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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153908810
Report Date: 02/12/2025
Date Signed: 02/12/2025 01:43:21 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH 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
01/07/2025 and conducted by Evaluator Denisia Jimenez
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20250107161034
FACILITY NAME:PONCE, MAYRA FAMILY CHILD CAREFACILITY NUMBER:
153908810
ADMINISTRATOR:PONCE, MAYRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 721-7438
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY:14CENSUS: 3DATE:
02/12/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Mayra Ponce TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Day care child sustained unexplained injuries while in care.
INVESTIGATION FINDINGS:
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On 02/12/2025, Licensing Program Manager (LPM) Scott Herring and Licensing Program Analyst (LPA) Denisia Jimenez arrived at the facility to deliver investigation finding to the allegation. LPA met with Licensee and took a census.
The investigation consisted of a review of records, copy of children’s roster, interviews with the reporting party, licensee, parents, police records, photos, and additional pertinent information obtained during the investigation. Regarding the allegation, it was determined that an infant sustained scratches and bruising in and around its eye-facial area. Licensee’s explanation was that the infant had scratched itself while she was in the kitchen area preparing a bottle for the infant.
Furthermore, Delano Police Department investigated the allegation and observed infant to have red marks on its face and on its left eyelid. Licensee also stated to another agency that she observed infant scratching itself. Infant suffered scratches that are not consistent with its fingernails. The infant was not provided a safe environment in the home due to sustaining unexplained injuries.
(Continued on 9099-C)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
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 3
Control Number 57-CC-20250107161034
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: PONCE, MAYRA FAMILY CHILD CARE
FACILITY NUMBER: 153908810
VISIT DATE: 02/12/2025
NARRATIVE
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Based on the information obtained during the investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.

Per Title 22, Division 12, of the California Code of Regulations, the following deficiency is being cited: (see next page).

LPA Denisia Jimenez informed licensee Mayra Ponce that this report dated 02/12/2025 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA Denisia Jimenez informed the licensee to provide a copy of this licensing report dated 02/12/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Licensee.

Exit interview conducted and report was reviewed with Mayra Ponce. Appeal rights were provided.



This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 57-CC-20250107161034
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: PONCE, MAYRA FAMILY CHILD CARE
FACILITY NUMBER: 153908810
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
02/12/2025
Section Cited
CCR
102423(a)(2)
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Personal rights. (a) Each child receiving services from a family child care home shall have certain rights...(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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Licensee has agreed to watch CCL Video: CHILDREN’S PERSONAL RIGHTS IN CHILD CARE which can be accessed by visiting the following website: ccld.childcarevideos.org.
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This requirement was not met as evidenced by: Based on interviews and records review, licensee did not ensure the personal rights of infant in care. This poses an immediate risk to the health, safety and/or personal rights of children in care.
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Licensee stated that she would be completing a statement on what she learned and how she will ensure that personal rights of children will always be adhered to. The statement will be submitted to Fresno RO via email/text by 02/13/2025.
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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: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3