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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
283010138
Report Date:
02/11/2025
Date Signed:
02/11/2025 01:33:07 PM
Document Has Been Signed on
02/11/2025 01:33 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
SANTA ROSA RO
,
1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA
,
CA
95405
FACILITY NAME:
HOPPER CREEK MONTESSORI
FACILITY NUMBER:
283010138
ADMINISTRATOR/
DIRECTOR:
TAMARA KINMAN
FACILITY TYPE:
850
ADDRESS:
2141 2ND STREET
TELEPHONE:
(707) 231-8768
CITY:
NAPA
STATE:
CA
ZIP CODE:
94559
CAPACITY:
35
TOTAL ENROLLED CHILDREN:
35
CENSUS:
10
DATE:
02/11/2025
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
11:01 AM
MET WITH:
Tamara Kinman
TIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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An unannounced case management visit was made to the facility by Licensing Program Analyst (LPA) Mindy Mohr in response to a self-reported Unusual Incident Report (UIR) which was reported to CCL 01/30/2025. During today's case management visit there were two staff supervising 10 children. LPA met with Director Tamara Kinman (D1) and Licensee Brenna Roth (L1) to discuss the incident. LPA toured the facility and outdoor play yard.
No deficiencies were cited as a result of this case management visit. This report was read and reviewed with Director Tamara Kinman. Notice of Site Visit shall be posted for 30 days.
SUPERVISORS NAME
:
Leslie Lepori
LICENSING EVALUATOR NAME
:
Melinda Mohr
LICENSING EVALUATOR SIGNATURE
:
DATE:
02/11/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/11/2025
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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