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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203907605
Report Date: 01/09/2025
Date Signed: 01/09/2025 12:33:16 PM

Document Has Been Signed on 01/09/2025 12:33 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GARCIA, EDILIA FAMILY CHILD CAREFACILITY NUMBER:
203907605
ADMINISTRATOR/
DIRECTOR:
GARCIA, EDILIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 673-1665
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
01/09/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:GARCIA, EDILIATIME VISIT/
INSPECTION COMPLETED:
12:50 PM
NARRATIVE
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On 01/09/2025 Licensing Program Analyst (LPA), Stephanie Vega-Gonzalez conducted an unannounced Annual/ Random Inspection and was met by licensee, Edilia Garcia. Also present was licensee’s Assistant #1 and Assistant #2. Licensee is Spanish Speaking and LPA assisted with interpretation. Days and hours of operation are Sunday to Friday with overnight care and is closed on Saturdays. LPA reviewed overnight care regulations with licensee. LPA asked licensee if there were any adults in the home. Licensee stated that the only adults was themselves, Assistant #1, and Assistant #2.

LPA toured the home inside and outside and a census was taken of 6 children. LPA reviewed current facility sketch and confirmed that the living room, dinning room, kitchen, hallway bathroom, and backyard are used for providing care and are accessible to children in care. All other rooms are off-limits and made inaccessible by use of doorknob spinners.

During the inspection of the home LPA observed an adult male (ADULT #1) hiding in bedroom #3. Adult #1 was under the sheets on the bed. LPA asked licensee who Adult #1 was. Licensee stated that it was a friend who had only stayed overnight. LPA observed various perfumes, body hygiene products, clothes for both male and female in the bedroom. LPA asked licensee if there were any other adults living in the home. LPA was informed by licensee that Adult #2, who is Adult #1’s spouse, often stay in the home. LPA observed that both Adult #1 and Adult #2 are not background cleared. Licensee informed Adult #1 that they needed to leave the property. LPA observed Adult #1 leave the family child care home. LPA observed that Bedroom #1 was locked. Licensee informed LPA that she did not have the key to open the door. LPA was not able to observe Bedroom #1.

On today’s date licensee, Edilia Garica was cited a TYPE A and a Civil Penalty was assessed.

LPA reviewed regulation regarding Criminal Record Clearance with licensee. Licensee stated they understood. LPA informed Licensee that Adult #1 and Adult #2 or any adult that is not cleared can not be in the family child care home during operation hours. Licensee confirmed that the family child care home is open from Sunday through Friday for 23 hours and provides overnight care. Licensee stated they understood that Adult #1 and Adult #2 and any other uncleared adult can not be on family child care home property during child care operational hours. LPA asked if there were any other adults leaving in the home. Licensee stated that there are no other adults leaving in the home. LPA reviewed reporting requirements with licensee.

(Continue LIC809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 6
Document Has Been Signed on 01/09/2025 12:33 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 01/09/2025 at 11:03 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: GARCIA, EDILIA FAMILY CHILD CARE

FACILITY NUMBER: 203907605

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/09/2025

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 observations, the licensee did not comply with the section cited above in that LPA observed Adult #1 in Room #3 hiding under bedsheets on the bed. LPA observed that Adult #1 is not a cleared adult. LPA observed adult clothes and hygiene products in the room. Licensee informed LPA that Adult #2 is Adult #1's spouse and stays in Room #3, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Licensee will get both Adult #1 and Adult #2 fingerprints done and provide proof of correction to the Department on 1/10/2025. Licensee will watch video "Background Check Requirements for Caregivers" from the CDSS website. LPA provided link to Licensee. Licensee will watch video and provide a through written statement on what they have learned. Licensee stated that Assistant #1 will aide in translation.
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:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/09/2025 12:33 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 01/09/2025 at 11:03 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: GARCIA, EDILIA FAMILY CHILD CARE

FACILITY NUMBER: 203907605

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.3(a)
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:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observed, the licensee did not comply with the section cited above in that licensee had installed a new play yard equipement in the backyard and installed a new fence, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/17/2025
Plan of Correction
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Licensee stated they will watch "Child Care Reporting Requirements" video from the CDSS website. LPA provided link to Licensee. Licensee will write a through statement on what they have learned and submit it to the department by POC due date. Licensee stated that Assistant #1 will aide in translation.
Type B
Section Cited
CCR
102421(b)
Child's Records
(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on recrod reveiw, the licensee did not comply with the section cited above in that LPA was informed by licensee that Child #5 and Child #6 were dropped off at day care, on today's date, and do not have file on site, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/17/2025
Plan of Correction
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Licensee stated they will watch "Record Keeping in Family Child Care" and write a statement on what they have learned. Licensee stated tha they will have Assistant #1 help with translation.
Licensee will submit proof of a complete file for Child #5 and Child #6 by POC due date to the Department.
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:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/09/2025 12:33 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 01/09/2025 at 11:03 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: GARCIA, EDILIA FAMILY CHILD CARE

FACILITY NUMBER: 203907605

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
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 record review, the licensee did not comply with the section cited above in that Child #4 did not have a record of the 15 minute safe sleep logs on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/17/2025
Plan of Correction
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Licensee stated they will submit proof of 15 minute checks/logs to the Department by POC due date.
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:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


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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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: GARCIA, EDILIA FAMILY CHILD CARE
FACILITY NUMBER: 203907605
VISIT DATE: 01/09/2025
NARRATIVE
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There is no swimming pool or other bodies of water on the premises.

Licensee stated that 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. During the outdoor inspection LPA observed that a grill had a propane tank installed. LPA observed as Assistant #1 removed the tank and placed it in an area that is not accessible to children in care. LPA was informed by licensee that they have a small cat. Licensee understand the liability of pets around day care children and accepts responsibilities of any action taken by pets. LPA observed that licensee had removed an old play structure in the backyard and placed a new one. LPA also observed that a new fence had been installed. LPA observed through record review that licensee had not informed the Department of changes.

There are no fireplaces or open face heaters in the home. There is a working fire extinguisher 2A:10BC, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. This is a single level home and there are no stairs. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 673-1665.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. The outdoor play area in the backyard is fenced and there are no hazards to children present. 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 for 4 out of 6 children. LPA observed that Child #5 and Child #6 did not have file on site, LPA observed that Child #4 did not have their Infant Safe Sleep 15 minute Logs on file. Licensee’s Mandated Reporter Training was completed on 12/13/2024. Licensee’s pediatric CPR/First Aid certification expires on 01/08/2027. 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.

LPA discussed safe sleep regulations with licensee 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.

(Continue on LIC809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: GARCIA, EDILIA FAMILY CHILD CARE
FACILITY NUMBER: 203907605
VISIT DATE: 01/09/2025
NARRATIVE
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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 both in English and Spanish.

LPA, Stephanie Vega-Gonzalez informed licensee, Edilia Garcia that this report dated 01/09/2025 documents a Type A citation. 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 Vega-Gonzalez informed the licensee to provide a copy of this licensing report dated 01/09/2025 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. LPA printed Spanish copies of documents and provided them 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.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
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