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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503911956
Report Date: 06/18/2026
Date Signed: 06/18/2026 03:05:24 PM

Document Has Been Signed on 06/18/2026 03:05 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:MENDOZA, SERRINA FAMILY CHILD CAREFACILITY NUMBER:
503911956
ADMINISTRATOR/
DIRECTOR:		MENDOZA, SERRINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 543-4740
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 12DATE:
06/18/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Licensee Serrina MendozaTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced case management – other inspection at this Large Family Child Care Home and met with Licensee Serrina Mendoza. This visit was consultative and focused on reviewing staffing ratios and capacity requirements under Title 22, Division 12, Section 102416.5.

LPA explained that when an assistant provider is present, the home may care for up to 12 children, including the licensee’s own children under age 10, the assistant’s children under age 10, and any other children in the home. LPA clarified that no more than 4 infants may be in care within this 12-child capacity. LPA also reviewed the requirements under Health and Safety Code section 1597.465 for operating at a capacity of 13 or 14 children. These requirements include having 1 child enrolled in and attending kindergarten or elementary school, having 1 child who is at least 6 years old, ensuring no more than 3 infants are in care, notifying parents that the home may have up to 14 children present, and obtaining written landlord consent if the home is rented or leased. LPA reminded the licensee that documentation verifying school enrollment and attendance for school-age children under age 6, as well as proof of parent notification, must be kept in each child’s file.

LPA further clarified that if an assistant provider is not present, the licensee must follow Small Family Child Care Home ratios and capacity limits, which may not exceed 8 children and must meet the required infant and school-age criteria.

A copy of the applicable regulations, including Title 22 Section 102416.5 and related Health and Safety Code sections, was provided and reviewed during the visit. LPA answered questions and offered technical assistance to support continued compliance.

No deficiencies were cited during today’s inspection. An exit interview was conducted, and a copy of this report, LIC 9058 (Appeal Rights), and LIC 9213 (Notice of Site Visit) were provided. The licensee was reminded that the LIC 9213 must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2026
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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