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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493001830
Report Date: 06/13/2022
Date Signed: 06/13/2022 02:43:28 PM

Document Has Been Signed on 06/13/2022 02:43 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:
493001830
ADMINISTRATOR:RICHARDSON,KYLIEFACILITY TYPE:
830
ADDRESS:6150 STATE FARM DRIVETELEPHONE:
(707) 584-0124
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 31DATE:
06/13/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Alex PepperTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Glenn Ouye met with the director Alex Pepper to determine if the facility can be licensed for 40 infants.

LPA Ouye measured three class rooms and the outdoor activity area. The Infant A room, the Infant B/Toddler A room and the Toddler B/C room. The facility uses the term toddler to describe a child that is between 12 to 24 months and an infant is described as a child up to 12 months or still crawling.

The square footage in the three rooms is sufficient to support a capacity increase of 40 children. The outdoor area's activity area supports a capacity of 20 children. LPA Ouye informed the director that a waiver for a rotational outdoor use with a maximum of 20 infants would be necessary.

The applicant is submitting a capacity increase application. Upon receipt of the application, an approved fire clearance and an approved outdoor rotation waiver with a 20 infant maximum, the facility will be able to be licensed for up to 40 infants.

No deficiencies during visit.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2022
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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