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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103910599
Report Date: 03/09/2026
Date Signed: 03/09/2026 12:24:05 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/16/2026 and conducted by Evaluator Miguel Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20260116163456
FACILITY NAME:MEDINA, CLAUDIA FAMILY CHILD CAREFACILITY NUMBER:
103910599
ADMINISTRATOR:MEDINA, CLAUDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 853-8822
CITY:FRESNOSTATE: CAZIP CODE:
93728
CAPACITY:14CENSUS: 0DATE:
03/09/2026
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Claudia MedinaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Licensee is not present 80% of the operating hours.
Uncleared adults are present in the day care.
INVESTIGATION FINDINGS:
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On March 9, 2026, Licensing Program Analyst (LPA) Miguel Herrera conducted an unannounced inspection to conclude the complaint investigation that was received on 01/16/2026. LPA met with Licensee Claudia Medina to discuss the purpose of the inspection and to deliver findings. LPA Herrera provided Spanish translation as Licensee Medina preferred the report to be reviewed in Spanish. A tour of the facility was conducted, and census was taken.
During the course of the investigation LPA Herrera conducted interviews, conducted facility observations, reviewed records and obtained pertinent information to gather additional information to investigate the allegation that Licensee is not present 80% of the operating hours and uncleared adults are present in the day care.
On 01/20/2026, LPA Herrera observed adult #1 providing care to child #1 without the presence of licensee. Although Licensee Medina stated that she was closed as she was out of town, LPA Herrera observed child #1 being picked up by their parent. During interviews, it was confirmed that although Licensee Medina was not present, child #1 was being provided care by adult #1.
Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 8
Control Number 04-CC-20260116163456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: MEDINA, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 103910599
VISIT DATE: 03/09/2026
NARRATIVE
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Records obtained revealed that adult #1 was identified as an assistant by Licensee Medina. A review of records determined that adult #1 does not have a fingerprint clearance and is not associated to the facility.
Based on information gathered through observations, records review, and interviews, the preponderance of evidence has been met that staff spoke inappropriately to daycare children; therefore, the above allegations are found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, two deficiencies are being cited on the attached LIC 9099D. A type A deficiency is being cited with a civil penalty of $500. The civil penalty is being assessed today as a result of an uncleared adult providing care. An exit interview was conducted with Licensee Claudia Medina. A copy of this report and Appeal Rights were provided and discussed with Licensee Claudia Medina. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.

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 Claudia Medina. Per licensee a completed signed copy of the LIC 9224 will be placed in each child's file.

SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 8
Control Number 04-CC-20260116163456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MEDINA, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 103910599
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/10/2026
Section Cited
HSC
1596.871(c)(1)(A
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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:
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Licensee stated that adult #1 does not reside or assist licensee with day-care operations. She stated that she will submit a written statement that she will ensure all adults who live, work, or volunteer in the day-care will have a fingerprint clearance. The statement will be submitted via text/email to CCLD by POC deadline 03/10/2026.
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Based on observations, interviews and records obtained, the licensee did not comply with the section cited above as adult #1 was observed caring for a day-care child. Furthermore interviews and records obtained identified adult #1 as licensee's assistant, which poses an immediate health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 8
Control Number 04-CC-20260116163456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MEDINA, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 103910599
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/10/2026
Section Cited
CCR
102417(a)
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(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

This requirement is not met as evidenced by:
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Licensee stated that she will close if she is cannot be present 80% of the time and will communicate closure dates with parents if needed. Licensee Medina stated that she will submit a written statement detailing her plan of operations to CCLD Fresno by POC deadline, 03/10/2025.
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Based on observations, interviews and records obtained, the licensee did not comply with the section cited above as licensee was out of town while adult #1 was caring for a day-care child, which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/16/2026 and conducted by Evaluator Miguel Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20260116163456

FACILITY NAME:MEDINA, CLAUDIA FAMILY CHILD CAREFACILITY NUMBER:
103910599
ADMINISTRATOR:MEDINA, CLAUDIAFACILITY TYPE:
810
ADDRESS:803 N ROOSEVELT AVETELEPHONE:
(559) 853-8822
CITY:FRESNOSTATE: CAZIP CODE:
93728
CAPACITY:10CENSUS: 0DATE:
03/09/2026
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Claudia MedinaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff did not meet day care child's diapering needs.
Staff berated a day care child.
Staff berated a parent in front of a day care child.
INVESTIGATION FINDINGS:
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On March 9, 2026, Licensing Program Analyst (LPA) Miguel Herrera conducted an unannounced inspection to conclude the complaint investigation that was received on 01/16/2026. LPA met with Licensee Claudia Medina to discuss the purpose of the inspection and to deliver findings. LPA Herrera provided Spanish translation as Licensee Medina preferred the report to be reviewed in Spanish. A tour of the facility was conducted, and census was taken.
During the course of the investigation LPA Herrera conducted interviews, conducted facility observations, reviewed records and obtained pertinent information to gather additional information to investigate the above mentioned allegations.
Interviews and records obtained confirmed that an incident occurred on 01/15/2026 between a day-care parent and licensee’s family. However, LPA Herrera was unable to determine if the day-care child and/or their parent were berated by licensee’s family members. Interviews conducted produced conflicting statements regarding the interactions between licensee’s family members and the day-care parent; therefore, the allegations were unsubstantiated.
Tobe continued on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 04-CC-20260116163456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: MEDINA, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 103910599
VISIT DATE: 03/09/2026
NARRATIVE
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Furthermore, LPA Herrera conducted interviews regarding whether the facility met day-care children diapering needs. The information received during interviews was conflicting, therefore the allegation was unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.


Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency is cited during today’s inspection. An exit interview was conducted with Licensee, Claudia Medina. Licensee Medina was provided with appeal rights. A notice of site visit (LIC 9213) was given and must remain posted for 30 days.
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 8