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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163911200
Report Date: 03/11/2025
Date Signed: 03/11/2025 04:58:17 PM

Document Has Been Signed on 03/11/2025 04:58 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:CALVILLO, ISELA FAMILY CHILD CAREFACILITY NUMBER:
163911200
ADMINISTRATOR/
DIRECTOR:		CALVILLO, ISELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 707-7123
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
03/11/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Isela CalvilloTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 03/11/2025 Licensing Program Analyst (LPA), Octavia Nolan conducted an unannounced Annual Random Inspection and was met by licensee, Isela Calvillo. Also present was licensee’s assistant. Days and hours of operation are Monday through Friday 7:00 AM to 5:00 PM. The home has a working telephone service and LPA confirmed the phone number is (559) 707- 7123. Capacity as specified on the license is being maintained.

LPA toured the home inside and outside. A census was taken and there were 11 daycare children present. This is a two-story home and stairs are gated when children under age 5 years old are present. LPA reviewed current facility sketch and confirmed that the kitchen, dining room, hall bathroom, living room, and family room are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of a baby gate. The outdoor play area in the backyard is fenced and there are no hazards to children present. Safe toys and play equipment were observed and are in good condition, free of sharp, loose, or pointed parts.

There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Licensee was unable to show proof of fire drills being conducted and documented with the date and time every six months.

There is no swimming pool or other bodies of water on the premises. Licensee stated there are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

There are pets in the home. Licensee owns two small dogs. Licensee understands the liability of pets around
Continued on LIC 809C
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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Document Has Been Signed on 03/11/2025 04:58 PM - It Cannot Be Edited


Created By: Octavia Nolan On 03/11/2025 at 01:46 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: CALVILLO, ISELA FAMILY CHILD CARE
FACILITY NUMBER: 163911200

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above. Licensee allowed Adult #1 (A1) to provide care and supervision to daycare children for two weeks. A review of records, including the Guardian Employee Roster, shows that A1 does not have a criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/12/2025
Plan of Correction
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Adult #1 left the facility and will not return until CCL has proof of clearance. Licensee provided LPA with a signed statement stating she will operate as a small family child care home until she has qualified assistant with a criminal record clearance. Licensee will email LPA all documentation for the assistant including the LIC 9052, LIC 9108, Mandated Reporter Training Certificate, proof of immunizations, and TB Clearance.
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.
SUPERVISOR'S NAME:Cynthia Brannon
LICENSING EVALUATOR NAME:Octavia Nolan
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/11/2025 04:58 PM - It Cannot Be Edited


Created By: Octavia Nolan On 03/11/2025 at 01:46 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: CALVILLO, ISELA FAMILY CHILD CARE
FACILITY NUMBER: 163911200

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

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. A review of records show Licensee completed Mandated Reporter Training on 01/29/2023 and expired on 01/29/2025 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/25/2025
Plan of Correction
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Licensee agrees to complete mandated reporter training through www.mandatedreporterca.com or an approved alternate training and email the certificate to LPA by 03/25/2025.
Type B
Section Cited
CCR
102425(j)(2)(D)(c)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. LPA observed Licensee has not kept a record of 15 minute sleep checks for two infants in care. Licensee stated she was unaware that 15 min sleep checks were required until the infants turn 24 months which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/25/2025
Plan of Correction
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Licensee agrees to document 15 minute sleep checks for all infants under 24 months effective immediately and keep the documentation on file for LPA to review by 03/25/2025.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Cynthia Brannon
LICENSING EVALUATOR NAME:Octavia Nolan
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2025


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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: CALVILLO, ISELA FAMILY CHILD CARE
FACILITY NUMBER: 163911200
VISIT DATE: 03/11/2025
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day care children and accepts responsibilities of any action taken by pets. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles.

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 01/29/2023. LPA reminded Licensee the training must be renewed every two years. Licensee’s pediatric CPR/First Aid certification expires on 03/18/2025. A review of records indicates that licensee has immunization records on file for influenza, pertussis, and measles.

Licensee was reminded that all adults 18 and over, 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 family child care home. Upon entering the facility at 12:00 PM, LPA observed Adult #1 (A1) providing care and supervision to children in care. A review of records, including the Guardian Employee Roster, showed that A1 does not have a criminal record clearance. A1 and Licensee stated they started assisting at the facility two weeks ago. During the inspection, A1 made a fingerprinting appointment for 03/14/2025. LPA informed Licensee that A1 cannot return to the facility until they have a clearance and are associated to the facility. A civil penalty of $500 for a maximum of 5 days was assessed due to this violation.

During a review of records, LPA observed Licensee has not kept a record of 15 minute sleep checks for two infants in care. Licensee stated she was unaware that 15 minute sleep checks were required until the infants turn 24 months. LPA provided the Licensee with a print out of safe sleep regulations. LPA directed the licensee to 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. Licensee was provided with the (TSP) Technical Support Program information offered through the Department of Social Services that provides support to licensees.

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.

Continued on LIC 809C
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
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: CALVILLO, ISELA FAMILY CHILD CARE
FACILITY NUMBER: 163911200
VISIT DATE: 03/11/2025
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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).

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 Isela Calvillo. During the exit interview, the licensee 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 LIC 809-D).


LPA Octavia Nolan informed Licensee Isela Calvillo that this report dated 03/11/2025 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or

Continued on LIC 809C
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
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: CALVILLO, ISELA FAMILY CHILD CARE
FACILITY NUMBER: 163911200
VISIT DATE: 03/11/2025
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personal rights of children in care. Also, LPA Nolan informed the licensee to provide a copy of this licensing report dated 03/11/2025 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.

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 Isela Calvillo.

Licensee was provided appeal rights. 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: Cynthia Brannon
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC809 (FAS) - (06/04)
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