<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340320032
Report Date: 01/08/2021
Date Signed: 01/08/2021 10:13:26 AM

Document Has Been Signed on 01/08/2021 10:13 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:BRADSHAW CHRISTIAN SCHOOLFACILITY NUMBER:
340320032
ADMINISTRATOR:SARMIENTO, LEAHFACILITY TYPE:
850
ADDRESS:8324 BRADSHAW ROADTELEPHONE:
(916) 520-7223
CITY:SACRAMENTOSTATE: CAZIP CODE:
95829
CAPACITY: 239TOTAL ENROLLED CHILDREN: 0CENSUS: 112DATE:
01/08/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Leah SarmientoTIME COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Due to COVID-19 pandemic, Licensing Program Analyst (LPA) Mai Lor conducted a case management tele-inspection via FaceTime with Director Leah Sarmiento. The purpose of this case management is to follow-up on a unusual incident report (UIR) received in the Sacramento Regional Office on 10/14/2020. Census included 112 preschool children.

LPA Lor discussed the usual incident with the director. LPA Lor advised and reminded the director the importance of care and supervision at all times. Director stated administrative action had been taken and care and supervision policy was reviewed with the employee.

No Title 22 Regulations cited. Exit interview conducted. In lieu of director’s signature, LPA Lor is emailing the director a copy of this report and notice of site visit with a read receipt request.
Roxana Saravia
Mai Lor
DATE: 01/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1