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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483001835
Report Date: 12/27/2024
Date Signed: 01/09/2025 08:56:45 AM

Document Has Been Signed on 01/09/2025 08:56 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001835
ADMINISTRATOR/
DIRECTOR:		WENDY CERTEZAFACILITY TYPE:
850
ADDRESS:1611 WOOD CREEK DRIVETELEPHONE:
(707) 426-2275
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY: 86TOTAL ENROLLED CHILDREN: 86CENSUS: 47DATE:
12/27/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Shirin RashidianTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
NARRATIVE
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On 12/27/2024, Licensing Program Analyst (LPA), Selena Mariani made an unannounced Case Management visit and met with Assistant Director (AD), Shirin Rashidian to follow up on information received during a complaint investigation on 12/12/24 and 12/13/24 with staff interviews from 12/12-12/27/24. Through LPA's file review, the facilities Child Supervision Record indicate that on specific dates two one year old infants were confirmed to be in the Discovery Preschool, Two's room. Four staff interviews confirmed that two one year old infants were being supervised in the Discovery Preschool two's room when they are over capacity. From parent interviews, one parent stated that their one year old child has been supervised in the Discovery Preschool, Two's room. The facility operated beyond the condition and limitations specified on the license.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with facility representative, Shirin Rashidian.

The following violation of the California Code of Regulations, Title 22; Division 12, was observed: see LIC 809 D. Appeal rights were given.

Leslie Lepori
Selena Mariani
DATE: 12/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/27/2024
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 01/09/2025 08:56 AM - It Cannot Be Edited


Created By: Selena Mariani On 12/27/2024 at 01:40 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001835

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/14/2025
Section Cited

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Limitations on Capacity (a) A licensee shall not operate a child care center beyod the conditions and limitations specified on the license. This requirement is not met as evidenced by:
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Based on Staff and Parent interviews and facility Child Supervision Record obtained by LPA 2 one-year old infants were being supervised in the Discovery Preschool Two's room over several days, which poses a potential health, safety or personal rights risk to persons 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:Leslie Lepori
LICENSING EVALUATOR NAME:Selena Mariani
LICENSING EVALUATOR SIGNATURE:
DATE: 12/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/27/2024


LIC809 (FAS) - (06/04)
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