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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423934
Report Date: 09/16/2024
Date Signed: 09/16/2024 11:19:35 AM

Document Has Been Signed on 09/16/2024 11:19 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BROWN-ALFORD, ASHLEYFACILITY NUMBER:
013423934
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
09/16/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Ashley Brown- AlfordTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
NARRATIVE
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On 9/16/24 at 8:15am, Licensing Program Analyst (LPA) Catherine Fernandes arrived on case management inspection requested by Licensee Ashley Brown- Alford. There were two infants in care during the inspection.

Licensee is requesting an inspection to put her backyard on limits, LPA Fernandes inspected the area. Before the backyard can be on limits the Licensee has to place a gate on the edge of the cement area to block children from tripping or falling.





Exit interview conducted
Report, Appeal Rights and Notice of site visit provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 09/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2024
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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