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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503902960
Report Date: 08/06/2025
Date Signed: 08/06/2025 02:49:26 PM

Document Has Been Signed on 08/06/2025 02:49 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CARILLO, ROSALINA FAMILY CHILD CAREFACILITY NUMBER:
503902960
ADMINISTRATOR/
DIRECTOR:		CARILLO, ROSALINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 538-2126
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
08/06/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:05 AM
MET WITH:Licensee Rosalina CarilloTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced Annual/Random Inspection and was met by Licensee Rosalina Carillo, who primarily speaks Spanish. LPA assisted with interpretation throughout the visit. The licensee confirmed that she is currently providing daycare services Monday through Friday, from 7:00 a.m. to 4:00 p.m.

LPA toured the home inside and outside, and a census was taken. The current facility sketch was reviewed, and it was confirmed that the kitchen, daycare room, living room #2, hallway bathroom, and the backyard are used for care and are accessible to children. During the visit, Licensee Rosalina Carillo requested that living room #1 be inspected for immediate use. LPA observed that the room met Title 22 requirements and approved its use. Both LPA and Licensee initialed and dated the updated facility sketch to reflect all areas accessible to children in care.

All other rooms are off-limits and made inaccessible with doorknob spinners. However, a few rooms did not have child safety locks or devices in place. Licensee stated she will obtain safety locks as soon as possible. LPA issued a technical violation for this observation and reminded the licensee that while supervision is critical, physical barriers are also required to prevent children from entering unauthorized areas.

Licensee stated that she has two outdoor cats that do not enter the home. LPA reminded her that in the event of an injury involving the animals, she would be responsible for their actions.

There is no swimming pool or other bodies of water on the premises. Although no in-ground pool is present, LPA discussed the new pool safety requirements under AB 2866, effective 01/01/2025, and referenced PIN 25-01-CCP issued on 01/06/2025 for future reference.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2025
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: CARILLO, ROSALINA FAMILY CHILD CARE
FACILITY NUMBER: 503902960
VISIT DATE: 08/06/2025
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Licensee stated there are no firearms or ammunition on the premises. All poisons are kept in a locked storage area and no poisons were observed at the time of the inspection. However, LPA observed one lower kitchen cabinet with accessible cleaning products. A technical violation was issued, and the licensee was advised to install a child safety lock to ensure hazardous items remain inaccessible to children in care.

The home has one fireplace located in the living room, which is secured by metal doors and will not be used during daycare hours. A working fire extinguisher, smoke detector, carbon monoxide detector, and adequate heating and ventilation were observed.

The home is a single-story residence with no stairs. Age-appropriate toys and play equipment were available, and the home has working telephone service, which LPA verified.

The outdoor play area is fenced; however, a technical violation was issued due to gates within the backyard leading to areas with gardening tools that were not properly secured, posing a potential hazard if accessed by children. Licensee maintains supervision of children at all times and is aware that children may not be left in parked vehicles. The facility is operating within the licensed capacity.

A sample of children’s records was reviewed. LPA found that several files were missing required documentation, including the LIC 627 Consent for Emergency Medical Treatment. A Spanish master packet of required Child Care Licensing forms was provided during the visit, and the licensee was given guidance on which forms must be completed and maintained in each child's file upon enrollment. A technical violation was issued.

Licensee’s Mandated Reporter Training is current through 01/16/2026. However, her pediatric CPR/First Aid certification expired on 03/18/2025, and a technical violation was issued. A review of staff records confirmed immunizations for influenza, pertussis, and measles are on file.

LPA discussed the Community Care Licensing Division website (www.ccld.ca.gov), which offers access to forms, regulations, Provider Information Notices (PINs), and quarterly updates. Reporting requirements under Section 102416.2 were also reviewed.

LPA reminded the licensee that all adults aged 18 and older living or working in the home must have a criminal record clearance or exemption on file prior to presence in the home. Failure to comply may result in civil penalties of $100/day for up to 5 days, or 30 days for repeat violations.

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

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CARILLO, ROSALINA FAMILY CHILD CARE
FACILITY NUMBER: 503902960
VISIT DATE: 08/06/2025
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Safe sleep regulations were discussed, and LPA referred the licensee to the Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep. During the review, it was noted that safe sleep logs were missing for a child under 24 months; this was documented as a technical advisory, and the licensee was advised to immediately begin maintaining these logs as required. LPA also encouraged the licensee to check the CPSC.gov website for recalled infant devices and to register infant equipment to receive product recall alerts.

The licensee reported that there are currently no children in care requiring Incidental Medical Services (IMS). LPA reviewed IMS policies and referenced PIN 22-02-CCP. LPA also provided ADA information and shared a link to the U.S. Department of Justice publication: Commonly Asked Questions About Child Care Centers and the ADA.

Licensee Rosalina Carillo was also informed about MyChildCarePlan.org, a consumer education website designed to connect families with child care providers and local Resource and Referral agencies.

An exit interview was conducted and the report was reviewed with Licensee Rosalina Carillo. She confirmed there are no registered sex offenders residing at the home. LPA verified the RSO profile in FAS.

Per Title 22, Division 12 of the California Code of Regulations, no deficiencies are cited.
Licensee Rosalina Carillo was provided with appeal rights.

This report shall be made available to the public upon request.

LIC 9213 - Notice of Site Visit was issued and is required to be posted for 30 days.

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

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC809 (FAS) - (06/04)
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