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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493001831
Report Date: 04/17/2024
Date Signed: 04/17/2024 01:52:40 PM

Document Has Been Signed on 04/17/2024 01:52 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:
493001831
ADMINISTRATOR/
DIRECTOR:		PEPPER, ALEXANDRIAFACILITY TYPE:
850
ADDRESS:6150 STATE FARM DRIVETELEPHONE:
(707) 584-0124
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY: 96TOTAL ENROLLED CHILDREN: 43CENSUS: 37DATE:
04/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:38 PM
MET WITH:Alex PepperTIME VISIT/
INSPECTION COMPLETED:
01:31 PM
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A case management visit was made to the facility today by Licensing Program Analyst (LPA) Y. Yang. During today's case management visit, the LPA met with center director, Alexandria "Alex" Pepper to provide technical assistance and answer questions regarding Title 22 regulations and best practices.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the center director, Alex Pepper. There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
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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