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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103911068
Report Date: 07/28/2025
Date Signed: 07/28/2025 02:08:44 PM

Document Has Been Signed on 07/28/2025 02:08 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:RIOS, AUDELIA FAMILY CHILD CAREFACILITY NUMBER:
103911068
ADMINISTRATOR/
DIRECTOR:
RIOS, AUDELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 903-5686
CITY:FIREBAUGHSTATE: CAZIP CODE:
93622
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
07/28/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Audelia RiosTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
NARRATIVE
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On July 28, 2025, Licensing Program Analysts (LPA) Miguel Herrera conducted an unannounced case management inspection. LPA met with Licensee Audelia Rios to discuss the case management inspection. Licensee is Spanish Speaking and LPA Herrera assisted with interpretation. A tour of the facility was conducted, and a census was taken.

LPA toured the home inside and a census was taken. LPA Herrera reviewed the current facility sketch with license. Licensee Rios confirmed that the front living room, kitchen, back living room, converted garage/day-care room, bathroom inside of day-care room, and the hall bathroom are used for providing care and are accessible to children. However, during the inspection LPA Herrera observed 4 children in the daycare’s storage room laying in sleeping cots while they used their electronics. Licensee removed the children immediately. Additionally, LPA Herrera observed child #2 inside Licensee Rios’ master bedroom that was to be made inaccessible to children. Licensee Rios was unable to immediately open the door as the door was locked by child #2. Eventually, Licensee Rios opened the door with a key and removed the child from the room.

During the inspection LPA Herrera also observed Child #1 in a bouncer, additionally LPA Herrera observed a walker and several different types of bouncers throughout the home.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, LIC 809 D). Licensee Audelia Rios was provided with a copy of appeal rights. LIC 9213 Notice of Site visit form was provided to Licensee Audelia Rios and is required to be posted for 30 days. This report shall be made available to the public upon request.

NAME OF LICENSING PROGRAM MANAGER: Jose Penate
NAME OF LICENSING PROGRAM ANALYST: Miguel Herrera
LICENSING PROGRAM ANALYST 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.

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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Document Has Been Signed on 07/28/2025 02:08 PM - It Cannot Be Edited


Created By: Miguel Herrera On 07/28/2025 at 12:35 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: 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
07/29/2025
Section Cited
CCR
102416.3(a)(6)

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(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where...
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Licensee Rios immediately removed the children from the daycare storage room and master bedroom. Furthermore, Licensee Rios will provide a statement to CCLD Fresno ensuring that children will not be permitted to access the master bedroom and daycare storage room. The statement is due by end of day on 07/29/2025.
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care and supervision will be provided to children in care.
This requirement is not met as evidenced by:
Based on LPA's observations, interviews and records review. The daycare storage room and master bedroom were to be “off limits” and were not permitted for childcare use, which poses a potential health, safety or personal rights risk to persons in care.
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Type B
07/29/2025
Section Cited
CCR102417(g)(10)

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(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections...
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Licensee removed the infant from the baby bouncer and will remove all bouncers/walkers from the home. Licensee stated that she shall review the infant items permitted in family child care homes and submitted a written statement of understanding to CCL by 07/29/2025.

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1596.846(b) and (c).
This requirement is not met as evidenced by:
Based on observation, the licensee did not comply with the section cited above in that an infant was observed in a baby bouncer which posed 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.
Jose Penate
NAME OF LICENSING PROGRAM MANAGER:
Miguel Herrera
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST 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


LIC809 (FAS) - (06/04)
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