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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 203907605
Report Date: 02/13/2025
Date Signed: 02/13/2025 09:07:50 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO 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
01/10/2025 and conducted by Evaluator Stephanie Vega-Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20250110132532
FACILITY NAME:GARCIA, EDILIA FAMILY CHILD CAREFACILITY NUMBER:
203907605
ADMINISTRATOR:GARCIA, EDILIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 673-1665
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:14CENSUS: 1DATE:
02/13/2025
UNANNOUNCEDTIME BEGAN:
08:07 AM
MET WITH:EDILIA GARCIATIME COMPLETED:
09:15 AM
ALLEGATION(S):
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Uncleared adults present in the home
INVESTIGATION FINDINGS:
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On 02/13/2025, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted an unannounced complaint inspection at facility to deliver findings for the above-mentioned allegation. LPA met with Licensee, Edilia Garcia who accompanied LPA during tour of facility both inside and outside. LPA explained the allegation and took a census. LPA interviewed licensee, day care staff, and day care children.

Investigation revealed through evidence obtained that the allegation, Uncleared adults present in the home, to be SUBSTANTIATED. Through interviews, LPA was informed that Adult #1 and Adult #2 were living in the home and did not have a background clearance. Through interviews LPA was informed that Adult #3 and Adult #4 were also living in the home during child care hours. Through record review, Adult #3 and Adult #4 did not have a background clearance. Based upon observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Type A deficiency and a civil penalty was assessed on today’s date.
(Continue on LIC9099-C)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
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 04-CC-20250110132532
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: GARCIA, EDILIA FAMILY CHILD CARE
FACILITY NUMBER: 203907605
VISIT DATE: 02/13/2025
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, Chapter 3, this deficiency is being cited on the attached LIC
9099D).

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months." The licensee was provided a copy of the "Fact Sheet" for AB 633 (Parent Notification Requirements), along with a copy of the relevant documents this date. A completed signed copy of the LIC 9224 will be placed in each child's file.

An exit interview conducted with Licensee, Edilia Garcia.
A copy of this report and Appeal Rights were provided and discussed with Licensee, Edilia Garcia
A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 04-CC-20250110132532
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: GARCIA, EDILIA FAMILY CHILD CARE
FACILITY NUMBER: 203907605
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/14/2025
Section Cited
HSC
1596.871(c)(1)(A)
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Subsequent to initial licensure, a person specified in subdivision (b)....obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f)....
This requirement is not met as evidenced by:
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Licensee stated that all adults in the home will get a record/ background clearance. Licensee will submit proof to the Department that they took adults to get their fingerprints done.. Licensee stated she will also update the Department if there are any changes.
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Through interviews obtained. LPA was informed that Adult #3 and Adult #4 were also living in the home during the operation of the day care , which poses an immediate health, safety 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.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC9099 (FAS) - (06/04)
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