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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283010138
Report Date: 12/29/2021
Date Signed: 12/29/2021 11:58:13 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:HOPPER CREEK MONTESSORIFACILITY NUMBER:
283010138
ADMINISTRATOR:ELIZABETH FOSTERFACILITY TYPE:
850
ADDRESS:2141 2ND STREETTELEPHONE:
(707) 252-8775
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY:35CENSUS: 0DATE:
12/29/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Elizabeth Foster, Brenna Roth & Matthew ChrzanowskiTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Glenn Ouye met with applicants and the director to conduct a prelicensing inspection. The application was received on November 19, 2021. This is a change of ownership application for 35 preschool age children. The hours of operation are 6:30am to 5:30pm, Monday through Friday.

The facility has 4 class rooms, a kitchen. There are three toilets and three sinks for the children. There is a separate staff bathroom. There are sufficient toys, supplies and equipment for the children. The outdoor activity area also has sufficient equipment including a climbing structure and swings with sufficient pea gravel for fall cushioning. The facility will utilize a rotational wavier for outdoor use with no more than 25 children in the outdoor area at any given time.

The facility capacity determination was conducted on 12/10/21. All of the required documents have been received. Covid-19 protocols such as masking, daily wellness checks and cleaning/sanitation were discussed.

The facility is approved for licensure effective January 1, 2022.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2021
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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