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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100043
Report Date: 08/10/2023
Date Signed: 08/10/2023 02:23:57 PM

Document Has Been Signed on 08/10/2023 02:23 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MARTINS, JASON FAMILY CHILD CAREFACILITY NUMBER:
376100043
ADMINISTRATOR:JASON MARTINSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 705-4160
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
08/10/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Jason MartinsTIME COMPLETED:
02:15 PM
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On 08/10/2023 at 1:40pm, an office meeting was held on this date via Microsoft Teams. Present at the meeting were: Licensing Program Manager (LPM) Tashima Daniel, Licensing Program Analyst (LPA) Selina Siao and Licensee Jason Martins. The Purpose of this meeting was to discuss the facility's citation history and to amend a previous citation issued on 06/27/2023.

Staffing Ratio and Capacity, Reporting Requirements and Operation of a Family Child Care Home regulations were reviewed and discussed with licensee.

LPM Daniel explained it is important for facility to stay in compliance. The next steps if issues should arise is to have a Non-compliance office meeting.

A copy of this report and information on Technical Support Program (TSP) through the Department's Advocate Program was discussed and the information will be emailed to licensee.

During the office meeting, licensee was provided with the link to obtain
Resources for Providers, which includes many training videos for Family Child Care Providers. https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers

Analyst read the report to licensee during today's meeting. A copy of the report will be e-mailed to licensee, and he was advised that acknowledgement of the receipt of the report is to be received from him within twenty-four hours.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2023
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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