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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283010138
Report Date: 09/15/2026
Date Signed: 09/15/2026 01:32:20 PM

Document Has Been Signed on 09/15/2026 01:32 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 CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:HOPPER CREEK MONTESSORIFACILITY NUMBER:
283010138
ADMINISTRATOR/
DIRECTOR:		TAMARA KINMANFACILITY TYPE:
850
ADDRESS:2141 2ND STREETTELEPHONE:
(707) 231-8768
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: DATE:
09/15/2026
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Tamara KinmanTIME VISIT/
INSPECTION COMPLETED:
01:46 PM
NARRATIVE
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Licensing Program Analyst (LPA) Jessica Gaumann made an unannounced Case Management Legal/Non-Compliance visit today and met with Director (D1) Tamara Kinman to ensure compliance with the terms set during a prior Stipulation and Waiver and Decision and Order. The Department's Stipulation Waiver and Order was effective as of 09/02/2025 with a probationary licensee granted until 09/02/2028. The facility agrees to adhere to the following terms and conditions of the Stipulation and Waiver; and Order:

A. Respondents shall obey all federal, state, and local laws.

B. Respondents shall strictly comply with all statutes and regulations related to child day care centers.

C. Respondents shall obtain, install and maintain video camera recording equipment for the interior and exterior areas of the facility, wherever children are present.

D. The implementation of video camera recording is subject to the best practices for daycare facilities utilizing video surveillance and privacy equipment includes: clear signage, notice and parental consent, protection of children's privacy rights, restricted camera access and retention policies for review by licensing personnel.

E. Respondents shall inform all current and prospective parents of children enrolled in the facility of the facility's probationary license by making available to the parents’ copies of the Accusation and this Stipulation and Waiver and Decision and Order until the probationary term has expired. Parents shall sign a

Continued on LIC809-C

Melinda Mohr
Jessica Gaumann
DATE: 09/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: HOPPER CREEK MONTESSORI
FACILITY NUMBER: 283010138
VISIT DATE: 09/15/2026
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LIC 9224. Each original notification form shall be maintained by the Respondent in the appropriate child's records folder and be made available to the Department upon request, and the parent shall be provided with a copy.

F. Licensee Brenna Roth and Director Tamara Kinman shall complete a 12-hour course in child appropriate discipline and supervision techniques, within the first 60 DAYS of probation.

G. Licensee Brenna Roth shall attend courses and training that include the following subjects; operation of a licensed childcare facility, positive intervention and counseling techniques, a course related to stress intervention/anger management and shall engage is support for childcare professionals.

H. Respondent licensees and employees shall participate in a minimum of eight hours (8) of annual training, in addition to other mandatory training imposed by licensing laws and regulations, for all staff. Initial training shall occur within four months of the effective date of this Stipulation and shall include training on compliance with regulations, including personal rights and reporting requirements consistent with the obligations of Title 22, and shall also include training focusing on child development, discipline, and behavioral issues. All newly hired employees shall receive the above described eight hours (8) training within 60 days of commencing or returning to employment.

A copy of the Stipulation and Waiver; and Order must be posted inside the main entrance for parent viewing. Upon LPA’s arrival, the Stipulation and Waiver; and Order was behind a cork board not in view. D1 re-posted the Stipulation and Waiver; and Order so parents can view it.

During the inspection the facility was toured inside and outside. LPA observed 8 children in care supervised by D1 and one staff (S1). Six cameras were observed in the facility, 4 inside and 2 outside in the play yard. LPA observed the cameras to be powered on. Licensee and D1 have set up surveillance access to the facility mobile phone which was reviewed by LPA. One child (C1) has been enrolled since the last visit date, 06/16/26, and that file was reviewed. Facility obtained a signed LIC 9224 and a video camera recording notice/parental consent for C1.

During the previous inspection, four staff files were reviewed, revealing that Licensee and D1 have complied with section F above, completing a 12-hour course in child appropriate discipline and supervision techniques on 12/29/25. Additionally, LPA observed training certificates for Licensee and D1 in Managing Early Child

Continued on LIC809-C

NAME OF LICENSING PROGRAM MANAGER: Melinda Mohr
NAME OF LICENSING PROGRAM ANALYST: Jessica Gaumann
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: HOPPER CREEK MONTESSORI
FACILITY NUMBER: 283010138
VISIT DATE: 09/15/2026
NARRATIVE
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Daycare Education completed on 1/20/26 for D1 and 1/21/26 for Licensee. This training course was an 11-13h training course. This meets the requirement of section H above.

Additionally, S1 has completed the annual training (8 hrs) on 12/20/25 as required by section H above. The training was called Early Childhood Discipline and Boundaries which was a 10-12 hour course. The 8 hour annual training requirement must be completed annually from the effective date, 9/2/2025, of the Stipulation and Waiver. D1 stated all staff are scheduled to complete the next 8 hour training next month, 10/2026.

On 6/15/26, Licensee completed a course on Managing Stress and Anxiety in the Workplace, which satisfies the requirement of section G above.

All licensing reports are public information and must be made available upon request for at least three years.

During file review, it was revealed that the facility has unpaid civil penalties from 2024 totaling $2,750 in civil penalties due. D1 understands that violation of any of the terms and conditions of probation relating to its stay of license revocation shall constitute sufficient grounds for the revocation of the probationary license.

The following violations of California Code of Regulations, Title 22, were cited on the attached LIC 809-D page. Appeal Rights were provided. 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 the Director, Tamara Kinman.

NAME OF LICENSING PROGRAM MANAGER: Melinda Mohr
NAME OF LICENSING PROGRAM ANALYST: Jessica Gaumann
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/15/2026 01:32 PM - It Cannot Be Edited


Created By: Jessica Gaumann On 09/15/2026 at 12:25 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: HOPPER CREEK MONTESSORI
FACILITY NUMBER: 283010138

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/29/2026
Section Cited
CCR
101187(a)(e)

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101187(a) A...licensee shall be charged fees as specified in Health and Safety Code Section 1596.803. (e) The failure of...a licensee to pay all applicable and accrued fees and civil penalties shall constitute grounds for denial or forfeiture of a license.”

This requirement was not met as evidenced by:
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Director stated the facility will pay the total civil penality amount due of $2,750 by 09/29/26 and send confirmation to LPA Gaumann via email: jessica.gaumann@gmail.com
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Based on file review and interview, the facility has unpaid civil penalties from 2024 totaling $2,750 in civil penalties due, which poses/posed 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.
Melinda Mohr
NAME OF LICENSING PROGRAM MANAGER:
Jessica Gaumann
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/15/2026


LIC809 (FAS) - (06/04)
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