503810314-6-12-2026-04-CC-SVGZ-DUYUDU-20260612153009

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503810314
Report Date: 06/12/2026
Date Signed: 06/12/2026 03:30:37 PM

Document Has Been Signed on 06/12/2026 03:30 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:	DAVIS PARK CHRISTIAN ACADEMY		FACILITY NUMBER:	503810314
ADMINISTRATOR/ DIRECTOR:	ANGELA MADRID		FACILITY TYPE:	860
ADDRESS:	901 W RUMBLE RD		TELEPHONE:	(209) 522-2163
CITY:	MODESTO	STATE: CA	ZIP CODE:	95350
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 0	CENSUS: 15	DATE:	06/12/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:16 AM
MET WITH:	Angela Madrid		TIME VISIT/ INSPECTION COMPLETED:	03:40 PM

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 6/12/2026, Licensing Program Analyst (LPA), Stephanie Vega-Gonzalez conducted an announced Pre-Licensing inspection for a Change of Components. This facility is currently licensed and caring for only preschool children under license number 503810776. LPA observed 11 children being cared for under 4 staff. Upon arrival, LPA met with Director/ Facility Representative, Angela Madrid. The Applicant is requesting to be licensed for; 4 infants Birth through 18 months of age in Classroom 3; 9 toddlers 18 months through 36 months in Classroom 2; 47 preschoolers 2 through the age of 6 in Classroom 10/11 and 8/9, and room 7. Both classroom 10 and 11 are joint together as well as classroom 8 and 9. Days and hours of operation consist of Monday through Friday from 7:30 AM to 5:30 PM. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Director, Angela Madrid that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Director stated that they will be in a higher cabinet located in the main center office that is locked. A fully equipped first aid kit is located in the main center office. There is an operational carbon monoxide detector on site located in each classroom. All required licensing documents were observed posted in the preschool main entrance. Children will be signed in and out at preschool main entrance. LPA continued to tour the facility and measured all indoor and outdoor activity space. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. (Continue on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DAVIS PARK CHRISTIAN ACADEMY	FACILITY NUMBER: 503810314
	VISIT DATE: 06/12/2026

NARRATIVE

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Drinking water is available in the classrooms via personal water bottles. LPA was informed by Director that children have access to a water bottle refill station near the kitchen area and water jugs in each classroom and outside. LPA observed all hazardous items to be inaccessible to children. Director stated that the center is located inside a church. The church has an indoor baptism tank that is kept in an area that is off limits to children. Upon observation, LPA noted that the indoor baptism tank is located inside the church auditorium. LPA observed that the auditorium has three areas with double doors, all of which were locked. LPA also observed that the doors inside the auditorium that lead to the baptism tank were locked. Director Angela Madrid informed LPA that children are fully supervised and that the auditorium remains off limits. Director Angela Madrid stated that children will be supervised at all times during transitions from the indoor area to the outdoor area. If the auditorium is open due to church activities, the center will ensure that children do not have access to the auditorium or the baptism tank, which does contain water for baptism events. Director informed LPA that there are no weapons on the property. Due to the layout of the center, which is located inside a church, there are bar gates on both sides of the hallways leading to the remainder of the church. These bar gates are kept locked during operating hours. Director informed LPA that all staff have keys to unlock the gates. Director also stated that the church hosts events during the week, and the indoor bar gates ensure that individuals without background clearance are not able to enter the center. With staff assistance, children can safely enter and exit the building. Parents and guardians pick up children at the main preschool side doors. Fire clearance was granted by the Modesto Fire Department on 02/05/2026.

Infant Indoor Activity Space:
The total indoor activity space measures 365 square feet, which will accommodate Applicant’s request for 4 infants.

Toddler Age Indoor Activity Space:
The total indoor activity space measures 329 square feet, which will accommodate Applicant’s request for 9 toddlers.

Preschool Indoor Activity Space:
The total indoor activity space measures 1445 square feet, which will not accommodate Applicant’s request for 47 preschool children.
(Continue on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DAVIS PARK CHRISTIAN ACADEMY	FACILITY NUMBER: 503810314
	VISIT DATE: 06/12/2026

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Based on the indoor square footage, the total capacity that can be accommodated is 41 preschool children. LPA discussed these findings with the Director. An updated LIC 200A will be submitted reflecting the revised preschool capacity and the overall capacity for all children in care.
LPA observed a total of 6 sinks and 4 toilets available for children’s use. The infant room does not have at least one potty chair or toilet for every five infants. LPA reviewed finding with Director. Director stated they will obtain a potty chair and provide proof to the Department via a photo. These are sufficient to accommodate the requested overall capacity of 4 infants, 9 toddlers, and 41 preschool children. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the main center office and a staff restroom.
In the infant room LPA observed high chairs/ feeding tables have broad-based legs, plastic seats are in good repair. High chairs are made of washable, moisture-resistant material. LPA observed that the changing table did not have sides that were at least 3” inches. LPA was informed by Director that a different changing table will be placed. LPA observed that the changing pad was not covered with moisture-resistant, washable material. Director informed LPA that a new diaper changing pad will be placed. Diapering sink is not used for meal preparation or dishwashing. There are 4 cribs that meet regulatory requirements. Crib area is separated from activity space via a door/room. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. LPA observed a heavy curtain separating the sleeping area from the storage area. LPA did not observe any dangerous items. LPA noted the presence of an infant bouncer and informed the Director that bouncers are not permitted in centers. Director stated that the bouncer is used only during church services and not by the center. Director stated that infants will be fully supervised in the crib sleeping area and that staff will ensure no infants enter the storage area behind the curtain. Director informed LPA that there will be a total of 4 crib sleeping infants. Sleep logs are kept in the infant and toddler rooms. Needs and Services Plans and Sleep Plans are kept in infant room.
LPA observed that the toddler restroom is located down the hall in a room labeled “Cry Room.” This room contains a small waiting area with a couch and two chairs. LPA observed a diaper changing station and a crib filled with various items. LPA was informed that the “Cry Room” is used by mothers with infants who attend church services. LPA was informed that the center will not use the crib for infants or any child in the center. Director informed LPA that toddlers will use the restroom and sink located inside the “Cry Room.” Staff will use the diaper changing mat to change toddlers’ diapers in this restroom to ensure staff remain within arm’s reach of the sink.
(Continue on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DAVIS PARK CHRISTIAN ACADEMY	FACILITY NUMBER: 503810314
	VISIT DATE: 06/12/2026

NARRATIVE

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Director stated that staff will not use the diaper changing station located in the “Cry Room” because it is not close to a sink and does not have the required three inch barrier.
The facility currently has a fully fenced playground area. Fencing chain link fence is at least four feet high. The facility has submitted a waiver request for all age components to share the outdoor activity space (Play Area 1, Play Area 2, and Play Area 3) for the Infant, toddler, and preschool components at different times.
Preschool Outdoor Activity Space:
The total outdoor activity space measures 4,741 square feet, which is sufficient to accommodate the requested capacity of 60 children.
The outdoor area consists of Play Area 1, Play Area 2, and Play Area 3. Play Area 1 does not have a shade structure; however, it is connected to Play Area 2 and 3, which do provide shaded areas. Play Area 2 has an outdoor canopy, and Playground 3 has a shade structure installed over the playground structure. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on Play Area 3 for children ages 2 to 5 years of age, LPA observed the manufactures’ s sticker on equipment, which is properly anchored. There is adequate cushioning in fall zones of climber provided by woodchips. Drinking water is available via personal water bottles. LPA observed all hazardous items on the playgrounds to be inaccessible to children. LPA was informed that the infant component will be using Play Area 2. Director informed LPA that a mat and a baby gate around the mat will be installed daily for infants during outdoor play. LPA did not observe the layout of the mat and requested Director to send photos of the infant outdoor area. Director stated they would. Director stated that infants will not have access to the playground structure. Director stated that toddlers who are under the age of 2 years will not have access to the play structure via supervision. Director was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.
Facility will provide snacks and lunch for toddlers and preschool program. Facility will have parents/guardians provide the infant food, snacks, and formula. The kitchen area currently includes stove, refrigerator, and sink. The kitchen area and food storage areas were observed free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. Hazardous items in kitchen are inaccessible to children via iron indoor gate.

LPA was provided with a packet of documents to review.

(Continue on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DAVIS PARK CHRISTIAN ACADEMY	FACILITY NUMBER: 503810314
	VISIT DATE: 06/12/2026

NARRATIVE

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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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 Child Care Center. 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.
This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.
LPA reviewed with Director the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant 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.
Director was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

(Continue on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DAVIS PARK CHRISTIAN ACADEMY	FACILITY NUMBER: 503810314
	VISIT DATE: 06/12/2026

NARRATIVE

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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following corrections are needed prior to the issuance of the license:

• Facility will equip the infant room with an appropriate changing table and pad in accordance with Title 22 regulations, and will provide photographic proof.

• Facility will obtain a potty chair for infants and will provide photographic proof.

• Facility will submit images to the Department showing the full outdoor set-up for infants.

• Facility will submit all required licensing forms and supporting documents for both the application and the waiver request for the outdoor shared area as per the NOIA letter created on 06/01/2026.

• Facility will remove personal items and install safety latches on storage areas to ensure children do not have access to supplies in Preschool Classroom 7.

• Submit an updated LIC 200A showing the updated capacity request for the preschool component and overall capacity.

An exit interview was conducted with the above items discussed and a copy of appeal rights and this report was provided to the Director. Director, Angela Madrid understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.
Final license determination will be made upon review by the Licensing Program Manager and correction of the above issues.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

LIC809 (FAS) - (06/04)

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