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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494249
Report Date: 01/15/2026
Date Signed: 01/15/2026 03:45:14 PM

Document Has Been Signed on 01/15/2026 03:45 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:KIDS KINGDOMFACILITY NUMBER:
197494249
ADMINISTRATOR/
DIRECTOR:		MENDOZA, TRINAFACILITY TYPE:
830
ADDRESS:731 S AVERILL AVETELEPHONE:
(310) 547-4986
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY: 12TOTAL ENROLLED CHILDREN: 4CENSUS: 5DATE:
01/15/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:TRINA MENDOZA, LICENSEETIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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On 01/15/2026 LPA Clayton conducted an unannounced Case Management inspection at Kids Kingdom. LPA was greeted by Director Coreen Salceda. LPA Clayton toured the CCC inside and outside for Health & Safety inspection and observed 5 infants being supervised and cared for by 2 staff.

LPA Clayton reviewed Guardian and observed teacher S1’s fingerprint submission determination status "in process" since June 2025, which poses an immediate Health and Safety risk to children in care.

LPA Clayton observed a “baby walker” in classroom 1, and a bouncy seat in the infant nap room which poses an immediate Health and Safety risk to children in care.

LPA Clayton reviewed the infants files, none of which contained the Individual Infant Sleep Plan (LIC 9227), or the required Infants Needs and Services plan. In addition, it was determined that the staff have not documented checking on the sleeping infants every 15 minutes as required per Title 22 regulations.

Based on LPA observations and record review, two (2) Type A violation and two (2) Type B Violations were cited today (see LIC 809D’s).

Licensee will provide parents of currently enrolled children and parents of children enrolled over the next 12 months copies of the Licensing Report containing the Type A violation and maintain a signed LIC 9224 the above-mentioned children’s files.

An exit interview was conducted, and this report and Appeal Rights were discussed and provided to Director Coreen and Licensee Trina Mendoza. LPA Clayton posted a notice of site visit which must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2026
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 4
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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Document Has Been Signed on 01/15/2026 03:45 PM - It Cannot Be Edited


Created By: Lisa Clayton On 01/15/2026 at 01:15 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KIDS KINGDOM
FACILITY NUMBER: 197494249

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/15/2026
Section Cited
CCR
101239(n)(1)(b)(c)

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(n) Furniture and equipment shall be maintained in good condition,....... (1) A baby walker shall not be allowed on the premises of a child care center in accordance with Health and Safety Code Sections 1596.846(b) and (c). (b) A baby walker shall not be kept or used... facility.(c) A "baby walker" means any article described in paragraph (4) of subdivision (a) of Section 1500.86 of Part 1500 of Title 16 of the Code of Federal Regulations.
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Licensee and Director will ensure that baby walkers any article described in paragraph (4) of subdivision (a) of Section 1500.86 of Part 1500 of Title 16 of the Code of Federal Regulations are not used or kept on the premises of the child care facility.
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This requirement was not met as evidenced by: LPA Clayton observation of a baby walker and a bouncy seat observed on the premises, which poses an immediate Health and Safety risk to children in care.
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Director removed both the walker and the bouncy seat from the property.
Type A
01/15/2026
Section Cited
CCR101170(e)(1)(2)(3)

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(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working,.....in a licensed facility:(1)Obtain a California clearance or a criminal record exemption as required by the Department (2)Request a transfer of a criminal record clearance........ (3) Request and be approved for a transfer of a criminal record exemption, ......... Department permits the individual to be employed, reside or be present at the facility.
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Licensee and Director will ensure that prior to working or volunteering at the child care center, obtain a California clearance or a criminal record exemption as required by the Department.
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This requirement was not met as evidenced by: LPA Clayton's review of Guardian and observed staff fingerprint submission determination status "in process" since June 2025, which poses an immediate Health and Safety risk to children in care.
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 Licensee and Director are to watch the Background Check Requirements for Caregivers video on the departments website and submit a written declaration of understanding to the Department and LPA Clayton no later than Jnauary 25, 2026
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Karren Starks
NAME OF LICENSING PROGRAM MANAGER:
Lisa Clayton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/15/2026 03:45 PM - It Cannot Be Edited


Created By: Lisa Clayton On 01/15/2026 at 02:34 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KIDS KINGDOM
FACILITY NUMBER: 197494249

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/15/2026
Section Cited
CCR
101419(a)(b)(1)(2)

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(a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant. (b) The needs and services plan......include the following: (1)The individual feeding plan. (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.
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Licensee and Director will ensure that prior to the infant's first day at the center, the infant care center director shall complete a needs and services plan for the infant with the assistance of the infant's authorized representative which will include The individual feeding plan, and a completed Individual Infant Sleeping Plan [LIC 9227.
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The requirement was not met as evidenced by: LPA Clayton's review of the 6 infants files, and Licensees and Director's admission that they have not created the Infant needs and Services Plans and no Individual Infant Sleeping plans were present which posed a Health and Safety risk to children in care.
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Licenee, Director and staff are to read and review the Title 22 Regulations regarding Infant Needs and Services Plan and submit a wrirtten declaration of understanding to the Department no later that January 25, 2026
Type B
01/15/2026
Section Cited
CCR101429(B)(C)

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 (2) Sleeping infant(s) shall be directly observed by sight and sound at all times.
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: 1. Labored breathing. 2. Signs of distress, which includes but is not limited to flushed skin color, increase in body temperature and restlessness. 3.Infants up to 12 months of age who are sleeping in a position other than on their back. a. If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping. 4. If staff observes labored breathing or signs of distress.......(C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:
1. Date.2. Infant’s name.3. Time of each 15-minute check.4. Initials of staff person who
conducted each check.
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Licensee and Director will ensure that a Sleep Log is created for all infants 0 - 24 months and that staff are documenting as required.
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The requirement was not met as evidenced by: LPA Clayton's review of the 6 infants files, and Licensees and Director's admission that they have been using a Sleep Log to document checking on the infants every 15 minutes as stated in the regulation, which poses a Health and Safety risk to children in care.
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Licenee, Director and staff are to read and review the Title 22 Regulations regarding Responsibility for Providing Care and Supervision for Infants and submit a wrirtten declaration of understanding to the Department no later that January 25, 2026
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Karren Starks
NAME OF LICENSING PROGRAM MANAGER:
Lisa Clayton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2026


LIC809 (FAS) - (06/04)
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