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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343618469
Report Date: 03/30/2023
Date Signed: 03/30/2023 03:06:28 PM

Document Has Been Signed on 03/30/2023 03:06 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:BRADFORD, KRISTEN L.FACILITY NUMBER:
343618469
ADMINISTRATOR:BRADFORD, KRISTEN L.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 247-5157
CITY:SACRAMENTOSTATE: CAZIP CODE:
95842
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
03/30/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Kristen BradfordTIME COMPLETED:
11:30 AM
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On March 30, 2023, Licensing Program Analyst (LPA) Amanda Sutter met with Licensee Kristen Bradfor for the purpose of a Plan of Correction (POC) inspection. On March 27, 2023 one Type A citations were issued for deficiencies related to ratio.

Upon arrival, LPA observed 8 children supervised by licensee and her assistant. Three children present are under the age of 2 years old. Based on observation and record review, LPA was able to verify that licensee is following proper ratio.

As of March 30, 2023, the Type A Citation has been cleared and a Plan of Correction letter was provided. This report was reviewed with the Director and a Notice of Site Visit was provided and should remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023
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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