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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417087
Report Date: 06/04/2024
Date Signed: 06/04/2024 02:34:52 PM

Document Has Been Signed on 06/04/2024 02:34 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:MARTINS VIDIGAL, FERNANDAFACILITY NUMBER:
434417087
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 5DATE:
06/04/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:57 PM
MET WITH:Fernanda Martins VidigalTIME VISIT/
INSPECTION COMPLETED:
02:50 PM
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On June 4, 2024 at 12:57 PM, Licensing Program Analyst (LPA) Marilou Monico, made an unannounced Case Management Inspection in response to licensee's request to increase the capacity from 8 to 14 children. LPA met with Licensee, Fernanda Martins Vidigal, and explained to her the purpose of today's visit. Also present in the home were licensee's adult assistant and five (5) daycare children: 2 infants and 3 preschool age. The home is a one storey with three (2) bedrooms and two (2) baths. Licensee states that there are two (2) adults residing in the home: herself and her landlord.

Licensee states that the daycare is open Monday - Friday from 7:30 AM to 6:00 PM. Licensee has completed the Preventative Health and Safety Training including Nutrition and Lead Poisoning Prevention and a copy of the certification is on file. Licensee's CPR and First Aid certifications are current and expire on February 25, 2026. LPA discussed and provided Licensee a copy of the ratio and capacity chart.

LPA inspected the indoor and outdoor areas of the home. LPA observed a fully charged 2A10BC fire extinguisher, functioning smoke and carbon monoxide detectors, and barricaded kitchen. Off limit areas inside the home are: kitchen, master bedroom, master bathroom, Guest Bedroom, and garage. Off limit areas outside the home: gated area of the backyard including storage room, tool shed, and right side yard. Cleaning products, sharp objects, and other similar items are stored inaccessible to children. LPA observed sufficient toys, supplies, and equipment for the day care children. Licensee states that there are no weapons or firearms in the home. There were no bodies of water observed.

LPA reviewed the file for licensee's assistant.

Continuation on next page:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MARTINS VIDIGAL, FERNANDA
FACILITY NUMBER: 434417087
VISIT DATE: 06/04/2024
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Licensee, Fernanda Martins Vidigal, 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 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.

Fire clearance was granted on May 31, 2024.

As a result of this inspection, a license for a Large Family Child Care Home (14 children) is approved effective today, June 4, 2024.

There were no deficiencies cited.

Exit interview conducted and report was reviewed with Licensee, Fernanda Martins Vidigal.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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