an accurate, complete, and current client roster which must be made available to the Department upon request. Licensee's probation status on required inspections is until anticipated date of 06/22/2024(please the department may extend required date as needed).

An observation was conducted and an exit interview was conducted with licensee Virginia Martinez. A copy of this report, appeal rights along with notice of site visit NOA were provided today.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
LIC809 (FAS) - (06/04)
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