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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620256
Report Date: 01/07/2025
Date Signed: 01/07/2025 11:43:18 AM

Document Has Been Signed on 01/07/2025 11:43 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/
DIRECTOR:
DAY, TATANISHAFACILITY TYPE:
850
ADDRESS:6115 RIVERSIDE BLVD.TELEPHONE:
(916) 442-1255
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 43DATE:
01/07/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:10 AM
MET WITH:Tatanisha BrookfieldTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility approximately 10:10am for a case management inspection. LPA met with Director, Tatanisha Day, regarding an deficiency that took place on November 19th, 2024. LPA made observations. LPA cleared deficiency.

Director stated that she has implemented a check off system to make sure it will not occur in the future.

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 Director [or facility representative] Tatanisha Day.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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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