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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376624281
Report Date: 03/05/2025
Date Signed: 03/05/2025 09:16:39 AM

Document Has Been Signed on 03/05/2025 09:16 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:VELASCO, IRMA FAMILY CHILD CAREFACILITY NUMBER:
376624281
ADMINISTRATOR/
DIRECTOR:		IRMA VELASCOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 551-8466
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
03/05/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:47 AM
MET WITH:Licensee- Irma VelascoTIME VISIT/
INSPECTION COMPLETED:
09:20 AM
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On 03/05/2025 at 8:47 am, Licensing Program Analyst (LPA) Julieta Abrego completed an unannounced case management inspection for the purpose of delivering an amended report from an original report dated, 02/24/2025. LPA met with licensee Irma Velasco. There were 2 children present.

An exit interview was conducted, and the report was reviewed with Irma Velasco. Irma Velasco was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Cynthia Biszant
LICENSING EVALUATOR NAME: Julieta Abrego
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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