<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 105620082
Report Date: 12/14/2023
Date Signed: 12/14/2023 02:05:39 PM

Document Has Been Signed on 12/14/2023 02:05 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CASTILLO, CYNTHIA FAMILY CHILD CAREFACILITY NUMBER:
105620082
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
12/14/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:17 AM
MET WITH:Cynthia CastilloTIME COMPLETED:
02:30 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 12/14/2023, Licensing Program Analyst (LPA), Lady Cabrera arrived at the facility 8:15a.m. and was met by Female Adult #1 and Male Adult #2. At the same time, LPA observed a parent dropping of Child #3(infant) in a car seat and gave the child to Adult #1. LPA introduced herself and stated the purpose of the visit to Adult #1. LPA asked if she was able to enter the facility, Adult #1 said yes. Adult #1 stated the Licensee Cynthia Castillo was not home and immediately contacted her by phone. Licensee contacted LPA via phone and stated she was on her way. Licensee is Spanish speaking. LPA Cabrera provided interpretation services. Days and hours of operation are Monday through Friday from 5:00 a.m.-5:00 p.m.

LPA asked Adult #1 how many children were in the home and pointed to the children in the living room. At that time there was 5 children. LPA observed Child #2 (infant) awake and restraint in the car seat near Adult #2. LPA informed Adult #1 that car seats are only for transportation. LPA observed Child #3 (infant) still in the car seat. Adult #1 said that she will remove the child from the car seat. Adult #1 left Child #3 in the car seat for about 15 minutes. About 8:46a.m., Licensee arrived at the facility. LPA introduced herself and stated the purpose of the visit. At the same time the Licensee arrived, LPA heard an infant crying. LPA asked where the infant was. Adult #1 immediately walked towards a closed bedroom near the living room. Adult #1 opened the door, the lights were off, LPA observed Child # 6 (infant) was restraint in a car seat and with a baby bottle near their face. Adult #1 immediately removed the child and Licensee placed child in a small infant swing. Licensee stated Child #6 was not in the facility when she left about 8:00a.m. Licensee stated Child #6 must have arrived when she was not in the facility. Adult #1 did not notified LPA there was an infant in that bedroom.

LPA toured the home inside and a census was taken. LPA reviewed current facility sketch and confirmed that the kitchen, bathroom, dining room and living room are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of locked doors. There is no swimming pool or other bodies of water on the premises.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 12
Document Has Been Signed on 12/14/2023 02:05 PM - It Cannot Be Edited


Created By: Lady Cabrera On 12/14/2023 at 12:13 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CASTILLO, CYNTHIA FAMILY CHILD CARE
FACILITY NUMBER: 105620082

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited above. Adult #1 and Adult #2 were in the facility without a criminal record clearance, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 12/14/2023
Plan of Correction
1
2
3
4
Once the Licensee arrived at the facility, Adult #1 and Adult #2 immediately left the facility. POC Cleared.
Type A
Section Cited
CCR
102423(a)(2)
Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview,, the licensee did not comply with the section cited above. Child #6 (infant), which was in an area in the home that is not license for the children in care. Infant was restraint in car seat with the lights off in a closed bedroom, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 12/14/2023
Plan of Correction
1
2
3
4
Adult #1 immediately removed the child and Licensee placed child in a small infant swing. Licensee stated Child #6 was not in the facility when she left about 8:00a.m. Licensee stated Child #6 must have arrived when she was not in the facility. Adult #1 did not notified LPA there was an infant in that bedroom. POC cleared.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Luisa Gavoutian
LICENSING EVALUATOR NAME:Lady Cabrera
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2023


LIC809 (FAS) - (06/04)
Page: 2 of 12
Document Has Been Signed on 12/14/2023 02:05 PM - It Cannot Be Edited


Created By: Lady Cabrera On 12/14/2023 at 12:13 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CASTILLO, CYNTHIA FAMILY CHILD CARE
FACILITY NUMBER: 105620082

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above. Licensee has not completed LIC 9227 for Child (infant) 2, Child (infant) 3 and Child (infant) 6, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023
Plan of Correction
1
2
3
4
 LPA provided blank LIC9227 to Licensee. Licensee will submit completed forms to CCL by 12/22/2023.
Type B
Section Cited
CCR
102425(j)(2)(D)(c)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited above. During today's visit, from 8:15a.m.-8:46a.m., Adult #1 and Adult #2 did not conduct a 15-minute check for Child #6 (infant), which was in an area in the home that is not license for the children in care. LPA observed three 15-minute checks for three infants. Licensee would write down when they fell asleep, however, she would not document the 15 minutes physical checks, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023
Plan of Correction
1
2
3
4
Licensee will complete 15-minute checks and will provide documents for the three infants in care to CCL by 12/22/2023.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Luisa Gavoutian
LICENSING EVALUATOR NAME:Lady Cabrera
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2023


LIC809 (FAS) - (06/04)
Page: 3 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CASTILLO, CYNTHIA FAMILY CHILD CARE
FACILITY NUMBER: 105620082
VISIT DATE: 12/14/2023
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
26
27
28
29
30
31
32
There are no firearms or ammunition on the premises. LPA Cabrera observed multiple chemical supplies (Clorox, Shampoo for Dogs, Granite & Stone Spray, Raid for flying Insect, Cascade and Carpet Shampoo) that read "keep out of reach of children and “Harmful or fatal if swallowed" under the accessible kitchen sink. LPA discussed regulation with Licensee. Licensee made kitchen sink inaccessible to the children present by placing a lock. There are pets at this home. Licensee understands the responsibility of any action taken by pets involving day care children.

There is one electric fireplace in the home located in the living room and is made inaccessible by a glass door and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort.

This is a single level home and there are no stairs. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 394-8353.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 8/30/2022. Licensee’s pediatric CPR/First Aid certification expires on 09/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee Cynthia Castillo reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Per records review and interviews, Adult #1 and Adult #2 were in the facility without a criminal record clearance. Once the Licensee arrived at the facility, Adult #1 and Adult #2 left the facility. Adult #1 and Adult #2 do not live in the home. Licensee and Adult #1 that they were assisting due to Licensee having an emergency. Licensee stated she left the facility about 8:00 a.m. and arrived at 8:46 a.m.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
LIC809 (FAS) - (06/04)
Page: 9 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CASTILLO, CYNTHIA FAMILY CHILD CARE
FACILITY NUMBER: 105620082
VISIT DATE: 12/14/2023
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
26
27
28
29
30
31
32
LPA discussed safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource.

During today's visit, from 8:15a.m.-8:46a.m., Adult #1 and Adult #2 did not conduct a 15-minute check for Child #6 (infant), which was in an area in the home that is not license for the children in care. Infant was restraint in car seat with the lights off in a closed bedroom. LPA observed three 15-minute checks for three infants. Licensee would write down when they fell asleep, however, she would not document the 15 minutes physical checks.

LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with licensee Cynthia Castillo. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
LIC809 (FAS) - (06/04)
Page: 10 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CASTILLO, CYNTHIA FAMILY CHILD CARE
FACILITY NUMBER: 105620082
VISIT DATE: 12/14/2023
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
26
27
28
29
30
31
32
Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited on LIC809D. Licensee was provided appeal rights.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Licensee Cynthia Castillo.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
LIC809 (FAS) - (06/04)
Page: 11 of 12
Document Has Been Signed on 12/14/2023 02:05 PM - It Cannot Be Edited


Created By: Lady Cabrera On 12/14/2023 at 01:30 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CASTILLO, CYNTHIA FAMILY CHILD CARE
FACILITY NUMBER: 105620082

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(4)
102417(g)(4) (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above. LPA Cabrera observed multiple chemical supplies (Clorox, Shampoo for Dogs, Granite & Stone Spray, Raid for flying Insect, Cascade and Carpet Shampoo) that read "keep out of reach of children and “Harmful or fatal if swallowed" under the accessible kitchen sink, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 12/14/2023
Plan of Correction
1
2
3
4
 LPA discussed regulation with Licensee. Licensee made kitchen sink inaccessible to the children present by placing a lock. There are pets at this home. Licensee understands the responsibility of any action taken by pets involving day care children.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Luisa Gavoutian
LICENSING EVALUATOR NAME:Lady Cabrera
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2023


LIC809 (FAS) - (06/04)
Page: 12 of 12