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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503912153
Report Date: 07/01/2026
Date Signed: 07/01/2026 05:08:44 PM

Document Has Been Signed on 07/01/2026 05:08 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:MARTINEZ BARBA, ANA FAMILY CHILD CAREFACILITY NUMBER:
503912153
ADMINISTRATOR/
DIRECTOR:		MARTINEZ BARBA, ANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 674-3025
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 2DATE:
07/01/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Licensee Ana Martinez BarbaTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced annual/random inspection at the Family Child Care Home of Licensee Ana Martinez Barba. The licensee greeted the LPA at the door. The licensee is Spanish-speaking, and LPA provided interpretation assistance throughout the inspection. The licensee currently provides child care services Monday through Sunday, 24 hours a day.

LPA completed a full inspection of the interior and exterior of the home and reviewed the facility sketch (LIC 999). LPA verified that the two downstairs living rooms and the hallway bathroom on the first floor are the areas approved and used for child care. All other areas remained off limits by way of doorknob covers,child safety gates, and key-locked doors.

The licensee has one small dog and one cat, both kept outside. The licensee reported that the pets do not come into contact with children during operating hours. LPA reminded the licensee she is responsible for her pets’ actions.

There are no pools or bodies of water at the home. The licensee stated there are no firearms or ammunition stored in the home. LPA observed no poisons, and the licensee stated she does not store poisons on site. All detergents, cleaning compounds, medications, and hazardous materials were stored in areas inaccessible to children.

A fireplace is located in the second living room. The licensee stated the fireplace is not used during daycare hours. The fireplace was properly secured with glass and metal doors. LPA observed a functioning fire extinguisher, smoke detector, and carbon monoxide detector, and verified that the home had adequate heating and ventilation.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2026
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: MARTINEZ BARBA, ANA FAMILY CHILD CARE
FACILITY NUMBER: 503912153
VISIT DATE: 07/01/2026
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This is a two-story residence. The staircase was gated to prevent access when children under age five are present. The upstairs level remained off limits. LPA observed age-appropriate toys, safe play materials, and confirmed the home has working telephone service. The licensee stated that children are supervised at all times and never left unattended in parked vehicles.

At the licensee’s request, LPA inspected the backyard. The backyard was observed to be completely fenced, free of hazards, and appropriate for child care use. Children’s outdoor toys were observed in good condition.

A trampoline was observed in the backyard. It was within the age range of the children in care and was in proper working condition. LPA instructed the licensee to follow all manufacturer’s guidelines, to ensure that the zipping safety enclosure is closed before, during, and after use, and to repair, service, or discontinue use of the trampoline if it becomes weathered or structurally unsound.

The LIC 999 was updated and signed by both LPA and the licensee to reflect that the backyard is now included and approved for child care.

LPA reviewed children’s records, which contained required emergency information. The licensee’s Mandated Reporter Training is valid through 06/03/2028. The licensee’s Pediatric CPR and First Aid certification is valid through 04/11/2028. Records confirmed that all adults associated with the home have the required immunizations.

LPA reviewed the Community Care Licensing Division (CCLD) website (www.ccld.ca.gov) with the licensee, including forms, regulations, Provider Information Notices (PINs), and Quarterly Updates. Reporting requirements under Title 22, Section 102416.2 were explained. LPA reminded the licensee that any adult 18 years or older living or working in the home must obtain a criminal record clearance or exemption prior to being present, and failure to comply may result in a civil penalty of 100 dollars per day per person, up to five days, and up to thirty days for repeat violations.

LPA reviewed Safe Sleep regulations and directed the licensee to the Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep. LPA advised checking the Consumer Product Safety Commission (CPSC) website (www.cpsc.gov) for recalled infant devices and recommended registering children’s equipment with CPSC for recall notifications.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
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: MARTINEZ BARBA, ANA FAMILY CHILD CARE
FACILITY NUMBER: 503912153
VISIT DATE: 07/01/2026
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LPA reviewed Incidental Medical Services (IMS) and provided PIN 22-02-CCP. LPA also discussed the Americans with Disabilities Act (ADA) and provided the U.S. Department of Justice ADA Information Line, 1-800-514-0301 (Voice) and 1-800-514-0383 (TTY), along with information from “Commonly Asked Questions About Child Care Centers and the ADA.”

The licensee was informed of MyChildCarePlan.org, a statewide resource for families searching for child care providers and Resource & Referral agencies.

During the exit interview, the licensee stated that no Registered Sex Offenders live in the home, and LPA verified this in the FAS RSO profile. LPA encouraged the licensee to complete the optional inspection survey, if received, regarding the quality of the inspection process.

Per Title 22, Division 12, no deficiencies were cited during today’s inspection.

This report shall be made available to the public upon request. A LIC 9213 Notice of Site Visit was issued and must be posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
LIC809 (FAS) - (06/04)
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