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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216534
Report Date: 03/24/2026
Date Signed: 03/24/2026 10:57:36 AM

Document Has Been Signed on 03/24/2026 10:57 AM - 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:CARILLO FCC AKA KINGDOM KIDS DAYCAREFACILITY NUMBER:
566216534
ADMINISTRATOR/
DIRECTOR:		VERONICA CARRILLOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 212-2098
CITY:OXNARDSTATE: CAZIP CODE:
93035
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/24/2026
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Veronica Carrillo TIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
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On March 24, 2026, at 10:30 AM, Licensing Program Manager (LPM), Susana Martinez and Licensing Program Analyst (LPA), Cynthia Alvarez met with Licensee, Veronica Carrillo for an Informal Conference held in person. The purpose of the meeting was to discuss recent concerns with the operation of the family childcare home pursuant Title 22, Division 12 of the California Code of Regulations.

This Informal Conference was called to discuss the following issues or deficiencies:

During an unannounced 3-year inspection conducted on 02/26/26,1 type A ,3 type B violations were cited under CCR sections:

· CCR 102417(g)(4) Based on observation the licensee did not comply with the section cited as LPAs observed medication, gas can in outdoor area, and cleaning agents accessible to children which posed an immediate health, safety or personal rights risk to persons in care.



· CCR 102425(j)(2), Based on interview and record review, licensee stated they are conducting 15 minutes checks however are not logging the 15-minute sleep checks which posed a potential health, safety or personal rights risk to persons in care.

As well as sections under HSC section as stated below:

HSC 1596.8662(b)(1), Based on interviews and record review, the licensee’s mandated reporter training was expired, and assistant did not have the required mandated reporter training for childcare provider which posed a potential health, safety or personal rights risk to persons in care.

CONTINUED ON LIC809-C PAGE 2

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2026
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: CARILLO FCC AKA KINGDOM KIDS DAYCARE
FACILITY NUMBER: 566216534
VISIT DATE: 03/24/2026
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HSC 1597.622(a)(1), Based on interviews and record review, the licensee was unable to provide assistants required immunization or TB test which posed a potential health, safety or personal rights risk to persons in care.

In response to these discussions, Licensee has agreed to the following:

· Licensee must always operate in compliance Title 22, Division 12 Family Child Care Home Regulations.

· Licensee is to attend an in-person FCCH Orientation on 04/08/2026 at the Santa Barbara Regional Office.


· Licensee will be referred to the Technical Support Program (TSP).
· Licensee will be placed on more frequent required inspections for next 2 years to monitor compliance.

· Licensee shall ensure that Family Child Care business will be operated free of harmful, hurtful or dangerous acts.

· Licensee shall visit CCLD.CHILDCAREVIDEOS.ORG – specifically to view the listed resource videos below:

o Licensee is to watch Record Keeping in FCC video on CDSS website: https://ccld.childcarevideos.org/family-child-care-providers/record-keeping-in-family-child-care/

o Licensee is to watch Children’s Personal Rights in Child Care on CDSS website: https://ccld.childcarevideos.org/family-child-care-providers/childrens-personal-rights-in-child-care/

Licensee will submit written statement indicating what they learned from watching the videos and how they will maintain compliance with California Code of Regulations, Title 22, Division 12 by 4/10/26.

In addition to the above regulations, LPM Susana Martinez reviewed and provided the following resources to the Licensee during this meeting:

· Technical Support Program (TSP) Brochure.

· List of Approved Alternate Mandated Reporter Trainings.

· List of approved First Aid and CPR Child Care Training Program Providers.

CONTINUED ON LIC809-C PAGE 3

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

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CARILLO FCC AKA KINGDOM KIDS DAYCARE
FACILITY NUMBER: 566216534
VISIT DATE: 03/24/2026
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Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents/guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee is to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC809.

THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS.

An exit interview was conducted with licensee, Veronica Carrillo.

A copy of this report and appeal rights given

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

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC809 (FAS) - (06/04)
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