545621159-6-2-2026-57-CC-CBUS-DUNR4R-20260602124158

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 545621159
Report Date: 06/02/2026
Date Signed: 06/02/2026 12:42:26 PM

Document Has Been Signed on 06/02/2026 12:42 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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	GONZALEZ, NORMA FAMILY CHILD CARE		FACILITY NUMBER:	545621159
ADMINISTRATOR/ DIRECTOR:	GONZALEZ, NORMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 750-7503
CITY:	VISALIA	STATE: CA	ZIP CODE:	93292
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	06/02/2026
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:15 AM
MET WITH:	Norma Gonzalez		TIME VISIT/ INSPECTION COMPLETED:	12:45 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 06/02/2026, Licensing Program Analyst (LPA), Christopher Burnias met with Applicant, Norma Gonzalez for a change of location pre licensing inspection. Applicant, her husband and 4 minor children reside in the home. Background clearances are discussed and Guardian Roster was signed indicating that the adults currently living in the home and/or providing care and supervision to children have an eligible criminal record clearance or eligible exemption on file. Fire clearance was granted on 05/22/26. Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed: Fire clearance was received on 05/27/26. Fire pull alarm is located on the right wall of the living room. This is a single story, 4 bedroom and 3 bathroom home and children will have access to the Entrance, Living Room, Nook Area, Kitchen, Day Care Room, and Day Care Bathroom. Off-limits rooms/ closets are made inaccessible by use of doorknob spinners, pocket doors with locks, and door handle latch locks. There is a fireplace in the Living Room that applicant stated will not be used during day-care hours. Fireplace is made inaccessible by a glass door. There is central air heating/cooling ventilation for safety and comfort. LPA observed in the Day Care room a diaper changing area, safe toys, and play equipment for the children.

NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Christopher Burnias
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026

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

FACILITY NAME: GONZALEZ, NORMA FAMILY CHILD CARE	FACILITY NUMBER: 545621159
	VISIT DATE: 06/02/2026

NARRATIVE

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Children will nap in the Day Care Room using cushioned mats and play yards. Applicant was reminded that they must have proper sleeping equipment/furniture for each child in care.

Applicant understands she is to supervise children at all times.

Facility has a 2-A:10-B:C fire extinguisher mounted on the living room wall.

There is a functioning smoke alarm, carbon monoxide alarm and first aid kit in place.

Applicant’s Pediatric CPR and First Aid certification was completed through American Red Cross and expires on 05/12/28. Assistant Pediatric CPR and First Aid certification was completed through American Red Cross and expires on 05/12/28.

Preventative Health and Safety with Nutrition and Prevention of Lead exposure certification was completed on 05/14/26.

Applicant completed the Mandated Reporter Training on 04/06/26. Licensee’s Assistant completed the training on 04/07/26.

Knives are stored in a kitchen drawer made inaccessible by a drawer safety latch.

Medications are stored in an off limits restroom of the home.

Cleaning compounds are stored inside the off limits Laundry Room which is made inaccessible by a pocket door with lock.

There is a wet bar inside the home where liquor/alcohol is stored and is made inaccessible by a pocket door with lock.

LPA advised Applicant that fire drills are to be conducted once every 6 months and must be documented with date and time.

NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Christopher Burnias
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026

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

FACILITY NAME: GONZALEZ, NORMA FAMILY CHILD CARE	FACILITY NUMBER: 545621159
	VISIT DATE: 06/02/2026

NARRATIVE

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Applicant was advised at least one staff member with current training in pediatric first aid and pediatric CPR is to be on site at all times children are present.

There are no bodies of water in the home or premises.

The home has a private well on the property to access water. Well inspection and Bacteriological Analysis of Water was conducted on 03/17/26 and has been reported safe for use. Applicant was reminded that it is their responsibility to ensure the home has safe water accessible.

Applicant stated there are no pets in the home or on the premises.

Applicant stated there are no firearms or ammunition in the home or premises.

No poisons were observed. LPA reminded Applicant that all poisons including but not limited to bug killers, weed killers, insect/rodent repellents and other types of poisons must be made inaccessible and stored by lock and key. Applicant understood.

Applicant was reminded that any advertising (of day-care) such as business cards, flyers/posters, and/or signs must include facility number as per Title 22 Regulation "Advertisements and License Number" 102359 (a).

Applicant was advised that smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a). Applicant stated the home is smoke-free.

Applicant stated that she will be transporting older school age children. Applicant understands that she must have proper car restraints and/or car seats for all the children under her care when transporting children.

Applicant stated that all outdoor areas of the home will be off limits to day care children. Applicant understands that prior to allowing children access to the outdoor areas of the home, the Department must first inspect and approve the area for use.

NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Christopher Burnias
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026

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

FACILITY NAME: GONZALEZ, NORMA FAMILY CHILD CARE	FACILITY NUMBER: 545621159
	VISIT DATE: 06/02/2026

NARRATIVE

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Applicant was advised that it is her responsibility to read and maintain her facility in compliance with Title 22 Regulations. Title 22 Regulations can be found at www.ccld.ca.gov.

SB 792 immunizations are on file.

Applicant was advised that Fresno Community Care Licensing Department has inspection authority and can inspect all rooms in the home, garages and/or separate dwellings on the premises.

Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. 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.

Applicant was advised that she may access CCLD website at www.ccld.ca.gov for forms and licensing updates. Applicant is also reminded that it is her responsibility to read the regulations periodically.

Applicant stated she will operate her day care Monday through Friday from 7:00 AM to 5:00 PM or other hours as arranged. No overnight care will be provided.

LPA & Applicant discussed the Community Care Licensing website: LPA and applicant discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN.

Pending a final review of application file, licensure as a Large Family Day Care Home capacity of 14 children ages under 18 years will be recommended effective 06/03/26.

Report was reviewed with Applicant and Appeal Rights were provided.

NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Christopher Burnias
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026

LIC809 (FAS) - (06/04)

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