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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620256
Report Date: 12/06/2023
Date Signed: 12/06/2023 11:27:32 AM

Document Has Been Signed on 12/06/2023 11:27 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BROOKFIELD PRESCHOOLFACILITY NUMBER:
343620256
ADMINISTRATOR:DAY, TATANISHAFACILITY TYPE:
850
ADDRESS:6115 RIVERSIDE BLVD.TELEPHONE:
(916) 442-1255
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 67DATE:
12/06/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Tatanisha DayTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 10:40am for a Plan of Correction inspection regarding the deficiencies cited on LIC809D dated 11/28/2023. LPA met with director, Tatanisha Day. Today’s census was 67 children.

Based upon today’s inspection, LPA’s observed that all deficiencies are cleared as of today.

No Title 22 Deficiencies observed in the areas that were evaluated. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative] Tatanisha Day.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2023
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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