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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103910428
Report Date: 10/02/2023
Date Signed: 10/02/2023 03:47:02 PM


Document Has Been Signed on 10/02/2023 03:47 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:GONZALEZ, LAURA FAMILY CHILD CAREFACILITY NUMBER:
103910428
ADMINISTRATOR:GONZALEZ, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 392-4882
CITY:SANGERSTATE: CAZIP CODE:
93657
CAPACITY:14CENSUS: 19DATE:
10/02/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Laura GonzalezTIME COMPLETED:
04:00 PM
NARRATIVE
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 On 10/02/2023 Licensing Program Analyst (LPA) Aurelio Mendoza and Licensing Program Manager (LPM) Cynthia Brannon arrived at the facility to conduct an unannounced case management inspection. LPA met with licensee, Laura Gonzalez.
During today's inspection, LPA was informed that three children, C1, C2 and C3 were left outside. The ages of said children are as follows: C1 is three years old, C2 and C3 are two years old. Per licensee, the children were outside crying. Per licensee she was in the kitchen preparing lunch, her assistant, S1, was in the back room, changing diapers. Neither of the adults were able to provide visual observation to the crying children in the backyard. Per licensee, the three children were left outside crying for a minimum of five minutes. The kitchen stove does not face the backyard, where the three children were outside crying.
A record review was conducted, the 15 minute log was not updated on a daily basis, when reviewed, the recent recorded log reflects June 22, 2023 for one sleeping infant (I1) and none for sleeping infant (I2).
Licensee informed LPA that the neighbor behind them, came to the door and yelled at licensee, in front of the day care children, due to crying children in the backyard. Licensee stated children were crying due to not being let into home. Licensee failed to report this to Licensing as required. During today's inspection, LPM reviewed with licensee that the crying children left outside were too young to be left alone outside.
Per licensee, she is aware of reporting requirements and supervision for children in care. Licensee and S1 were staff at a child care center. Licensee was once an assistant director.
Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page).

Licensee was provided appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Aurelio MendozaTELEPHONE: (559) 815-8119
LICENSING EVALUATOR SIGNATURE:
DATE: 10/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/02/2023
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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Document Has Been Signed on 10/02/2023 03:47 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: GONZALEZ, LAURA FAMILY CHILD CARE
FACILITY NUMBER: 103910428

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/16/2023
Section Cited
CCR
102417(a)

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Operation of a Family Child Care Home. The licensee shall be present in the home and shall ensure that children in care are supervised at all times. Per licensee, she left three cryng children outside: One-Three year old, Two-Two year olds. Licensee was cooking and had her back
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Per licensee, she will provide an updated written protocol to ensure no children are left outside without supervision. This document shall be received in the Fresno Community Care Regional Office no later than 10/16/23.
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towards the crying children left outside, and S1 was in the back room changing diapers. This requirement was not met. This is a potential personal rights, health and safety risk to children in care.
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Type B
10/16/2023
Section Cited
CCR102416(b)(3)(B)

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Reporting Requirements."A report shall be made to the Department…following the occurrence during the operation of a family day care home of any of the following events: Any unusual incident or child absence that threatens the physical or emotional health or safety of any child." Per licensee,
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Per licensee, she will provide a copy of training agenda with attendance to ensure all reportable incidents are reported to CCLD in a timely manner. This document shall be received in the Fresno Community Care Regional Office no later than 10/16/23.
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a neighbor came to facility, and proceeded to yell at licensee in front of children in care. Licensee failed to report incident. This requirement was not met. This is a potential personal rights, health and safety risk to children in care.
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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.
SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Aurelio MendozaTELEPHONE: (559) 815-8119
LICENSING EVALUATOR SIGNATURE:
DATE: 10/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/02/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/02/2023 03:47 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: GONZALEZ, LAURA FAMILY CHILD CARE
FACILITY NUMBER: 103910428

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/16/2023
Section Cited
CCR
102425(c)

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Infant Safe Sleep. An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file. Licensee failed to provide LIC 9227 for the two infants in care. Furthermore, licensee failed to
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Per licensee, she will provide copies of required form LIC 9227 for I1 and I2. Per licensee, she will provide updated protocol to ensure the documentation of the 15 minute logs for sleeping infants and will provide a copy of recent sleep log to the Fresno Community Care Regional office no
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comply with the required documentation of their 15 minute check of a sleeping infant. This requirement was not met. This is a potential personal rights, health and safety risk to children in care.
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later than 10/16/2023.

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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.
SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Aurelio MendozaTELEPHONE: (559) 815-8119
LICENSING EVALUATOR SIGNATURE:
DATE: 10/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/02/2023
LIC809 (FAS) - (06/04)
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