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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455001380
Report Date: 03/26/2024
Date Signed: 03/26/2024 01:34:23 PM

Document Has Been Signed on 03/26/2024 01:34 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 NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BRAVO PROGRAMFACILITY NUMBER:
455001380
ADMINISTRATOR:TRANTHAM, TRISHFACILITY TYPE:
775
ADDRESS:9560 CROSSROADS DRIVETELEPHONE:
(530) 221-5251
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY: 30CENSUS: 30DATE:
03/26/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Adminstrator Trish Trantham TIME COMPLETED:
01:40 PM
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Licensing Program Analyst (LPA) Jaynae Boyles conducted unannounced Required 1 Year Inspection Visit. LPA met with Administrator and explained the purpose of the visit.

LPA Boyles and administrator toured facility together to ensure health and safety of clients in care. Areas toured include but are not limited to: common areas, three smaller classrooms, and two (2) bathrooms. LPA observed the chemicals to be locked and inaccessible to residents. LPA observed lawn equipment to be stored inaccessible with clear training and check out procedures for when the equipment is to be used. LPA observed a classroom with storage lockers, desks and a refrigerator for clients to store their lunch. There are many tables and chairs for activities in the main space of the facility. The facility had a plethora of supplies for activities. LPA observed a small room with a television and seating.

In the areas toured no immediate health, safety, or personal rights violations were observed.

Hot water temperature was measured within range. Fire Extinguishers were inspected on 11/16/2023. Smoke and carbon monoxide detectors are in compliance with fire safety. LPA observed the first aid kit to be complete and ready for emergency use.

LPA reviewed three (3) client and three (3) staff files, which contained all of the required documentation.

No deficiencies are being cited as a result of today's inspection.

Exit interview conducted and copy of report was given to administrator.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Jaynae Boyles
LICENSING EVALUATOR SIGNATURE: DATE: 03/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/26/2024
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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