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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153806122
Report Date: 08/27/2026
Date Signed: 08/27/2026 12:05:55 PM

Document Has Been Signed on 08/27/2026 12:05 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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:URENA, LUZ FAMILY CHILD CAREFACILITY NUMBER:
153806122
ADMINISTRATOR/
DIRECTOR:		URENA, LUZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 364-8888
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93304
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
08/27/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:10 AM
MET WITH:Luz UrenaTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
NARRATIVE
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On 08/27/2026, Licensing Program Analyst (LPA) Lady Cabrera conducted an unannounced case management inspection and met with Licensee Luz Urena. LPA toured the facility inside and outside, and a census was taken. The purpose of this inspection was to follow up on a previous visit conducted on 07/09/2026.

The Licensee self-reported an Unusual Incident that occurred on 06/19/2026, which was reported to CCLD on 06/23/2026, regarding an alleged violation of a child’s personal rights. The Licensee did not meet the reporting requirements for timely notification to CCLD. On 06/24/2026, the Licensee submitted the Suspected Child Abuse Report.

Regarding the first alleged personal rights violation, LPA collected facility records and conducted interviews with facility staff and children. Based on the information obtained, it was determined that although the incident could have occurred, there was insufficient information to conclude whether or not the incident took place.

During the investigation of the second personal rights concern, the LPA asked the Licensee if there had been any incident or reason why she would have hit Child 1 on the head. The Licensee stated Child 1 woke up crying, and when she approached the child, she observed a small fruit fly or gnat on the child’s head. The Licensee stated she “tapped it to kill it" without warning the child. Child perceived that Licensee hit the child. No marks or bruises, or injuries were sustained by the child.

Per Title 22, Division 12 of the California Code of Regulations, the following deficiencies are being cited and documented on LIC 809D.

Cynthia Brannon
Lady Cabrera
DATE: 08/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2026
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 08/27/2026 12:05 PM - It Cannot Be Edited


Created By: Lady Cabrera On 08/27/2026 at 11:35 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: URENA, LUZ FAMILY CHILD CARE
FACILITY NUMBER: 153806122

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/04/2026
Section Cited
CCR
102416.2

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102416.2 Reporting Requirements(a) The licensee shall report the following information the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm).
This requirement is not met as evidenced by:
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Licensee will review 102416.2 Reporting Requirements and provide a written statement acknowledging that they read and understood the regulation by 09/04/2026. LPA provided a copy of the regulation.
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Based on interviews and records reviewed, Licensee did not comply with the cited regulation, which poses a potential risk to the health, safety, or personal rights to children in care.
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Type B
09/04/2026
Section Cited
CCR102423(a)(4)

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102423(a)(4) Personal Rights - To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions...This requirement is not met as evidenced by:
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Licensee will review and become re-familiarized with Personal Rights regulations (Section 102423) and Licensee will develop and Licensee will implement a non-physical procedure for addressing insects on children, such as gently brushing the insect off without any form of striking
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The Licensee’s action of tapping a child on the head regardless of intent or degree of force constitutes a violation of the child’s personal right to be free from corporal punishment,which poses a potential risk to the health, safety, or personal rights to children in care.
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Licensee will submit a written statement of understanding and the non-physical procedure to the LPA by 09/04/2026
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Cynthia Brannon
NAME OF LICENSING PROGRAM MANAGER:
Lady Cabrera
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/27/2026


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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: URENA, LUZ FAMILY CHILD CARE
FACILITY NUMBER: 153806122
VISIT DATE: 08/27/2026
NARRATIVE
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Licensee Luz Urena was provided appeal rights. This report shall be made available to the public upon request. LIC 9213, Notice of Site Visit, was provided and is required to be posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Lady Cabrera
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026
LIC809 (FAS) - (06/04)
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