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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 165620736
Report Date: 12/16/2025
Date Signed: 12/16/2025 04:46:00 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH 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
10/23/2025 and conducted by Evaluator Octavia Nolan
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20251023101702
FACILITY NAME:ROSAS, JESUS MARIA DE CARMEN FAMILY CHILD CAREFACILITY NUMBER:
165620736
ADMINISTRATOR:ROSAS, JESUS MARIADECARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 529-4513
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:14CENSUS: 2DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Jesus Maria de Carmen RosasTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee did not prevent day care child from harming other day care child while in care
Licensee did not follow reporting requirements
Day care child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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On 12/16/2025, Licensing Program Analyst (LPA) Octavia Nolan conducted an unannounced complaint inspection at the facility and met with Licensee, Jesus Maria de Carmen Rosas. The purpose of the inspection was to interview the Licensee and deliver findings for the above allegations.

During the course of the investigation, LPA conducted interviews, obtained documents and photos, reviewed facility records, and completed observations.

During the inspection, LPA observed Child #1 (C1) show aggressive behavior towards his peers by taking their food, toys, and hitting them throughout the inspection. During an interview, the Licensee stated Child #1 (C1) told her they scratched Child #3 (C3) in the face while she was in the restroom. The Licensee did not report the scratches to the child’s parent and was not aware the incident occurred until the parent of Child #3 asked about the injuries. During the inspection, LPA Nolan requested video
Continued on LIC 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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 4
Control Number 57-CC-20251023101702
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: ROSAS, JESUS MARIA DE CARMEN FAMILY CHILD CARE
FACILITY NUMBER: 165620736
VISIT DATE: 12/16/2025
NARRATIVE
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footage of the incident. LPA was able to verify that the cameras located in the daycare room record, however the Licensee did not produce the video of the incident. Based on photos, observations, and interviews, the preponderance of evidence standard has been met and the above allegations are found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiency is being cited: (see next 9099-D).

Exit interview conducted with Licensee, Jesus Maria de Carmen Rosas. Appeal rights were provided.

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: Cynthia Brannon
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 57-CC-20251023101702
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ROSAS, JESUS MARIA DE CARMEN FAMILY CHILD CARE
FACILITY NUMBER: 165620736
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/31/2025
Section Cited
CCR
102423(a)(4)
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(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: (4) To be
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Licensee stated she will provide a written statement stating she can meet the needs of Child #1 without an assistant. Licensee stated she does not leave Child #1 with daycare children.
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free from… infliction of pain… This requirement was not met as evidenced by: Child #1 scratched Child #3 in the face. Licensee is aware Child #1 has aggressive behavior towards peers. This poses a potential risk to the health, safety, and/or personal rights to persons in care.
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Type B
12/31/2025
Section Cited
CCR
102416.2(f)(1)
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(f) As soon as possible but no later then the same business day, the licensee shall notify a child's parent or authorized representative regardless of the injuries or acts that affect that child as specified in Health and Safety Code Section 1597.467(a). (1) Any injury suffered by
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Licensee will provide a sign copy of CCR Reporting Requirements to the Department by 12/31/2025 showing she understand what incidents must be reported to parents.
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a child in care shall be reported to that child's parent or authorized representative regardless of treatment by a medical professional.
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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: Cynthia Brannon
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH 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
10/23/2025 and conducted by Evaluator Octavia Nolan
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20251023101702

FACILITY NAME:ROSAS, JESUS MARIA DE CARMEN FAMILY CHILD CAREFACILITY NUMBER:
165620736
ADMINISTRATOR:ROSAS, JESUS MARIADECARMENFACILITY TYPE:
810
ADDRESS:1963 W DALI WAYTELEPHONE:
(310) 529-4513
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:14CENSUS: 2DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Jesus Maria de Carmen RosasTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee left daycare children unsupervised while in care
Licensee does not keep the facility in a clean condition
INVESTIGATION FINDINGS:
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On 12/16/2025, Licensing Program Analyst (LPA) Octavia Nolan conducted an unannounced complaint inspection at the facility and met with Licensee, Jesus Maria de Carmen Rosas. The purpose of the inspection was to interview the Licensee and deliver findings for the above allegations.

During the course of the investigation, LPA conducted interviews, obtained documents, reviewed facility records, and completed observations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted with Licensee, Jesus Maria de Carmen Rosas. Appeal rights were provided.
Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency is cited.
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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4