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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103911028
Report Date: 07/15/2025
Date Signed: 07/15/2025 04:23:11 PM

Document Has Been Signed on 07/15/2025 04:23 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:FERGUSON, EDIE FAMILY CHILD CAREFACILITY NUMBER:
103911028
ADMINISTRATOR/
DIRECTOR:
FERGUSON, EDIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 352-6389
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
07/15/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:05 PM
MET WITH:Licensee Edie FergusonTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced Annual/Random Inspection and was met by Licensee Edie Ferguson. Also present was the licensee’s assistant. The facility operates Monday through Friday from 7:00 a.m. to 5:30 p.m.

LPA toured the home, both indoors and outdoors, and conducted a census. LPA reviewed the current facility sketch and confirmed that the playroom, bedroom 2, bedroom 4, bathroom, kitchen, dining room, living room, and backyard are used for child care and are accessible to children. All other rooms are off-limits and made inaccessible by the use of baby gate and doorknob covers/locks.

The licensee reported having two dogs. She stated that the pets are not accessible to children during daycare hours. LPA reminded the licensee that she is responsible for her pets’ actions should an injury occur related to the animals.

There is no swimming pool or other bodies of water on the premises.

LPA discussed the new pool safety requirements under AB 2866, effective January 1, 2025, and informed the licensee of the Provider Information Notice (PIN 25-01-CCP), issued on January 6, 2025.

Per Licensee Edie Ferguson, there are no firearms or ammunition on the premises. All poisons are stored in a locked area. No poisons were observed during the inspection. Detergents, cleaning compounds, medications, and other hazardous items are stored out of children’s reach.

There is one fireplace in the living room that is made inaccessible by a metal safety gate. The fireplace will not be used during daycare hours. The home has a working fire extinguisher, smoke detector, carbon monoxide detector, and adequate heating and ventilation to ensure safety and comfort.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: FERGUSON, EDIE FAMILY CHILD CARE
FACILITY NUMBER: 103911028
VISIT DATE: 07/15/2025
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This is a single-level home with no stairs. Age-appropriate, safe toys and play equipment were observed. The home has working telephone service, and LPA verified the phone number as (559) 352-6389.

The licensee ensures that children in care are supervised at all times and is aware that children must never be left unattended in parked vehicles. The outdoor play area is fully fenced and free of hazards. The licensed capacity is being maintained.

LPA reviewed a sample of children’s files and observed that they were complete with required emergency information. The licensee’s Mandated Reporter Training is valid through July 4, 2027. Her pediatric CPR/First Aid certification is valid through July 29, 2025. A review of records shows that all employees and/or volunteers have immunization records on file for influenza, pertussis, and measles.

LPA discussed the Community Care Licensing website (www.ccld.ca.gov), which offers access to resources such as forms, regulations, Provider Information Notices (PINs), and Quarterly Updates. Reporting requirements, as outlined in Title 22, Section 102416.2, were also reviewed.

Licensee Edie Ferguson was reminded that all adults 18 years and older 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 an existing clearance/exemption, before being present in the licensed Family Child Care Home. A civil penalty of $100.00 per day, per person, for up to five days—or up to 30 days in the case of repeat violations—may be assessed for noncompliance.

LPA discussed safe sleep regulations with Licensee Edie Ferguson and reviewed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as a resource. LPA also advised the licensee to check the U.S. Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ for recalled infant products and encouraged her to register all infant devices with the CPSC to receive recall notifications.

Incidental Medical Services (IMS) were discussed. For additional information, see PIN 22-02-CCP. If IMS is provided, a Plan for Providing IMS must be submitted to the Department. LPA provided information on the Americans with Disabilities Act (ADA), including the U.S. Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY), and shared the link to the publication Commonly Asked Questions about Child Care Centers and the ADA, available at https://www.ada.gov/resources/child-care-centers/.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC809 (FAS) - (06/04)
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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: FERGUSON, EDIE FAMILY CHILD CARE
FACILITY NUMBER: 103911028
VISIT DATE: 07/15/2025
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The licensee was also informed of MyChildCarePlan.org, a consumer education website that helps families connect with child care providers and Resource and Referral Agencies throughout California.

An exit interview was conducted, and the report was reviewed with Licensee Edie Ferguson. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living at the facility. LPA verified the RSO profile in FAS.

Per Title 22, Division 12 of the California Code of Regulations, no deficiencies were cited during today’s inspection.

Licensee Edie Ferguson was provided with a copy of her appeal rights.
This report shall be made available to the public upon request.
LIC 9213 – Notice of Site Visit was issued and must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC809 (FAS) - (06/04)
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