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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503906299
Report Date: 02/19/2025
Date Signed: 02/19/2025 03:53:31 PM

Document Has Been Signed on 02/19/2025 03:53 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:AGUILAR, JOSEFINA FAMILY CHILD CAREFACILITY NUMBER:
503906299
ADMINISTRATOR/
DIRECTOR:		AGUILAR, JOSEFINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 581-3343
CITY:MODESTOSTATE: CAZIP CODE:
95351
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
02/19/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:38 AM
MET WITH:Josefina AguilarTIME VISIT/
INSPECTION COMPLETED:
04:05 PM
NARRATIVE
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On 02/19/2025 Licensing Program Analyst (LPA) Miguel Herrera, conducted an unannounced Annual Required Inspection and was initially met by Licensee’s assistant. Licensee Josefina Aguilar arrived approximately 30 minutes later, and LPA explained the reason for the visit. Licensee and assistant #1 are Spanish Speaking and LPA Herrera assisted with interpretation. LPA Herrera confirmed Days and Hours of operation are Monday through Friday, 5:30am to 5:30pm. The home has a working telephone service and LPA Herrera confirmed the phone number is (209)-581-3343.

LPA Herrera observed that an uncleared adult (assistant #1) was providing care to children while Licensee Aguilar was not present. The uncleared adult (assistant #1) stated that she had been residing at the home for approximately a year now. LPA Herrera conducted a census and there were 10 children in the home with assistant #1 for a period of approximately 30 minutes. Licensee Aguilar arrived at approximately 11am to the home and explained she had stepped out due to a doctor’s appointment (see LIC 809-D).

A current facility sketch was reviewed, and Licensee confirmed that the daycare room (converted garage), bathroom (located in the daycare room) and side-yard are accessible to children. All other rooms are off-limits and made inaccessible by use of a baby gate. There are no stairs in this home. LPA did not observe any fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Licensee understands to test both smoke detector and carbon monoxide periodically for functionality. Per Licensee there are no firearms or ammunition on the premises. LPA did not observe any poisons during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There are no pets in the home.

Continued on 809-C.

Juvenal MoctezumaTELEPHONE: (559) 650-7869
Miguel HerreraTELEPHONE: (559) 341-0721
DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2025
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 02/19/2025 03:53 PM - It Cannot Be Edited


Created By: Miguel Herrera On 02/19/2025 at 01:37 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: AGUILAR, JOSEFINA FAMILY CHILD CARE
FACILITY NUMBER: 503906299

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Request Denied
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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LPA observed an uncleared adult in the home that was providing care to children while Licensee Aguilar was not present. The uncleared adult (assistant #1) stated that she has been residing at the home for approximately a year now, which poses an immidiate health, safety or personal rights risks to children in care.
POC Due Date: 02/20/2025
Plan of Correction
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Licensee Aguilar stated that she will have assistant #1 complete a livescan and take the necessary steps for assistant #1 to be cleared. Licensee will submit proof of completion to CCLD via email/text by POC deadline.
Type A
Section Cited
CCR
102416.5(e)
Staffing Ratio and Capacity
(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Upon arriving at the facility LPA Herrera observed 10 children with Licensee's assistant. Per staff #1, Licensee Aguilar had gone to the doctor therefore she was left caring for all ten children, which poses an immediate health, safety and personal rights risks to children in care.
POC Due Date: 02/20/2025
Plan of Correction
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Licensee arrived approximately 30 minutes later to comply with capacity/ratios. Licensee stated that she will view the childcare licensing video titled – "How Many Children Can Attend a Family child care home". Licensee will submit a statement regarding what she learned to CCLD by POC deadline.
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 Moctezuma
TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME:Miguel Herrera
TELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/19/2025 03:53 PM - It Cannot Be Edited


Created By: Miguel Herrera On 02/19/2025 at 01:37 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: AGUILAR, JOSEFINA FAMILY CHILD CARE
FACILITY NUMBER: 503906299

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:

This requirement is not met as evidenced by:
Deficient Practice Statement
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During the side yard's inspection LPA Herrera observed a pothole, construction material, and propane tanks accessible to children in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2025
Plan of Correction
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Licensee stated that she will ensure that the home's side yard is cleaned from all hazards and the pothole will be covered by POC deadline. Licensee agreed to submit photographs as evidence to CCLD via text/email.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Per records review LPA Herrera observed that licensee's assistant did not have a Mandated Reporter Training on file, which posed a potential health, safety and personal rights risks to children in care.
POC Due Date: 03/05/2025
Plan of Correction
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Licensee ensured that she will have her assistant take the Mandated Reporter Training (AB1207) and submit a photograph of the certificate as evidence to CCLD via text/email by POC Deadline.
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 Moctezuma
TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME:Miguel Herrera
TELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2025


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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: AGUILAR, JOSEFINA FAMILY CHILD CARE
FACILITY NUMBER: 503906299
VISIT DATE: 02/19/2025
NARRATIVE
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The outdoor play area in the side yard is fenced. LPA Herrera observed a pothole near the play area’s concrete bike track. LPA Herrera also observed construction material piled by the shed that included a kitchen sink and demolished pieces of granite. Under the patio area LPA Herrera observed two outdoor propane heaters, propane tank and an uncovered bbq grill attached to a propane tank that were accessible to children in care and can pose a potential risk to children (see LIC 809-D). LPA Herrera observed a play structure under a canopy that was properly anchored to the ground. LPA advised for licensee to conduct frequent safety inspections of the play structure to check for any loose parts, cracks, and hazards. Licensee is aware of child safety around the play structure and assumes all responsibility. LPA did not observe a swimming pool or other bodies of water on the premises, and Licensee stated that there are no swimming pool or other bodies of water.

Licensee has a current roster of the children. An emergency fire/disaster drill has been completed and documented within the last 6 months. Licensee’s Mandated Reporter Training expires on 03/03/2025. Licensee’s pediatric CPR/First Aid expires on 11/2025. A review of records indicates that licensee’s assistant has immunization records on file for influenza, pertussis, and measles. However, licensee’s assistant did not have a Mandated Reporter Training on file (see LIC 809-D).

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. LPA observed one infant in care. LPA observed one play yard in the facility, however it was not in use as the infant was old enough to sleet in a sleeping cot. Licensee stated that the play yards is kept free from loose articles while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. License stated that infants are not swaddled while in care. Licensee physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. LPA Herrera discussed the Individual Infant Sleeping Plan (LIC 9227) for infants up to 12 months of age. Per Licensee, infants up to 12 months of age are placed on their backs for sleeping.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Continued on 809-C.

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

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
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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: AGUILAR, JOSEFINA FAMILY CHILD CARE
FACILITY NUMBER: 503906299
VISIT DATE: 02/19/2025
NARRATIVE
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility does not provide Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/. Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with Licensee Josefina Aguilar. During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809-D) Licensee was provided a copy of appeal rights. A notice of site visit was given and must remain posted for 30 days. Continued on 809-C.

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

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
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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: AGUILAR, JOSEFINA FAMILY CHILD CARE
FACILITY NUMBER: 503906299
VISIT DATE: 02/19/2025
NARRATIVE
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Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Licensee Josefina Aguilar.
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Miguel HerreraTELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
LIC809 (FAS) - (06/04)
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