<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203909417
Report Date: 08/23/2024
Date Signed: 08/23/2024 11:25:16 AM


Document Has Been Signed on 08/23/2024 11:25 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:GUERRA, SUSIE FAMILY CHILD CAREFACILITY NUMBER:
203909417
ADMINISTRATOR:GUERRA, SUSIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 871-8494
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY:14CENSUS: 8DATE:
08/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Susie GuerraTIME COMPLETED:
11:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/23/24, Licensing Program Analysts (LPAs) Miguel Herrera and Julio Rodriguez conducted an unannounced case management inspection to discuss an incident report that was submitted to Community Care Licensing regarding an incident that occurred at the facility on 07/26/2024. The licensee stated that on the date of the incident, licensee had given Child #1 a kids tablet to play games on it, she further stated that the tablet’s content only had kid games, electronic books and the tablet didn’t have internet access. Licensee Guerra stated that child #1 was in the daycare room while two other children were in the living room watching TV. Licensee Guerra was in the kitchen washing the children’s cups when child #1 took inappropriate photos/video. Licensee Guerra stated that she discovered the content on 08/02/2024 when her assistant #1 was in the process of charging the tablet and was reviewing the content of the tablet. Upon discovering the photos/video Assistant #1 immediately disclosed the information to Licensee Guerra. Licensee Guerra immediately reported the incident to CCLD - Fresno.

The Licensee immediately tried to contact child #1’s parent, however at that point the child and parent #1 were on vacation. Licensee Guerra immediately reported the incident to CCLD – Fresno and the authorities. The Licensee no longer allows the children to use her tablet or bring personal tablets from home. Furthermore, Licensee Guerra stated that child #1 was the last person to use the tablet until Assistant #1 got the tablet to charge and review the tablet’s content. Child #1 continues to attend the day care. LPA reminded the licensee to have visual supervision of children at all times whether they are inside or outside. There have been no further issues. Furthermore, this appears to be an isolated incident.

Upon entering the home LPAs met with Licensee, Susie Guerra. During the inspection LPAs observed assistant #1 and adult #1 in the home. LPA Herrera reviewed the Guardian report for clearance. During the clearance review, Licensee disclosed adult #2 lived in the home, however LPA Herrera observed that adult #2 was still in process for fingerprint clearance. Licensee Guerra disclosed that adult #2 moved into the home at the beginning of February and was fingerprinted at the end of January 2024. Licensee Guerra stated that adult #2 worked during operating hours and was not in the home. Continued on LIC. 809-C.

SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Miguel HerreraTELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3


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: GUERRA, SUSIE FAMILY CHILD CARE
FACILITY NUMBER: 203909417
VISIT DATE: 08/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Licensee Guerra disclosed that she had received a letter from DOJ (dated 01/23/2024), however upon observing the letter LPA Herrera discovered that adult #2 didn’t get properly cleared. Licensee Guerra immediately printed the live scan form and stated that she was going to ensure adult #3 was correctly fingerprint cleared. Please see the attached LIC 809-D to see the cited deficiency.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, there was one deficiency cited on LIC 809-D. A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with Susie Guerra. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days.



End of Report.
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Miguel HerreraTELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 08/23/2024 11:25 AM - 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: GUERRA, SUSIE FAMILY CHILD CARE
FACILITY NUMBER: 203909417

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/27/2024
Section Cited
CCR
102370(d)(1)

1
2
3
4
5
6
7
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee immediately printed the live scan for adult #2 to get cleared. Furthermore, Licensee will ensure adult #2 is not present during operating hours. Licensee further disclosed that adult #2 works during operating hours and is home until 6:30pm. Licensee will submit proof of completion to CCLD via email/text by POC deadline.
8
9
10
11
12
13
14
Licensee disclosed that Adult #2 was residing at the home but was currently at work. The uncleared adult was fingerprinted, however Adult #2’s status in guardian stated the clearance was currently "in process" as the clearance was not done properly. This poses a potential risk to the health and safety to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Miguel HerreraTELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3