<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444407562
Report Date: 08/27/2021
Date Signed: 08/27/2021 12:23:03 PM

Document Has Been Signed on 08/27/2021 12:23 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:COMMUNITY BRIDGES NUEVO DIA CHILD DEV CENTERFACILITY NUMBER:
444407562
ADMINISTRATOR:MARY MURILLOFACILITY TYPE:
850
ADDRESS:135 LEIBRANDT AVENUETELEPHONE:
(831) 426-1276
CITY:SANTA CRUZSTATE: CAZIP CODE:
95060
CAPACITY: 32TOTAL ENROLLED CHILDREN: 0CENSUS: 7DATE:
08/27/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Erica CastilloTIME COMPLETED:
12:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Kristal Goodell met with staff member Sue Madderra for an unannounced case management inspection regarding a self-reported incident that occurred on 8/12/21 and was reported to the department. Upon arrival LPA observed children playing outside with two staff member present. LPA spoke to Program Director Lisa Hindman via phone call. Later during inspection, site supervisor Erica Castillo joined. All individuals present have obtained fingerprint clearance through Community Care Licensing and are associated to COMMUNITY BRIDGES SYCAMORE STREET CHILD DEV CENTER facility number 444400415. Hours of operation are Monday- Friday, 8:00am-4:00pm.

LPA toured all areas accessible to children, conducted observations and obtained documents related to the incident. LPA also observed children playing with water table in outdoor area. LPA conducted observations of children with staff in the classroom. LPA learned that children present are newly enrolled therefore were not present when incident occurred. Staff interviews were also conducted.

No Title 22 Deficiencies cited. LPA reviewed report with the director and provided copies. An exist interview was conducted. Notice of Site Visit issued and must remain posted for 30 days.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Kristal Goodell
LICENSING EVALUATOR SIGNATURE: DATE: 08/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1