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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503912394
Report Date: 07/29/2025
Date Signed: 07/29/2025 09:17:44 AM

Document Has Been Signed on 07/29/2025 09:17 AM - 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:VALENZUELA, SAIDY FAMILY CHILD CAREFACILITY NUMBER:
503912394
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
07/29/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:55 AM
MET WITH:Licensee Saidy ValenzuelaTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced Case Management – Licensee Initiated inspection at the above address. Upon arrival, LPA met with Licensee, Saidy Valenzuela. Also present during the inspection was the Licensee’s assistant. A census was taken, and at the time of the visit, there were two children in care.

The focus of today’s inspection was the backyard area, specifically to inspect the in-ground pool and verify compliance with Title 22, Division 12, Chapter 3 regulations, as well as the requirements outlined in Assembly Bill (AB) 2866.

LPA observed that the in-ground pool was fully enclosed by a metal fence measuring at least 60 inches in height. LPA verified that the bottom clearance of the fence did not exceed two inches from the ground and that the spacing between vertical bars was less than four inches. The surface of the fence was free of handholds or footholds that could allow a child to climb. The gate to the pool area was self-closing, self-latching, and swung away from the pool. The latch mechanism was positioned at least 60 inches from the ground and included a key-locking feature.

During the inspection, LPA tested the gate in the presence of Licensee Saidy Valenzuela. The gate was tested three times at a distance of approximately 4 to 6 inches and three times at approximately 12 to 14 inches to confirm that the self-latching mechanism was working properly and securely.

The pool alarm was also tested during the inspection. With Licensee Saidy Valenzuela present, she submerged her hand in the water, which activated the alarm. LPA confirmed that the alarm sounded appropriately and was functioning properly in compliance with ASTM F2208 standards, as required under AB 2866. (Continued of LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2025
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: VALENZUELA, SAIDY FAMILY CHILD CARE
FACILITY NUMBER: 503912394
VISIT DATE: 07/29/2025
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LPA visually reviewed the provider’s daily pool inspection log. The log was current and indicated that the pool is checked prior to the arrival of children each day.

In addition, LPA observed that a U.S. Coast Guard-approved life ring measuring at least 17 inches was accessible near the pool, along with a 12-foot rescue pole equipped with a body hook. These emergency items were clearly visible and readily accessible.

A small shed located in the pool area was observed to be locked. According to the Licensee, the shed is used to store pool-related items such as lifejackets and other pool supplies. Another section of the backyard was securely latched and inaccessible to children, further ensuring that no hazards were present in the outdoor environment.

Based on observations made during today’s inspection, the in-ground pool and surrounding area were found to be in compliance with all applicable safety regulations under Title 22, Division 12, Chapter 3, and AB 2866. LPA reminded the Licensee of the requirement to complete and document daily pool safety checks.

The facility sketch (LIC 999A) was updated during the inspection to reflect the presence and approval of the in-ground pool. Both LPA Aurelio Mendoza and Licensee Saidy Valenzuela initialed and dated the LIC 999A to correspond with this report, confirming that the pool is approved for use effective the date of this inspection.

No deficiencies were cited during today’s visit. An exit interview was conducted with Licensee Saidy Valenzuela. A copy of this report was provided. LIC 9213 Notice of Site Visit was issued and must be posted for 30 days. (End of Report)

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

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC809 (FAS) - (06/04)
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