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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426207818
Report Date: 08/27/2019
Date Signed: 08/27/2019 09:24:41 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:BRAGG FAMILY CHILD CAREFACILITY NUMBER:
426207818
ADMINISTRATOR:GABRIELA BRAGGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 346-6402
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: 5DATE:
08/27/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Gabriela BraggTIME COMPLETED:
09:30 AM
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Licensing Program Analyst (LPA), Gigi Reyes conducted an unannounced Case Management Inspection and met with Licensee Ms. Gabriel Bragg. The purpose of the visit was discussed to hand deliver the Evaluation Report for 8/26/2019 Annual/Random Inspection. Report did not generate during the said inspection date due to computer malfunction. There were 5 children present when LPA arrived.

No deficiency cited.

This concludes the visit.

LPA observed Licensee posted the Notice of Site Visit.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019
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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