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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405613
Report Date: 12/18/2023
Date Signed: 12/18/2023 04:21:33 PM

Document Has Been Signed on 12/18/2023 04:21 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LITTLE BRIDGES CHILD CARE CENTERFACILITY NUMBER:
073405613
ADMINISTRATOR:KIRK, JACQUEFACILITY TYPE:
840
ADDRESS:9015 SOUTH GALE RIDGE ROADTELEPHONE:
(925) 498-9808
CITY:SAN RAMONSTATE: CAZIP CODE:
94582
CAPACITY: 81TOTAL ENROLLED CHILDREN: 65CENSUS: 42DATE:
12/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:26 PM
MET WITH:Jacque KirkTIME COMPLETED:
04:20 PM
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On 12/18/2023 at 3:26pm Licensing Program Analyst (LPA) Morgan Pringle met with Director Jacque Kirk for an Unannounced Case Management Visit for a unusual incident report that was received on 12/12/2023. Present at the facility were forty-two (42) school age children and four (4) additional staff members.

LPA Pringle conducted interviews and obtained facility files.

There were no deficiencies cited during LPA's visit.

Notice of site visit was given and exit interview was conducted with Infant Director Jacque Kirk.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023
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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