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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376630007
Report Date: 07/17/2025
Date Signed: 07/17/2025 01:48:34 PM

Document Has Been Signed on 07/17/2025 01:48 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:VELAZQUEZ ISLAS, VIANEY FAMILY CHILD CAREFACILITY NUMBER:
376630007
ADMINISTRATOR/
DIRECTOR:		VIANEY VELAZQUEZ ISLASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 305-8939
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
07/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Vianey Velazquez IslasTIME VISIT/
INSPECTION COMPLETED:
01:50 PM
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On 7/17/2025, at 9:00 AM, Licensing Program Analysts (LPA) Oscar Picazo conducted an unannounced case management inspection to follow up on a self reported child injury incident. Upon arrival, LPA was greeted and granted entry into the facility by Licensee. LPA met with Licensee, Vianey Velazquez Islas. LPA discussed the purpose of the visit and was led on an indoor and outdoor tour of the facility. Also present during this visit was Licensees husband, Jorge Parra Alvarez, who is also her assistant (S1) and 13 day care children, one of which is under 24 months of age.

On 07/03/2025, Licensee reported an incident regarding a possible lack of supervision involving 1 day care child, child #1 (C1), where C1 sustained an injury to the forehead that possibly required medical attention. Per the Licensee, the alleged incident occurred on 07/02/2025, at about 11:40 AM, between the kitchen and the living room.

Interviews were conducted with the Licensee, staff (S1), and day care children, including C1. LPA obtained a copy of the facility roster and sign in/ sign out sheets. LPA inspected the area between the living room and kitchen to determine that it is safe, free of any hazards, debris, any sharp or pointed edges or corners and age appropriate.

Licensee reported that she and 5 children were in the diaper changing area located at the entrance of the laundry room during the time of the incident. Licensee stated that C1 was standing in line at the laundry room entrance with four (4) other children waiting for a diaper change. Licensee observed C1 walk away from the line and start going back toward the living room. Licensee called out to C1 and asked C1 to come and get back in line.


See Continuation 812C...
NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Oscar Picazo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2025
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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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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: VELAZQUEZ ISLAS, VIANEY FAMILY CHILD CARE
FACILITY NUMBER: 376630007
VISIT DATE: 07/17/2025
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Upon being called, C1 looked back over the shoulder which caused C1 to lose their balance, stumble over their own feet due to wearing crocks, fall forward and hit their forehead on a rounded edge of the metal door hinge of the child safety gate which divides the kitchen and living room. The fall caused about a quarter inch laceration on the forehead about one (1) inch above the right eye, and minor bleeding. Licensee stated that she had her eyes on C1 during the time of the incident; however licensee was in the middle of changing another child and could not stop or leave the changing table unattended to catch or break C1's fall in time. Licensee administered comfort care, first aid and then immediately called C1's authorized representative, sent pictures and a text. C1's authorized representative arrived at the facility at approximately 12:30 PM to pick up and take C1 to the Dr's office. Licensee states that C1's authorized representative later reported that C1 received skin glue for the laceration. C1 did not return to the facility the following day due to a scheduled family trip. C1 returned to the facility on 7/07/25 without any medical restrictions.

Staff #1 (S1) stated that he was outside in the play area supervising 5 other day care at the time of the incident. S1 provided a brief summary of the incident and states that although he is aware of what happened, he did not actually witness the incident.

LPA observed that Licensee has put a child safety gate at the entry way of the laundry room and changing area to prevent any of the children waiting to be changed from wandering off and potentially having another incident.



Based on inspection, staff and day care children interviews, it was determined that the area between the kitchen and living room as well as the child safety gate that divides the area is safe, without hazards, age appropriate and there was appropriate staff supervision in the room during the time of the incident. The incident is determined to be an accident.

No deficiencies cited during this inspection.

A copy of this report and notice of site visit (LIC9213) was provided to the Licensee and was advised it must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted and copy of report was provided to licensee, Vianey Velazquez Islas. LPA Oscar Picazo provided translation from English to Spanish. Licensee stated she understood.

NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Oscar Picazo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC809 (FAS) - (06/04)
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