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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364810389
Report Date: 11/07/2024
Date Signed: 11/07/2024 01:01:37 PM

Document Has Been Signed on 11/07/2024 01:01 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:BLEDSOE FAMILY CHILD CAREFACILITY NUMBER:
364810389
ADMINISTRATOR/
DIRECTOR:		BLEDSOE, BRIDGETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 275-1638
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
11/07/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:39 PM
MET WITH:Bridgette Bledsoe, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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On 11/7/2024 at 12:39 PM, Licensing Program Analyst (LPA) Claudia Caywood arrived at the facility to conduct a required three-year inspection as part of a compliance review. Licensee stated she was not feeling well but the LPA to conduct an annual inspection.

LPA toured the facility inside and while the LPA was conducting the inspection the Licensee, Bridgette Bledsoe advised the LPA she could not continue with the inspection due to her not feeling well and asked the LPA to comeback at another day. Licensee called the two authorized parents for the two children present and asked them to pick up their children. LPA stated she would be back on another day.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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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