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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801097
Report Date: 08/26/2026
Date Signed: 08/26/2026 12:11:38 PM

Document Has Been Signed on 08/26/2026 12:11 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:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
153801097
ADMINISTRATOR/
DIRECTOR:
MORENO, MARY ANNFACILITY TYPE:
830
ADDRESS:9903 CAMINO MEDIATELEPHONE:
(661) 665-7790
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 24TOTAL ENROLLED CHILDREN: 15CENSUS: 14DATE:
08/26/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Mary Ann MorenoTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
NARRATIVE
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On 08/26/2026, Licensing Program Analyst (LPA) Lady Cabrera arrived at the facility for an unannounced case management inspection. LPA met with Director Mary Ann Moreno, explained the purpose of the visit, and conducted a tour of the facility. Census was taken.

On 07/30/2026, Community Care Licensing received a telephone report from the Assistant Director regarding an incident involving Child 1. It was reported that Child 1 sustained an injury to the upper lip. Staff provided first aid, and the parent was notified. The parent transported Child 1 for medical evaluation, and the child received stitches. Child 1 returned to care on 08/03/2026 without restrictions.

During today’s inspection, LPA interviewed staff regarding the incident. Staff 1 stated they witnessed the incident and was positioned approximately five to six feet away from the children. Staff reported two staff were supervising seven children during a water break. Children were seated on the grass area. Staff stated Child 1 finished drinking water while Staff 1 continued distributing water to the group. Child 1 then suddenly ran across the grass, onto the cushion mat, and up the steps of the Little Tikes plastic modular playground structure. Child 1 appeared to lose balance or footing at the top step and fell forward, striking their upper lip on the edge of the following plastic step.

Staff 1 reported the children have been practicing walking after finishing water to prevent incidents or falling near other children. Staff attempted to verbally redirect Child 1 to slow down; however, the child continued running. Staff observed Child 1 crying and bleeding. Staff 2 immediately responded, comforted Child 1, and provided first aid.

LIC809C

Cynthia Brannon
Lady Cabrera
DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2026
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: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 153801097
VISIT DATE: 08/26/2026
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The Assistant Director was notified immediately. Assistant Director observed bleeding from Child 1’s mouth and identified a cut on the outside of the upper lip measuring approximately one-eighth of an inch. The parents were contacted and arrived within 15 minutes. Child 1 was picked up and transported to receive medical treatment.

During the outdoor inspection, LPA observed the playground equipment to be in safe condition, free of sharp, loose, or pointed parts. The outdoor activity space is maintained free of hazards, and areas surrounding climbing equipment and slides have adequate cushioning material to absorb falls.

Based on information obtained during the inspection, LPA determined that staff took appropriate measures in response to the incident. This appears to be an isolated incident. Reporting requirements were met. No deficiencies were observed in accordance with Title 22, Division 12, Chapter 1, of the California Code of Regulations.

No further action is required at this time.

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

NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Lady Cabrera
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC809 (FAS) - (06/04)
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