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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 054500341
Report Date: 10/30/2023
Date Signed: 10/30/2023 02:42:46 PM

Document Has Been Signed on 10/30/2023 02:42 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BRIDGES, DENISEFACILITY NUMBER:
054500341
ADMINISTRATOR:DENISE BRIDGESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 380-2337
CITY:SAN ANDREASSTATE: CAZIP CODE:
95249
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
10/30/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:licensee, Denise BridgesTIME COMPLETED:
03:00 PM
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Licensing Program Analysts (LPAs) Lauren Scott and Elizabeth Santiago met with Licensee, Denise Bridges for the purpose of an unannounced plan of correction inspection to clear a Type A deficiency, which was issued on 9/19/23 for improper storage of ammunition.

During today's inspection LPA toured all areas accessible to children in care and observed ammunition to be stored in a separate lock box from the firearms.

Deficiencies cited on 9/19/23 are cleared effective today. Exit interview was conducted and report was reviewed with the licensee. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2023
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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