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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628304
Report Date: 07/11/2023
Date Signed: 07/11/2023 01:11:17 PM


Document Has Been Signed on 07/11/2023 01:11 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:VELAZQUEZ MEZA, ISMAEL FAMILY CHILD CAREFACILITY NUMBER:
376628304
ADMINISTRATOR:ISMAEL VELAZQUEZ MEZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 765-8004
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 8DATE:
07/11/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Ismael Velazquez Meza, ProviderTIME COMPLETED:
01:20 PM
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Licensing Program Analyst (LPA) D. Sanchez, made an unannounced follow up Case Management inspection to the facility today in response to an Unusual Incident/Injury Report received in the San Diego Child Care Regional Office (SDCCRO) on 5/30/2023. Incident report states that on 5/23/2023, date care child (C1) was picked up five minutes late from school. When C1 mother and aunt arrived to the facility the were screaming started pounding the door and windows.

LPA interviewed facility staff and review documents during today's inspection.
Licensee and staff attempted to talk to C1's mother and aunt to explained the reason for the late pick up, but their continues yelling did not permitted them to do so. Therefore, licensee acted to terminate C1 from daycare due to parent's disrupted behavior and for the health and safety of the children in care.

LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

There are no deficiencies cited on this incident, all paperwork is in order and required documents were properly posted.

Community Care Licensing WEB SITE: http://www.ccld.ca.gov

An exit interview was conducted with licensee and a copy of this report left at the facility.

LPA observed provider placing the Notice of Cite Visit on the wall visible to parents during today’s inspection.
NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:
DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/11/2023
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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