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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103909806
Report Date: 03/24/2026
Date Signed: 03/26/2026 11:14:41 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/18/2026 and conducted by Evaluator Miguel Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20260318113541
FACILITY NAME:RODRIGUEZ, ANDREA FAMILY CHILD CAREFACILITY NUMBER:
103909806
ADMINISTRATOR:RODRIGUEZ, ANDREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 203-2593
CITY:SANGERSTATE: CAZIP CODE:
93657
CAPACITY:14CENSUS: 0DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Andrea RodriguezTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Licensee does not live at the day care.
INVESTIGATION FINDINGS:
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On March 24, 2026, Licensing Program Analyst (LPA) Miguel Herrera conducted an unannounced inspection to conclude the complaint investigation that was received on 03/18/2026. LPA met with Licensee Andrea Rodriguez to discuss the findings of the investigation. A tour of the facility was conducted, and census was taken. During the course of the investigation LPA Herrera conducted interviews, conducted surveillance, reviewed records and obtained pertinent information to gather additional information to investigate the above allegation.
Licensee Rodriguez disclosed that she had sold her home and moved from the property sometime in December 2025. LPA Herrera corroborated licensee’s statement as LPA met with a resident who disclosed that they were the new owner of the property. Licensee Rodriguez understood that by selling and moving from the licensed property she forfeited her day-care license.
Continued on 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 04-CC-20260318113541
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RODRIGUEZ, ANDREA FAMILY CHILD CARE
FACILITY NUMBER: 103909806
VISIT DATE: 03/24/2026
NARRATIVE
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Based on interviews, pertinent information obtained and reviewed during the course of the investigation, it was determined that licensee does not live at the day care; therefore the allegation is substantiated.
Per California Code of Regulations, Title 22, Division 12, Chapter 3, a type B deficiency is being cited during today's inspection (see LIC 809-D). An exit interview was conducted with Licensee Andrea Rodriguez. A copy of this report and Appeal Rights were provided and discussed with Licensee Rodriguez. A Notice of Site Visit Form was provided and must remain posted for 30 days.
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 04-CC-20260318113541
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: RODRIGUEZ, ANDREA FAMILY CHILD CARE
FACILITY NUMBER: 103909806
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/24/2026
Section Cited
CCR
102383(a)(1)
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Term of a License
(1) Forfeited or surrendered as specified in Health and Safety Code Section 1596.858
This requirement has not been met as per LPA's interviews that revealed that licensee no longer lives at the licensed property. This is a potential
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Licensee has moved and has forfeited her license. Licensee provided LPA with the original license with a statement.
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personal rights, health and safety to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5