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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566207119
Report Date: 02/20/2026
Date Signed: 02/20/2026 12:02:43 PM

Document Has Been Signed on 02/20/2026 12:02 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:FERNANDEZ FCC AKA CAROUSEL FCCFACILITY NUMBER:
566207119
ADMINISTRATOR/
DIRECTOR:		MARIA FERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 815-4528
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
02/20/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:54 AM
MET WITH:Maria FernandezTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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On February 20, 2026, at 9:54 AM., Licensing Program Analyst (LPA) Cynthia Alvarez conducted an unannounced Case Management–Deficiencies inspection at the Family Child Care (FCC) home. LPA arrived to close out a complaint. LPA met with licensee Maria Fernandez and advised her of the purpose of the inspection. LPA and the licensee toured the home. At the time of the inspection, there were 7 children in care along with 1 assistant (cleared and associated).

LPA arrived at the FCC to close out a complaint received by the Department on 01/29/26. During the inspection, LPA observed that the report dated 2/5/26 which included 2 type A citations was not posted in the FCCH, which poses a potential risk to the health and safety of children and constitutes a Type B deficiency, in violation of Health and Safety , Section 1596. (b)(1) Notwithstanding subdivision (b) of Section 1596.859, the licensee shall post a licensing report or other appropriate document verifying the licensee’s compliance or noncompliance with the department’s order to correct a deficiency that is subject to posting pursuant to paragraph. LPA advised the licensee to post the report dated 2/5/26 so that it is visible to parents when they are in the FCCH. Licensee stated they had just taken the report to make copies to provide C1’s parents a copy. LPA stated the citation was given 2/5/26, all parents should of have been given a copy of the report by the next day or the next day the C1 was in care. LPA asked licensee if C1 had not been in care since 2/5/26, and asked licensee to provide sign in sheets indicating this information. Licensee provided LPA C1’s sign in sheet, and the document indicated the child had in fact been attending the FCCH regularly.

Continued on LIC 809C

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2026
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: FERNANDEZ FCC AKA CAROUSEL FCC
FACILITY NUMBER: 566207119
VISIT DATE: 02/20/2026
NARRATIVE
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LPA reminded Licensee that the report dated 2/5/26 should have been provided all parents the next day or the next day the child was in care, since they had not provided the parent the report , Health and Safety 1596.8595 (c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care, which constitutes a Type B citation. LPA observed licensee place the report on the entrance of the FCCH during the inspection.

Failure to comply with Health and Safety 1596.8595 Posting licensing report by child care facility or home; duration of posting; civil penalty for failure to comply resulted in an immediate civil penalty of one hundred dollars ($100) during todays inspection.



A notice of site visit was given and must remain posted for 30 days.

During today's inspection 2 type B citations were given. Deficiencies can be seen on the attached 809-D pages. Appeals rights were provided and explained to the licensee,

Exit interview conducted and report was reviewed with the licensee Maria Fernandez.

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/20/2026 12:02 PM - It Cannot Be Edited


Created By: Cynthia Alvarez On 02/20/2026 at 11:15 AM
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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: FERNANDEZ FCC AKA CAROUSEL FCC
FACILITY NUMBER: 566207119

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/20/2026
Section Cited
HSC
1596.8595(b)(1)

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Notwithstanding subdivision (b) of Section 1596.859, the licensee shall post a licensing report or other appropriate document verifying the licensee’s compliance......

This requirements is not met as evidence by:
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Licensee posted the report dated on 2/5/26 in the entrance of the FCCH during the inspection.
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Based on observation and interview, the licensee did not comply with the section cited above as LPA did not observe the report dated 2/5/26 posted in the FCCH, which poses a potential health, safety, or personal rights risk to persons in care.
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Type B
02/20/2026
Section Cited
HSC1596.8595(c)(1)

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A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph

This requirements is not met as evidence by:
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Based on observation and interview, the licensee did not comply with the section cited above as licensee stated they had not provided a copy of the report to the parents of C1 which poses a potential health, safety, or personal rights risk to persons in care.
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Licensee will provide a copy of the report to C1's parents and have them sign the LIC9224. Once signed the licensee will send of the signed form to LPA at cynthia.alvarez@dss.ca.gov or text at 805-689-4212
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Susana Martinez
NAME OF LICENSING PROGRAM MANAGER:
Cynthia Alvarez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 02/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2026


LIC809 (FAS) - (06/04)
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