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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621520
Report Date: 01/23/2023
Date Signed: 01/23/2023 02:38:24 PM

Document Has Been Signed on 01/23/2023 02:38 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KUNAKEY WADE, BRANDYFACILITY NUMBER:
343621520
ADMINISTRATOR:KUNAKEY WADE, BRANDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 542-2757
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
01/23/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Brandy Kunakey Wade and Scott WadeTIME COMPLETED:
02:40 PM
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Licensing Program Analyst Jennifer Velasco (LPA) conducted a case management inspection of the facility for the purpose of adding Scott Wade as a co-licensee to the facility license. LPA observed four children in care with Licensee Brandy Kunakey Wade (L1) and assistant Scott Wade (S1). L1 and S1 emailed to LPA all requirement documentation to add S1 as a co-licensee. S1 is therefore approved as co-licensee effective 01.24.2023.
A Notice of Site Visit (NOS) was provided.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2023
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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