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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153807696
Report Date: 08/06/2026
Date Signed: 08/06/2026 10:37:37 AM

Document Has Been Signed on 08/06/2026 10:37 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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CARDONA, EILEEN FAMILY CHILD CAREFACILITY NUMBER:
153807696
ADMINISTRATOR/
DIRECTOR:
CARDONA, EILEENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 323-2784
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93305
CAPACITY: 14TOTAL ENROLLED CHILDREN: 17CENSUS: 6DATE:
08/06/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Eileen CardonaTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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Licensing Program Analysts (LPAs) Aurelio Mendoza and Denisia Jimenez conducted a joint unannounced Annual/Random Inspection and were met by Licensee Eileen Cardona. The licensee’s assistant was also present. The facility operates Monday through Friday, 24 hours per day. During the inspection, LPAs confirmed that the licensee understands that children must have a break in care within any 24-hour period.

LPAs toured the home, inside and outside, and conducted a census. Review of the facility sketch confirmed that the kitchen, dining room, living room, bathroom, and backyard are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible with a baby gate.

There is no swimming pool or other bodies of water on the premises. LPAs observed no firearms or ammunition in the home. No poisons were observed during the inspection. Detergents, cleaning compounds, medications, and other hazardous items are stored so they are inaccessible to children.

There are no fireplaces or open-face heaters. The home is equipped with a working fire extinguisher, smoke detector, carbon monoxide detector, and provides adequate heating and ventilation for safety and comfort. This is a single-level home with no stairs. The home contains safe toys and play equipment. LPAs verified that the home has working telephone service and confirmed the phone number.

The licensee ensures that children are supervised at all times and understands that children shall not be left in parked vehicles. The fenced backyard provides an outdoor play area, and LPAs observed no hazards. Capacity as specified on the license is being maintained.

Cynthia Brannon
Aurelio Mendoza
DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2026
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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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: CARDONA, EILEEN FAMILY CHILD CARE
FACILITY NUMBER: 153807696
VISIT DATE: 08/06/2026
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LPAs reviewed a sample of children’s files and found them complete with required emergency information. Licensee’s Mandated Reporter Training is valid through 04/17/2027. Licensee’s pediatric CPR/First Aid certification is valid through 02/2027. Review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis, and measles.

LPAs discussed the Community Care Licensing website at www.ccld.ca.gov, which provides access to forms, regulations, Provider Information Notices (PINs), and Quarterly Updates. LPAs also reviewed Reporting Requirements as outlined in Section 102416.2 of Title 22 regulations.

LPAs reminded the licensee that all adults 18 years or older living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer an existing clearance or exemption, prior to initial presence in the Family Child Care Home, as specified in Health and Safety Code section 1596.871. Failure to comply will result in a civil penalty of $100.00 per day, for a maximum of 5 days, or 30 days for repeat violations, per person.

LPAs discussed safe sleep regulations and referred the licensee to the Child Care Licensing Safe Sleep webpage at:
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep
LPAs also discussed checking the CPSC website at
https://www.cpsc.gov/ for recalled infant devices and recommended registering infant equipment with the CPSC to receive recall notifications.

LPAs discussed Incidental Medical Services (IMS). For IMS information, the licensee may review PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. LPAs provided ADA information, including the USDOJ ADA Information Line at (800) 514-0301 (voice) and (800) 514-0383 (TTY), and the publication “Commonly Asked Questions about Child Care Centers and the ADA” available at:
https://www.ada.gov/resources/child-care-centers/

Licensee was informed of the MyChildCarePlan.org consumer education website, which connects families to child care providers and Resource and Referral Agencies throughout California.

NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
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: CARDONA, EILEEN FAMILY CHILD CARE
FACILITY NUMBER: 153807696
VISIT DATE: 08/06/2026
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LPAs informed the licensee that a survey may be sent to the email address on file to help improve the inspection process. Questions regarding the inspection process or CARE tools may be emailed to inspectionprocess@dss.ca.gov. Additional information about inspections and CARE tools is available at:
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

An exit interview was conducted with Licensee Eileen Cardona. During the exit interview, the licensee confirmed that no Registered Sex Offenders reside in the facility, and LPAs verified the RSO profile in FAS.

Per Title 22, Division 12, no deficiencies were cited today. The licensee was provided appeal rights. This report must 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: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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