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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624643
Report Date: 02/06/2024
Date Signed: 02/06/2024 02:54:50 PM

Document Has Been Signed on 02/06/2024 02:54 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BRADLEY, TWONISHAFACILITY NUMBER:
343624643
ADMINISTRATOR:BRADLEY, TWONISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 727-6520
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
02/06/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Twonisha BradleyTIME COMPLETED:
03:00 PM
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At 2:15pm on 2/6/2024, Licensing Program Analyst (LPA) Matthew Gallo met with licensee Twonisha Bradley for the purpose of conducting a plan of correction visit. Upon arrival, LPA observed a total census of 5 preschool children supervised by licensee and two assistants.

On 1/26/2024, licensee was cited a Type B deficiency for an inability to produce children's records during LPA's annual visit due to the licensee being away from the facility with the key needed to access the storage area for the files. The plan of correction dictated that the LPA would return to the facility to inspect the files and ensure their accessibility.

During today's visit, licensee showed LPA the new, unlocked storage area for the files and provided the files for review. LPA reviewed 5 children's files and observed them to be complete. The plan of correction for the citation issued on 1/26/2024 has been cleared.

Exit interview conducted and report was reviewed with licensee Twonisha Bradley. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2024
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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