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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619639
Report Date: 07/09/2024
Date Signed: 07/09/2024 04:57:10 PM

Document Has Been Signed on 07/09/2024 04:57 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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MARTINEZ, HERMINIA FAMILY CHILD CAREFACILITY NUMBER:
376619639
ADMINISTRATOR/
DIRECTOR:		HERMINIA MARTINEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 536-3397
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 3DATE:
07/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:40 PM
MET WITH:Herminia MartinezTIME VISIT/
INSPECTION COMPLETED:
05:20 PM
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On 07/9/24 at 3:40 PM, Licensing Program Analyst (LPA) Sherlynn Banas conducted an unannounced annual inspection with the Licensee. Upon arrival, LPA met with licensee, Herminia Marinez and provided the Inspection Checklist (LIC126). Miguel Angel Martinez (licensee’s husband) came at 4:00 PM. The two-storey home was toured and inspected to ensure an environment safe for the care and supervision of children. Licensee stated she has 3 children enrolled and 3 were present today. The hours of operation are from 7:00 AM. To 5:00 PM. The fire extinguisher and smoke detector/carbon monoxide detector in one meet requirements and are operational. The fire extinguisher is stored by the kitchen and is accessible anytime needed. All hazardous items were latched/locked and secured out of reach of children. Licensee states that there is a weapon in the home which is in a cabinet in a safe with a combination lock. Licensee's husband stated that the safe can't be opened because they forgot the combination lock. They have not opened it for a long time and would like to sell it.

Licensee has provided adequate space for the children. Areas used for childcare include: living room, dining room, kitchen, bathroom, backyard, and backyard. Off limits areas include the garage, and the second floor. The second floor is barricaded by a safety gate. There is a working phone at the facility. The licensee has sufficient age appropriate, safe, toys and equipment available. Licensee owns the home.

Licensee’s First Aid and CPR certifications expire on August 26, 2025. Licensee meets immunization requirements. Licensee declines the flu vaccine. Mandated reporter training expires on July 13, 2025. Children records were reviewed as well as the roster. Required documents are posted. Last fire drill was conducted on June 3, 2024.


SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MARTINEZ, HERMINIA FAMILY CHILD CARE
FACILITY NUMBER: 376619639
VISIT DATE: 07/09/2024
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Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. LPA reviewed Covid-19 guidelines with Licensee and provided Covid-19 resources. LPA Banas directed Licensee to website: https://www.cdss.ca.gov/inforesources/community-care-licensing to receive important updates and information.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or 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.

LPAs 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-andresources/safe-sleep as an additional resource. LPAs 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.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MARTINEZ, HERMINIA FAMILY CHILD CARE
FACILITY NUMBER: 376619639
VISIT DATE: 07/09/2024
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Exit interview conducted and report was reviewed with the licensee, Herminia Martinez. Two technical violations were given to the licensee. 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 penalty of $100.



During the exit interview, the Licensee, Herminia Martinez confirmed that there are no Registered Sex Offenders living in the daycare and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC809 (FAS) - (06/04)
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