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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343618469
Report Date: 05/29/2024
Date Signed: 05/29/2024 02:05:31 PM

Document Has Been Signed on 05/29/2024 02:05 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BRADFORD, KRISTEN L.FACILITY NUMBER:
343618469
ADMINISTRATOR/
DIRECTOR:		BRADFORD, KRISTEN L.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 247-5157
CITY:SACRAMENTOSTATE: CAZIP CODE:
95842
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
05/29/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Kristen BradfordTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On May 29, 2024, Licensing Program Analyst (LPA) Amanda Sutter met with licensee Kristen Bradford for the purpose of a plan of correction inspection. Upon arrival, LPA observed 6 children supervised by the licensee.

On 3/18/2024, Licensee received citations for expired Mandated Reporter Certificates, CPR/First Aid certification, and an infant bouncer at the facility. LPA reviewed files and observed that that all staff have current Mandated Reporter Certificates, and that the licensee has obtained a current CPR/First Aid certification. LPA observed the living room and did not see the infant bouncer. Licensee stated that she got rid of the bouncer. LPA has cleared the citations.

LPAs reviewed this report with Licensee Kristen Bradford. Licensee was provided with a notice of site visit that must be posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE: DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/29/2024
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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