Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426207818
Report Date: 10/11/2019
Date Signed: 10/11/2019 03:06:12 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:BRAGG FAMILY CHILD CAREFACILITY NUMBER:
426207818
ADMINISTRATOR:GABRIELA BRAGGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 346-6402
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: DATE:
10/11/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Gabriela BraggTIME COMPLETED:
03:10 PM
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Licensing Program Analysts (LPAs) Gigi Reyes and Christian Patterson conducted an unannounced Case Management visit regarding an incident reported to CCLD on July 17, 2019. LPAs met with Licensee and discussed the purpose of the visit. There were 8 children present.

During the investigation process, CCLD requested reports from different state and county agencies involved. Based on the report gathered and interviewed conducted, the reported incident has no reasonable basis and health and safety of children are not at risk.

No deficiencies cited.

LPAs observed Licensee posted the Notice of Site Visit.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019
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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