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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493005372
Report Date: 09/07/2023
Date Signed: 09/07/2023 10:56:49 AM

Document Has Been Signed on 09/07/2023 10:56 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:MARTINEZ, ARTHUR FCCHFACILITY NUMBER:
493005372
ADMINISTRATOR:MARTINEZ, ARTHURFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 433-6126
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/07/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:42 AM
MET WITH:Arthur MartinezTIME COMPLETED:
11:10 AM
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On 08/29/23 Licensee, Arthur Martinez (L1) called the Child Care desk duty officer, leaving a message stating that he is closing his home daycare, last day of care to be 08/31/23. Today, 09/07/23, Licensing Program Analyst (LPA), Amy Strother made an unannounced visit to the facility to confirm closure.

At 10:30am LPA Strother met with Arthur Martinez in the home to confirm the facility closure. There were no children present during today’s visit and no evidence of care was being provided. Martinez stated he understands that providing unlicensed childcare is a violation of California Health and Safety Code Sections 1596.80 and 1597.54.

Martinez stated that he understands that effective, 09/01/23 he is no longer licensed and can no longer provide licensed care to children in his home. If Martinez wishes to provide licensed care in the future, he will need to reapply. A copy of this report was reviewed with Martinez.

LPA Strother will process the closure with the effective closure date of September 1, 2023 and send Martinez a letter to confirm the closure to the address on file.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2023
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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