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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020846
Report Date: 02/23/2024
Date Signed: 02/23/2024 03:59:13 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/28/2023 and conducted by Evaluator Carolyn Tuba
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20231128113447

FACILITY NAME:MARTINEZ FAMILY CHILD CAREFACILITY NUMBER:
198020846
ADMINISTRATOR:MARTINEZ, CHRISTINE MARIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 251-3169
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY:13CENSUS: 8DATE:
02/23/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Christine MartinezTIME COMPLETED:
04:05 PM
ALLEGATION(S):
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Child was enrolled using information of another child care license.
INVESTIGATION FINDINGS:
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On 2/23/2024, Licensing Program Analysts (LPAs) Carolyn Tuba and Jessica Hopkins-Hernandez conducted an unannounced complaint inspection to deliver findings of the above allegation. A Covid risk assessment was conducted. LPAs met with Licensee, Christina Martinez and a census was taken of 8 children present with 2 adults.

LPA, Tuba conducted interviews, personal observations, and reviewed records on 11/29/2023, 01/10/2024 and 2/23/2024. LPA, Tuba conducted interviews with Reporting Party (RP), Licensee (L), Staff #1 (S1), Child #2 (C2), #3 (C3), #4 (C4), #5 (C5), Witness #1 (W1) and Witness #2 (W2), Parent #1 (P1), #2 (P2). Parent #3 (P3) was not available. Staff #2 (S2) was not present at the facility to interview, and Child#1 (C1) was nonverbal due to age.

Reporting Party alleged, “Child was enrolled using information of another childcare license.” Based on LPA, Tuba’s interviews and record reviews, the preponderance of the evidence standard has been met, therefore
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 33-CC-20231128113447
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MARTINEZ FAMILY CHILD CARE
FACILITY NUMBER: 198020846
VISIT DATE: 02/23/2024
NARRATIVE
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the above allegation is found to be substantiated. LPA, Tuba observed and printed from the website that Martinez Family Childcare aka: Canon Classroom has been enrolling children though another Licensed Family childcare that is located in the vicinity. P1 & P2 disclosed that registration, as well as pre-registration interview, childcare licensing forms and enrollment contract was completed through another Licensed Family Childcare, even though their child attends Martinez Family Childcare. Based on Parent Interviews it was also disclosed that parents are under the impression that Martinez Family childcare is part of a Childcare Center.

Based on interviews, record review conducted the above allegation is deemed SUBSTANTIATED. The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, 102359(b), the deficiency is being cited on the attached LIC 9099D.

A notice of site visit was given to licensee and must remain posted on, or immediately adjacent to, the interior side of had the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee, Christine Martinez.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 33-CC-20231128113447
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MARTINEZ FAMILY CHILD CARE
FACILITY NUMBER: 198020846
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/08/2024
Section Cited
CCR
102359(b)
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Advertisements and License Number:
Correspondence shall be considered a form of advertisement if the intent is to attract clients. This requirement was not met as evidence by: Based on observation and interviews LPA Tuba observed the facilities website and obtained enrollment contract.
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Licensee agrees to provide a letter to current parents that she operates as a Family Child Care along with her facility number and that she is separate from Village Playgarden. Licensee will have parents sign-off that they received the letter and place a copy in children's file.
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This poses a potential health and safety risk to children in care.
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Licensee will provide proof to LPA of updated Enrollment Contract with name change showing Martinez Family Childcare and Canon Trail and signatures of parents receiving the letter, as well as a copy of the letter.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
LIC9099 (FAS) - (06/04)
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