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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103911068
Report Date: 07/28/2025
Date Signed: 07/28/2025 02:07:04 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
07/25/2025 and conducted by Evaluator Miguel Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20250725140941
FACILITY NAME:RIOS, AUDELIA FAMILY CHILD CAREFACILITY NUMBER:
103911068
ADMINISTRATOR:RIOS, AUDELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 903-5686
CITY:FIREBAUGHSTATE: CAZIP CODE:
93622
CAPACITY:14CENSUS: 12DATE:
07/28/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Audelia RiosTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee does not maintain adequate records of daycare children.
INVESTIGATION FINDINGS:
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On July 28, 2025, Licensing Program Analyst (LPA) Miguel Herrera conducted an unannounced inspection to initiate the complaint investigation that was received on 07/25/2025. LPA met with Licensee, Audelia Rios to discuss the purpose of the inspection. Licensee is Spanish Speaking and LPA Herrera assisted with interpretation. A tour of the facility was conducted, and census was taken. LPA conducted interviews, observations, reviewed facility records and obtained copies of records to gather additional information to investigate the above allegation.

Licensee Rios failed to produce a Child's Roster (LIC 9040) for all the chidlren enrolled in her care during today's inspection. Additionally, LPA Herrera reviewed 14 children files and observed several chidlren files missing immunization records for chidlren in care.
Continued on 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
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 4
Control Number 04-CC-20250725140941
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: RIOS, AUDELIA FAMILY CHILD CARE
FACILITY NUMBER: 103911068
VISIT DATE: 07/28/2025
NARRATIVE
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Based on interviews and records reviewed during the investigation, the allegation that licensee does not maintain adequate records of day-care children is corroborated. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.
Per California Code of Regulations, Title 22, Division 12, Chapter 3, a Type B deficiency is being cited on the attached LIC 9099-D. An exit interview was conducted with Licensee Audelia Rios. A copy of this report and Appeal Rights were provided and discussed with Licensee Audelia Rios. A Notice of Site Visit Form was provided and must remain posted for 30 days.
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 04-CC-20250725140941
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: RIOS, AUDELIA FAMILY CHILD CARE
FACILITY NUMBER: 103911068
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2025
Section Cited
CCR
102418(g)
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(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.

This requirement is not met as evidenced by:
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Licensee will obtain immunization records for all 11 children missing immunizations, and will maintain those records on file. Once updated, licensee will submit copies to CCLD via email/text by 08/08/2025.
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Based on interviews and record reviews, Licensee did not have immunization records for 11 out of the 14 children that are enrolled in the facility. The Licensee did not comply with the section cited above 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: 07/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4