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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103911833
Report Date: 04/11/2024
Date Signed: 04/11/2024 11:16:24 AM

Document Has Been Signed on 04/11/2024 11:16 AM - 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:NAVARRO, ESTHER FAMILY CHILD CAREFACILITY NUMBER:
103911833
ADMINISTRATOR/
DIRECTOR:
NAVARRO, ESTHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 375-4301
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
04/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On 04/11/2024, Licensing Program Analysts (LPAs) Ka Vang and Yesenia Fierro arrived at the facility unannounced to conduct a Case Management-Other inspection. The purpose today’s inspection was to follow-up information that reported to the Fresno Community Care Licensing Office on 04/08/2024. LPAs met with Licensee Esther Navarro who speaks Spanish. An inspection tour of the facility was conducted, and census was taken. LPAs explained to Licensee that LPAs are following-up information that was received in the Fresno Community Care Licensing Office.

During the Case Management-Other inspection, LPAs explained to Licensee that our office received information indicated that Staff #2 (S2) was assisting with her daycare who did not have background clearance. During the interview, Licensee stated that Staff #2 was in the daycare home on 04/08/2024.

On 04/10/2024, LPA Ka Vang arrived at the daycare home and observed Staff #3 (S3) was in the home who was also not background cleared. Per interview with Licensee and S3, S3 was working at the daycare home since 04/09/2024. Licensee stated that S3 completed her background cleared on 04/09/2024. Based on the record that Licensee provided to LPA, S3 started her background clearance on 04/10/2024; however, LPA conducted record review via Guardian, S3 was not background clear and associate with the facility.

Based record review, observation, and interview, Staff #2 and Staff #3 who were 18 year olds and over did not obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in this daycare home. During today’s inspection visit, a deficiency of Type A was cited and acivil penalty of $300 was assessed as this regulation was violated.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiency is being cited during today’s inspection. (See next page, LIC809-D).



(Continued on LIC809-C).
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: NAVARRO, ESTHER FAMILY CHILD CARE
FACILITY NUMBER: 103911833
VISIT DATE: 04/11/2024
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 were given to Licensee.

Licensee was provided a copy of appeal rights. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee. During the exit interview, the Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/11/2024 11:16 AM - It Cannot Be Edited


Created By: Ka Vang On 04/11/2024 at 09:47 AM
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: NAVARRO, ESTHER FAMILY CHILD CARE

FACILITY NUMBER: 103911833

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/15/2024
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.
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Per Licensee, she agrees to watch the following videos on www.ccld.ca.gov regarding, Reporting Requirement and Background Clearance. Licensee agrees to submit proof to Licensing Fresno Office indicated that she watches and understand the Reporting Requirement and Background Clearance reporting.
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This requirement is not met as evidenced by:

Based on record review, the licensee did not comply with the section cited above. Staff #2 and Staff #3 were not cleared for criminal background which poses an immediate health, safety, or personal rights risk to children in care.
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Licensee agrees to submit proof to Licensing Fresno Office indicating that Staff #3 have background clearance.

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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.
SUPERVISOR'S NAME:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Ka Vang
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2024


LIC809 (FAS) - (06/04)
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