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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493003399
Report Date: 02/01/2024
Date Signed: 02/01/2024 04:18:43 PM


Document Has Been Signed on 02/01/2024 04:18 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
493003399
ADMINISTRATOR:MELISSA TERHUNEFACILITY TYPE:
850
ADDRESS:1485 N. MC DOWELL BOULEVARDTELEPHONE:
(707) 794-0211
CITY:PETALUMASTATE: CAZIP CODE:
94954
CAPACITY:85CENSUS: 69DATE:
02/01/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:14 PM
MET WITH:Melissa "Mel" TerhuneTIME COMPLETED:
03:50 PM
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An unannounced case management visit was made to the facility by Licensing Program Analyst (LPA) Y. Yang to provide technical assistance to the facility. The LPA met with the center director, Melissa Terhune and interim assistant director Anais Heim. During the case management inspection, the LPA performed a head count and found that the preschool and toddler classrooms at the facility were operating within ratio. At the request of the center director, the LPA reviewed Title 22 regulations: toddler care regulations and ratios, staff qualifications, and care and supervision best practices with the director and assistant director.

There were no Title 22 deficiencies cited as a result of this case management visit. This report was read and reviewed with the center director, Melissa Terhune. Notice of site visit shall be posted for 30 days.

SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024
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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