155621143-4-24-2026-57-CC-DJIZ-DTFPL5-20260424112410

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 155621143
Report Date: 04/24/2026
Date Signed: 04/24/2026 11:24:23 AM

Document Has Been Signed on 04/24/2026 11:24 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:	VERA, ANGELICA FAMILY CHILD CARE		FACILITY NUMBER:	155621143
ADMINISTRATOR/ DIRECTOR:	VERA, ANGELICA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 858-4492
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93311
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	04/24/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:20 AM
MET WITH:	Angelica Vera		TIME VISIT/ INSPECTION COMPLETED:	11:35 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 04/24/2026, Licensing Program Analyst (LPA), Denisia Jimenez met with Applicant, Angelica Vera for a pre-licensing/ change of location inspection. Applicant, her husband, two adult children and one minor child reside in the home. Background clearances are discussed and LIS 531 is signed indicating that the adults currently living in the home and/or providing care and supervision to children have a criminal record clearance. Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed: Fire clearance was received on 04/14/26. Fire pull alarm is located on the home’s entry way on the living room side wall. This is a single story, four-bedroom and two-bathroom home and children will have access to the living room/dining area (day care room) and hallway bathroom. The living room and dining area are combined in one room. Off-limits rooms/ closets are made inaccessible by using door knob spinners. There is a gas fireplace covered by a screen in the family room that applicant states will not be used during day-care hours. There is central air heating/cooling ventilation for safety and comfort. LPA observed in the day care room, child size furniture, safe toys, and books for the children. LPA did not observe a parent board; however, required licensing forms were observed displayed in frames on the dining area wall. LPA advised applicant the parents board must be readily available for parents to view. Children will nap in the day care room on cots. Applicant understands she is to supervise children at all times. LPA provided applicant with Individual Sleeping Plan and Safe Sleep handout. Facility has a 2A10BC fire extinguisher mounted/located in the kitchen wall next to the refrigerator. There is a functioning smoke alarm, carbon monoxide alarm and first aid kit in place. (Continued on LIC-809-C)

NAME OF LICENSING PROGRAM MANAGER: Scott Herring
NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

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: VERA, ANGELICA FAMILY CHILD CARE	FACILITY NUMBER: 155621143
	VISIT DATE: 04/24/2026

NARRATIVE

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Applicant’s Pediatric CPR and First Aid certification was completed through American Red Heart Association and expires on 06/2026. Applicant understands per Title 22 Regulations she must have a qualified assistant when she operates her family child care home as a large capacity.
Preventative Health and Safety with Nutrition and Prevention of Lead exposure certification was completed on 06/07/2022.
Applicant completed the Mandated Reporter Training on 03/11/2026. Applicant’s Assistant completed the Mandated Reporter Training on 05/26/25. Knives are stored inside the kitchen drawer made inaccessible using a magnetic cabinet lock. Medications are stored inside a top kitchen cabinet. Cleaning compounds are stored inside the cabinet that is located underneath the kitchen sink and made inaccessible using a sliding cabinet latch. The licensee stated the kitchen will be made inaccessible using a retractable child proof mesh fence. Advised applicant fire drills are to be conducted once every 6 months and must be documented with date and time. A fire drill log was provided as an example.
Applicant is advised that at least one staff member with current training in pediatric first aid and pediatric CPR is to be on site at all times children are present.
Effective 01/01/2025, all childcare facilities licensed by CCL by law will be required to adhere to AB2866 - The Pool Safety Act. According to Health & Safety Code 1596.814, additional safety features will be required. There is an in-ground pool that is fenced with mesh fencing and is compliant with American Society for Testing Materials (ASTM) International Standard F2286 in accordance with Title 22 Regulations.
The gate is self-latching/self-closing, swings away from the pool and key lockable device is located no lower than 60 inches above the ground.
Applicant has an alarm that is placed in the swimming pool and sounds upon detecting an entrance into the water, alarm meets ASTM International Standard F2208. Applicant tested alarm with LPA during today's inspection.
Applicant has a life ring diameter of 20 inches, approved by the US Coast Guard. LPA observed the life ring mounted onto the fence next to the gate.
Applicant has a rescue pole with a body hook, and it is at a fixed length of 12 feet. LPA observed the rescue pole inside the pool area. The licensee stated she would mount it on the brick wall.
Applicant shall perform a daily inspection of the safety features and equipment before opening the facility and maintain a log of the inspections to be provided to the Department upon request. LPA provided applicant with an example of bodies of water daily inspection checklist.

(Continued on LIC-809-C)

NAME OF LICENSING PROGRAM MANAGER: Scott Herring
NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

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: VERA, ANGELICA FAMILY CHILD CARE	FACILITY NUMBER: 155621143
	VISIT DATE: 04/24/2026

NARRATIVE

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There is a dog that will be kept in the inaccessible areas. Applicant is advised it is her responsibility to always ensure the safety of children in care from pets.
Applicant states there are no firearms or ammunition in the home or premises. The licensee stated poisons will be stored in a key-locked cabinet located in the garage.
Applicant is reminded that any advertising (of day-care) such as business cards, flyers/posters, and/or signs must include facility number as per Title 22 Regulation "Advertisements and License Number" 102359 (a).
Applicant is advised that smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a). Applicant states the home is smoke-free.
Applicant states she will not be transporting day care children. Applicant understands that she must have proper car restraints and/or car seats for all the children under her care when transporting children.
Fenced backyard has a cemented and sodded yard for the children. There is a patio deck and a gazebo for shade. There is a kitchen island located under the patio deck, equipped with a barbecue grill, a sink, a mini refrigerator, and storage drawers.
LPA observed a children’s water table, a children’s table with an umbrella, and other miscellaneous toys.
LPA discussed safe sleep pending regulations and Safe Sleep Regulation Concepts were given to applicant.
Applicant is advised it is her responsibility to read and maintain her facility incompliance with Title 22 Regulations. Title 22 Regulations can be found at www.ccld.ca.gov.
SB 792 immunizations are on file.
Applicant is advised Fresno Community Care Licensing Department has inspection authority and can inspect all rooms in the home, garages and/or separate dwellings on the premises.
Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. 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.

Required postings, forms packet, which included Parent Notification Requirement and LIC9224 were provided and discussed in detail. Applicant is advised that she may access CCLD website at www.ccld.ca.gov for additional forms and licensing updates. Applicant is also reminded that it is her responsibility to read the regulations periodically. Applicant states she will operate her day care Monday through Friday from 6:30AM to 5:30PM and as arranged. No overnight care will be provided.

(Continued on LIC 809-C)

NAME OF LICENSING PROGRAM MANAGER: Scott Herring
NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

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: VERA, ANGELICA FAMILY CHILD CARE	FACILITY NUMBER: 155621143
	VISIT DATE: 04/24/2026

NARRATIVE

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LPA & applicant discussed the Community Care Licensing website: LPA and applicant discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Receive Important Updates” and register to PIN.

Pending a final review of application file, licensure as a Large Family Day Care Home capacity of 14 children ages under 18 years will be recommended effective 04/27/2026.

NAME OF LICENSING PROGRAM MANAGER: Scott Herring
NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

LIC809 (FAS) - (06/04)

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