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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153911855
Report Date: 07/23/2025
Date Signed: 07/23/2025 04:11:19 PM

Document Has Been Signed on 07/23/2025 04:11 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:GARCIA, ANGIE FAMILY CHILD CAREFACILITY NUMBER:
153911855
ADMINISTRATOR/
DIRECTOR:
GARCIA, ANGIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 557-7329
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 14TOTAL ENROLLED CHILDREN: 23CENSUS: 13DATE:
07/23/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Angie GarciaTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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On 07/23/2025 Licensing Program Analyst (LPA), Christopher Burnias conducted an unannounced Annual Random Inspection and was met by Licensee, Angie Garcia. Days and hours of operation are Monday through Friday from 8:00 AM to 5:00 PM or other days and hours as arranged.

LPA toured the home inside and outside and a census was taken. Upon arrival, LPA observed Licensee providing care to 13 children. LPA did not observe any other assistants downstairs. LPA asked Licensee who was assisting them with caring for the children. Licensee stated that their minor age assistant (A1) was upstairs. LPA informed Licensee that their assistant must be present downstairs and providing active supervision to the children. Licensee understood and A1 immediately came downstairs to assist with care for the children. Licensee stated that they also have an adult assistant (A2) who helps out and A2 arrived shortly after and provided care for the children. LPA reminded Licensee that in the event where there is no assistant present, the home must operate in the capacity and ratio requirements of a Small Family Child Care Home. Licensee understood.

LPA reviewed current facility sketch and confirmed that the kitchen area, dining room, great room, and bathroom 2 are used for providing care and are accessible to children. All other rooms inside the home are off-limits and made inaccessible by use of a baby gate and doorknob spinners. During inspection, Licensee asked if LPA could inspect the Living room and determine if it is acceptable for use as an accessible area. LPA observed that the Living room was furnished with a sofa and tables. LPA observed small items inside the table drawer that could pose as a choking hazard to children in care. Licensee removed the items from the drawer and LPA did not observe any other hazards present inside the Living Room. LPA has approved the Living Room as an accessible area of the day care and Licensee provided LPA with an updated facility sketch to reflect changes.

NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian
NAME OF LICENSING PROGRAM ANALYST: Christopher Burnias
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2025
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.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 07/23/2025 04:11 PM - It Cannot Be Edited


Created By: Christopher Burnias On 07/23/2025 at 02:33 PM
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: GARCIA, ANGIE FAMILY CHILD CARE

FACILITY NUMBER: 153911855

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/23/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observation, the licensee did not comply with the section cited above. LPA observed children in the backyard which was listed on record as off-limits. LPA observed bottles of beer, an open bottle of tequila with liquor inside, a can of bug spray, and propane tanks accessible to children which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/24/2025
Plan of Correction
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Licensee immediately brought children back inside the home. Licensee is to keep the backyard as off-limits and ensure children do not have access to the backyard. Licensee is review regulations regarding Operation of a Family Child Care Home and provide the Department a statement indicating they have read and understood the regulations and will ensure compliance with licensing requirements.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Luisa Gavoutian
NAME OF LICENSING PROGRAM MANAGER:
Christopher Burnias
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/23/2025 04:11 PM - It Cannot Be Edited


Created By: Christopher Burnias On 07/23/2025 at 02:33 PM
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: GARCIA, ANGIE FAMILY CHILD CARE

FACILITY NUMBER: 153911855

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/23/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. LPA observed that Licensee did not have a valid Pediatric First Aid/CPR certificate which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/06/2025
Plan of Correction
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Licensee must complete Pediatric First Aid/CPR Training through American Red Cross, American Heart Association, or an approved vendor through the California Emergency Medical Services Authority (EMSA) and submit a current and valid training completion certificate to the Department.
Type B
Section Cited
CCR
102416.3(a)(6)
Alterations to Existing Building or Grounds
(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observation, the licensee did not comply with the section cited above. LPA observed children in the backyard which was declared on record as off-limits. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/24/2025
Plan of Correction
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Licensee immediately brought children back inside the home. Licensee is to keep the backyard as off-limits and ensure children do not have access to the backyard. Licensee is review regulations regarding Alterations to Existing Building or Grounds, and provide the Department a statement indicating they have read and understood the regulations and will ensure compliance with licensing requirements.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Luisa Gavoutian
NAME OF LICENSING PROGRAM MANAGER:
Christopher Burnias
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2025


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: GARCIA, ANGIE FAMILY CHILD CARE
FACILITY NUMBER: 153911855
VISIT DATE: 07/23/2025
NARRATIVE
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During inspection of the kitchen area and dining room, LPA observed floor to have spilled water, dog food, and various trash items. LPA reminded Licensee that accessible areas of the home must be kept clean and organized. LPA advised Licensee to have the area cleaned and items removed. Licensee did so during the inspection.

During inspection of the bathroom, LPA observed a bottle of body wash on the lower shelf of the shower. LPA reminded Licensee that all soaps, shampoos, body washes, or any other potentially hazardous items not meant for children, must be kept in an inaccessible area. Licensee understood and the body wash was removed immediately.

During the inspection, LPA observed children outside in the backyard of the home which was declared on record as off-limits. LPA inspected the outdoor area and observed the backyard to have an open bottle of tequila with alcohol still inside, multiple bottles of beer, beer bottle caps on the ground, buffet style food containers with old food inside, multiple propane tanks, a can of bug spray, and dog feces throughout the grass area. LPA informed Licensee that the backyard conditions are an immediate risk to the health, safety, and personal rights of children and that a citation will be issued. Licensee immediately brought all children back inside the house. LPA informed Licensee that the backyard currently shows on record as an off-limits area and that Licensee is responsible for notifying the Department of any plans to make an off-limits area accessible to the day care. LPA reminded Licensee that the backyard must remain off-limits and that they must ensure children do not have access to the area. LPA informed Licensee that in order add the outdoor backyard as an accessible area, all hazardous items must be removed, LPA must inspect the area and approve it for use before children can have access to the area. LPA explained that a citation will be issued due to the current use of an off-limit area of the home. Licensee understood. LPA advised Licensee to review the regulations regarding Alterations to Existing Buildings or Grounds and provide the Department with a statement indicating they have read and understood the regulations and will ensure the facility will comply with licensing requirements. Licensee agreed to do so.

There is no swimming pool or other bodies of water on the premises.

All firearms and ammunition are stored and locked separately. Detergents, cleaning compounds and medication are made inaccessible.

NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian
NAME OF LICENSING PROGRAM ANALYST: Christopher Burnias
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
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: GARCIA, ANGIE FAMILY CHILD CARE
FACILITY NUMBER: 153911855
VISIT DATE: 07/23/2025
NARRATIVE
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There is one fireplace in the home located in the Living Room and is made inaccessible by a glass door and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort.

This is a two-story home and stairs are gated when children under age 5 years old are present. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number on record is correct.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles.

Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 04/19/2024. Upon review of Licensee’s pediatric CPR/First Aid certification, LPA observed that Licensee had a First Aid/CPR certification card issued by a non approved vendor/trainer which expired on 04/15/25. Citation has been issued. LPA informed Licensee that Pediatric First Aid/CPR Training must be completed through American Red Cross, American Heart Association, or an approved vendor through the California Emergency Medical Services Authority (EMSA). LPA informed Licensee that they must complete a new training though an approved vendor/trainer and submit a current and valid training completion certificate to the Department. Licensee understood.

A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian
NAME OF LICENSING PROGRAM ANALYST: Christopher Burnias
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC809 (FAS) - (06/04)
Page: 8 of 10
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: GARCIA, ANGIE FAMILY CHILD CARE
FACILITY NUMBER: 153911855
VISIT DATE: 07/23/2025
NARRATIVE
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LPA discussed safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to 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 website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with licensee. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

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

Licensee was provided appeal rights.

NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian
NAME OF LICENSING PROGRAM ANALYST: Christopher Burnias
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC809 (FAS) - (06/04)
Page: 9 of 10
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: GARCIA, ANGIE FAMILY CHILD CARE
FACILITY NUMBER: 153911855
VISIT DATE: 07/23/2025
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LPA Christopher Burnias informed licensee Angie Garica that this report dated 07/23/2025 documents one 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 Christopher Burnias informed the licensee to provide a copy of this licensing report dated 07/23/2025 that documents any Type A citations 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 form LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Licensee.

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.

NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian
NAME OF LICENSING PROGRAM ANALYST: Christopher Burnias
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC809 (FAS) - (06/04)
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