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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405594
Report Date: 10/18/2023
Date Signed: 10/18/2023 10:13:51 AM

Document Has Been Signed on 10/18/2023 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ELLIOTT, BRIDGET & BRITTANYFACILITY NUMBER:
073405594
ADMINISTRATOR:ELLIOTT, BRIDGETFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 609-9303
CITY:CONCORDSTATE: CAZIP CODE:
94518
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
10/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:BRIDGET & BRITTANY ELLIOTTTIME COMPLETED:
10:30 AM
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Licensing Program Analyst Tasha Alexander met with licensees, Bridget & Brittany Elliott for a CASE MANAGEMENT visit to discuss a self reported unusual incident that occurred on 10/5/2023 when a child became angry and threw a toy with a force that caused a minor injury to the child's elbow. No other children in care were harmed.

Present for today's visit are both licensees, Bridget's mother and 7 children in care.

Based on records reviews and today's interviews, no deficiencies are cited today.

An exit interview was conducted. A notice of site visit was posted.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2023
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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