566216534-9-25-2026-17-CC-CALZ-DY9RQA-20260925131312

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566216534
Report Date: 09/25/2026
Date Signed: 09/25/2026 01:13:48 PM

Document Has Been Signed on 09/25/2026 01:13 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:	CARILLO FCC AKA KINGDOM KIDS DAYCARE		FACILITY NUMBER:	566216534
ADMINISTRATOR/ DIRECTOR:	VERONICA CARRILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 212-2098
CITY:	OXNARD	STATE: CA	ZIP CODE:	93035
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 3	DATE:	09/25/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:30 AM
MET WITH:	Veronica Carrillo		TIME VISIT/ INSPECTION COMPLETED:	01:30 PM

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On September 25, 2026, at 10:30AM, Licensing Program Analyst (LPA) Cynthia Alvarez conducted an unannounced Required – Compliance Plan inspection at the Family Child Care Home (FCCH). LPA met with licensee Veronica Carrillo and advised them of the purpose of the inspection. Licensee provided LPA a tour of the home, inside and outside. There were 3 children in care at the time of the inspection. Upon entering the home, LPA observed an adult (A1) sitting in the dining room table. LPA requested A1’s name and discovered they do not have criminal clearance to be in the FCCH. Licensee stated that they had come over because they were going to assist with picking up their child from school. LPA reminded licensee that anyone over the age of 18 years old, visiting, working, or volunteering must have their criminal clearance prior to their presence in the home. LPA observed A1 exit the home. The FCCH operates Monday through Friday from 7:00 AM to 5:30 PM.

The family childcare home is a 2-story home 4 bedrooms and 2.5 restrooms. Areas accessible to children in care include the living room, 1 bathroom and the enclosed backyard. Inaccessible areas include the entire second floor, family room, dining room and kitchen, listed in the facility sketch as area off limits for childcare, LPA observed the areas not to be properly secured. At 10:35AM LPA observed 2 children in the dining room area eating. LPA inspected the family room, dining room, and the kitchen since children had access to the area. LPA observed cleaning agent and vitamins at reach of children. LPA reminded licensee that if they plan to utilize area marked as “off limits” they must update the facility sketch to reflect the accessible areas and must also maintain the areas free of hazardous and toxins products. During the inspection age-appropriate toys and furniture were observed accessible to children. The bathroom used for childcare was found to be clean and sanitary; however, there was a container of Clorox Wipes in the counter that is lower than 5 feet in height. LPA reminded licensee that they must make products that pose a danger to children’s health and safety must be made inaccessible to the children in care. LPA observed licensee remove item and place it in an inaccessible area; furthermore, LPA observed a 2^nd container to Clorox Wipes and Arm and Hammer disinfecting wipes in the living room, in area lower than 5 feet in height. LPA observed licensee remove those items as well.

Continued on LIC809-C

Susana Martinez
Cynthia Alvarez
	DATE: 09/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026

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: 09/25/2026

NARRATIVE

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During today’s inspection, it was determined that the licensee had cleaning agents and vitamins in an area accessible to children/infants. This poses a risk to the health and safety of children in care. This a repeated violation of section CCR 102417(g)(4) previously cited on February 26, 2026.

A civil penalty in the amount of $250 is being assessed in accordance with California Health and Safety Code Section 1596.99 for a repeated violation. If the repeated violation is not corrected by the next day, a civil penalty of $100 per day will be assessed until the regulation is corrected

During the inspection LPA did not observe any bodies of water accessible to children in care. Licensee verified that there are not any ammunition/weapons in the home.

LPA and licensee toured the backyard, LPA observed day equipment in good condition, age appropriate in the backyard, LPA observed there was enough shade to afford children's comfort while they play outdoors, LPA reviewed active supervision with licensee.

LPA observed the required licensing documents posted in a prominent location within the home. LPA reviewed the disaster/earthquake drill, the last drill was conducted on September 19, 2026. The fire extinguisher (2A10BC) located in the kitchen was last purchased on March 12, 2026. LPA reminded licensee that fire extinguishers need to be serviced or purchased yearly.

A smoke and carbon monoxide detector were found in FCCH, the detectors were not tested due to children sleeping during the inspection, but LPA reminded licensee to routinely check the detectors to ensure they are functioning properly. LPA reviewed the children’s roster; the roster was complete; it included all children enrolled in the FCCH.

LPA reviewed 3 children’s files; the file was observed to be complete they contained emergency card and immunization records. A review of the infant’s file found that the licensee was nothing the 15-minute safe sleep checks. LPA reviewed licensee’s records. Licensee’s Pediatric CPR/First Aid certification was active and will expire March 2028. Licensee’s Mandated Reporter Training was active and will expire March 2028. Licensee was reminded that a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter certification AB1207 every two years at www.mandatedreporterca.com .

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026

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: 09/25/2026

NARRATIVE

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, licensee, confirmed that there are no Registered Sex Offenders living in the home and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to [email protected] . For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process .

Continued on LIC809-C

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026

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: 09/25/2026

NARRATIVE

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A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty

LPA Cynthia Alvarez informed licensee Veronica Carrillo that this report dated September 25, 2026, documents 1 of Type A citation. Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Cynthia Alvarez informed the licensee to provide a copy of this licensing report dated September 25,2026 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

During today's inspection, 1 Type A and 1 Type B citations were given during today’s inspection. Appeal Rights were provided to licensee

Exit interview conducted and report was reviewed with licensee, Veronica Carrillo

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/25/2026 01:13 PM - It Cannot Be Edited

Created By: Cynthia Alvarez On 09/25/2026 at 12:28 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CARILLO FCC AKA KINGDOM KIDS DAYCARE	FACILITY NUMBER: 566216534
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/25/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

HSC

1596.871(c)(1)(A)

Administration of Child Day Care Licensing

Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above as there was 1 adult (A1) present in the home did not have criminal clerance which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 09/25/2026
	Plan of Correction
1 2 3 4	LPA observed the adult (A1) exit the home during the inspection. LPA reminded licensee that they must not allow anyone over the age of 18 years old to enter the home during hours of operation.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: 09/25/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/25/2026 01:13 PM - It Cannot Be Edited

Created By: Cynthia Alvarez On 09/25/2026 at 12:28 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CARILLO FCC AKA KINGDOM KIDS DAYCARE	FACILITY NUMBER: 566216534
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/25/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above as LPA observed cleaning agents and vitamins in areas accesiable to children in care which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/29/2026
	Plan of Correction
1 2 3 4	Licensee removed the items out the reach of children in care during the inspection, they will place them in areas out the reach of childen. Licensee will write out a statement indicating how they will prevent from an incident like this from occuring again. Licensee will submit the statement to LPA via email at [email protected].

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: 09/25/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026

LIC809 (FAS) - (06/04)

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