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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153908907
Report Date: 12/23/2025
Date Signed: 12/23/2025 06:00:26 PM

Document Has Been Signed on 12/23/2025 06:00 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:SANTANDER, MARIA FAMILY CHILD CAREFACILITY NUMBER:
153908907
ADMINISTRATOR/
DIRECTOR:		SANTANDER, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 240-5692
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/23/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:05 AM
MET WITH:Maria SantanderTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On December 23, 2025, Licensing Program Analyst (LPA) Paul Garcia and Valentin Hernandez conducted an unannounced Case Management Incident inspection. LPAs met with Maria Santander. Maria is Spanish speaking and LPA Valentin Hernandez, a State of California certified Spanish interpreter, provided interpretation during todays Inspection. Staff 1 (S1) was also present. LPAs toured the facility inside and outside and took a census of the children in care. The purpose for this inspection was to discuss an unusual incident reported to Fresno Community Care Licensing Division (CCLD) on November 4, 2025, involving Child 1 (C1), who sustained a severe fracture that required emergency surgery.

Incident Summary

On November 4, 2025, at approximately 9:00 AM, three children were in Maria’s care and were playing on the couch. Maria instructed the children to stop jumping off the couch before she went into the kitchen to check on food she was preparing. While in the kitchen, she heard C1 express pain and observed that C1s left arm appeared to be hurting. Maria reported that C1 did not cry. Maria contacted the child’s father approximately 15 minutes later.

Childs father arrived approximately 30 minutes later to pick up C1. Maria informed him that C1 should be taken to the doctor for an evaluation. C1 mother later informed Maria that C1's injured arm would require surgery, which had been scheduled.

Medical Evaluation

C1's father immediately transported his daughter to a local Urgent Care facility. When C1 awoke, she expressed pain by saying “Owie, Owie,” and her discomfort was visibly related to her injured arm. After

NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Paul Garcia
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2025
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.

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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: SANTANDER, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 153908907
VISIT DATE: 12/23/2025
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conducting an x-ray, Urgent Care staff informed Juan that the injury was severe. C1's father also observed a large purple and black bruise, approximately the size of a tennis ball, located between C1's elbow and bicep.

Incident Review and Compliance

The interview with Maria revealed that she was present in the home at the time of the incident but failed to provide adequate, active or appropriate supervision. Although she was aware that the children were jumping on the couch, she did not take active or appropriate steps to stop the behavior or prevent a foreseeable injury. As a result, one of the children fell and sustained a severe fracture requiring emergency surgery.



Upon reviewing documents and information received during the interview, it was determined that Maria failed to notify the department by the next business day regarding C1’s injury requiring medical attention.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D)

LPA Paul Garcia informed licensee Maria Santander that this report dated December 23, 2025, documents one type A citation which shall be posted for 30 consecutive days as there is immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Paul Garcia informed the licensee Maria Santander to provide a copy of this licensing report dated December 23, 2025, 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.


An exit interview was conducted, and this report was reviewed with Maria Santander.
A notice of site visit was issued and must remain posted for 30 days.
This report shall be made available to the public upon request.
Appeal Rights were discussed and issued.

C1 last day in care was November 4, 2025.
NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Paul Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/23/2025 06:00 PM - It Cannot Be Edited


Created By: Paul Garcia On 12/23/2025 at 09:49 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: SANTANDER, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 153908907

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/29/2025
Section Cited
CCR
102416.2(d)(1)

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The licensee shall report to the Department ... by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home of…the…events." This requirement was not met as evidenced
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LPA provided Maria with a hard copy of the regulations related to reporting requirements. Maria agreed to review the entire section and will submit a signed written response acknowledging her full understanding of its contents by December 29, 2025, by the end of the day.
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by the licensee’s failure to report a serious incident that occurred to a child requiring emergency medical treatment involving surgery by the next business day as required which poses a potential Health and/or, Safety and/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.
Cynthia Brannon
NAME OF LICENSING PROGRAM MANAGER:
Paul Garcia
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 12/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/23/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/23/2025 06:00 PM - It Cannot Be Edited


Created By: Paul Garcia On 12/23/2025 at 09:51 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: SANTANDER, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 153908907

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/23/2025
Section Cited
CCR
102417(a)

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The licensee shall be present in the home and shall ensure that children in care are supervised at all times….This requirement was not met as evidenced by: Based on interview Maria failed to provide active supervision or take appropriate steps to stop the children’s behavior
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(Supervision) Maria agreed to review the entire section and will submit a signed written response acknowledging her full understanding of its contents by December 29, 2025, by the end of the day.
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or prevent a foreseeable injury when she was aware children were jumping on a couch when she exited the room which posed an immediate health, safety or personal rights risk to persons in care as the lack of supervision resulted in a serious injury.
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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.
Cynthia Brannon
NAME OF LICENSING PROGRAM MANAGER:
Paul Garcia
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 12/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/23/2025


LIC809 (FAS) - (06/04)
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