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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750074
Report Date: 01/14/2026
Date Signed: 01/14/2026 04:20:09 PM

Document Has Been Signed on 01/14/2026 04:20 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:AZY'S PLACEFACILITY NUMBER:
367750074
ADMINISTRATOR/
DIRECTOR:		LILIANA VELASQUEZFACILITY TYPE:
850
ADDRESS:58967 BUSINESS CTR DR STE G-HTELEPHONE:
(760) 288-9068
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 15TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
01/14/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:25 AM
MET WITH:Facility Representative Liliana VelasquezTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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On January 14, 2026, Licensing Program Analyst (LPA), Kendal Zirbes conducted an unannounced Case Management License initiated inspection for an increase in capacity and the addition of an outdoor activity space. LPA disclosed the purpose of the inspection to facility representative. The Licensee has requested a total capacity of 30 children, specifically 24 preschool children (ages 3-5) and six toddlers (18 months to 36 months). A fire clearance was granted on December 16, 2025. Present during today’s inspection were four toddlers in care with two teachers providing supervision and nine preschool children in care with one teacher providing supervision. The Administrator was also on site. During the inspection, one additional aide arrived at the Center.

The Preschool Center consists of the following areas: Toddler Room (early learners’ classroom), Preschool Room, Blue Room, play area, outdoor activity space, and one restroom. This Center also operates a school age center (367750046). The Center has a kitchen, one staff restroom, and two staff offices, and additional storage spaces which are utilized by both components. The Center is located in a business center. An approved waiver is on file for the outdoor space. The program operates Monday to Friday 07:00am - 06:00pm.

LPA observed the toddler, and preschool classrooms were equipped with safe, age-appropriate furniture and equipment. The preschool classroom was equipped with tables, chairs, cubbies and cots to meet the needs of requested capacity increase of 24 preschool children.

LPA toured the purposed new outdoor activity space. The new outdoor space is accessed by walking through the blue room and walking through a roll up door. LPA observed the outdoor activity area was enclosed by a 5-foot fence made of K-Rails and fiberglass roof panels. Continued on page two

NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2026
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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: AZY'S PLACE
FACILITY NUMBER: 367750074
VISIT DATE: 01/14/2026
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Report continued from page one
Outdoor continued: The surface material is cement. One area of the cement ground has been covered with artificial grass, and another area has been covered with outdoor carpet material. LPA observed one little tikes’ slide, a dramatic play space, an empty water table, and additional materials. A shade is available.
LPA and facility representative discussed activity supervision and reviewed the supervision requirements during this inspection. Facility representative expressed an understanding of the supervision requirements. Facility representative stated a sand box may be added to the area in the future. LPA reminded the facility representative that sandboxes shall be inspected daily and kept free of hazardous foreign materials.

During the inspection LPA measured the following spaces:
Indoor:
Toddler Room: 17 x 26.4 = 448.80
Preschool Room: 29 x 35 = 1015.00
Total indoor space= 1463.80/35 = 41.82

Activity Space:
Blue Room: 36 x 27 = 972
Play area: 27 x 10 = 270
Outdoor: 19.5 x 35 =682.50
Total activity space= 1924.50/75 = 25.66

LPA observed the preschool and toddler classroom shared one restroom. The restroom is equipped with one sink, one portable sink, and two toilets.

Based on LPA observation of the materials and a review of the indoor and outdoor measurements, the requested capacity of 30 total children (24 preschool and 6 toddlers) is allowable.

Based on LPA observations, zero corrections are required.

Final approval of the capacity increase is pending approval by a Licensing Program Manager.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Liliana Velasquez.

NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2026
LIC809 (FAS) - (06/04)
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