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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483001834
Report Date: 12/27/2024
Date Signed: 01/09/2025 09:57:09 AM

Document Has Been Signed on 01/09/2025 09:57 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:
483001834
ADMINISTRATOR/
DIRECTOR:		WENDY CERTEZAFACILITY TYPE:
830
ADDRESS:1611 WOOD CREEK DRIVETELEPHONE:
(707) 426-2275
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 27DATE:
12/27/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:01 AM
MET WITH:Shirin RashidianTIME VISIT/
INSPECTION COMPLETED:
12:30 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. AD admitted using the office as a "holding room", when they are over capacity for roughly an hour. In addition, statements from 8 staff interviews indicate the office is used as a "holding room" to be used when the facility is over capacity and activity space to provide naps and meals for 2-3 hours several times a week, which corroborates AD's statement. The facility did not meet the requirements as the "holding room" does not meet the indoor requirements of the children's needs.

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.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE: 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 09:57 AM - It Cannot Be Edited


Created By: Selena Mariani On 12/27/2024 at 01:05 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: 483001834

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
CCR
101430(a)(2)

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101430 Infant Care Activities(a) Notwithstanding Section 101230, the following shall apply:
(2) The center shall ensure the participation of infants in the above activities.
This requirement is not met as evidenced by:
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LPA provided 101430(a)(2) Regulations to AD. AD will put a freeze on the enrollment on the Infant license until May, 2025. Dated, signed document stating staff understand regulaton and holding room will not be used as a classroom.
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Based on AD interview and 8 staff interviews the holding room is used as activity space when facility is over capaity,which poses a potential health, safety or personal rights risk to persons in care.
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AD or Center Director will email LPA Selena a copy of signed statement of understanding by 1/14/24 to selena.mariani@dss.ca.gov

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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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