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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624643
Report Date: 06/12/2024
Date Signed: 06/12/2024 04:16:04 PM

Document Has Been Signed on 06/12/2024 04:16 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/
DIRECTOR:		BRADLEY, TWONISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 727-6520
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 15DATE:
06/12/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:Twonisha BradleyTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
NARRATIVE
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On Wednesday, June 12, 2024 at 2:50 PM, Licensing Program Analysts (LPAs) Tanya Washington and Loraine Perez arrived to the facility for an unannounced case management inspection and met with Licensee Twonisha Bradley. Upon arrival, LPAs observed four infants, eight preschoolers and three school aged children in care of Licensee and Staff #1. Also present in the home is Licensee's adult sister who was visiting. During today's inspection the Licensee is over capacity by 1 child and out of ratio by one infant. Licensing Staff explained that the Licensee can only have three infants when she is at her full capacity.


Title 22 Regulation deficiency is cited on the following page LIC809D. LPAs provided copy of Title 22 Regulations, section 102416.5- Staffing, Ratio and Capacity.

Upon receipt of a Type A deficiency, licensee shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/guardians of children newly enroll at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC 9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.

Exit interview conducted and report reviewed with Licensee Twonisha Bradley. Notice of site visit posted and appeal rights are provided.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2024
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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Document Has Been Signed on 06/12/2024 04:16 PM - It Cannot Be Edited


Created By: Tanya Washington On 06/12/2024 at 03:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BRADLEY, TWONISHA
FACILITY NUMBER: 343624643

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/13/2024
Section Cited
CCR
102416.5(f)

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Staffing Ratio and Capacity-The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children. This requirement is not met as evidenced: LPAs observed 15 children in care; 4 infants, 8 preschoolers and 3 school agers. This is an immidiate risk to the health
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Licensee stated that she not allow additional children to be dropped off while she is at full capacity.

LPAs will return to clear the citation.
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and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Amanda Blesi
LICENSING EVALUATOR NAME:Tanya Washington
LICENSING EVALUATOR SIGNATURE:
DATE: 06/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/12/2024


LIC809 (FAS) - (06/04)
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