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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493001831
Report Date: 06/18/2024
Date Signed: 06/18/2024 02:21:58 PM

Document Has Been Signed on 06/18/2024 02:21 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: 23CENSUS: 15DATE:
06/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:08 PM
MET WITH:Kylie Richardson, Center DirectorTIME VISIT/
INSPECTION COMPLETED:
01:59 PM
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A case management visit was made to the facility by Licensing Program Analyst (LPA) Y. Yang to provide technical assistance to the facility. On 06/12/24, Kylie Richardson notified the LPA in writing that effective immediately she is the facility's newly appointed center director. Richardson reported that the facility's previous center director, Alexandria Pepper was stepping down and serving as the facility's associate director. During today's case management visit, the LPA obtained change of director documents from Richardson. Updated facility documents were also obtained from the facility.

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, Kylie Richardson. There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE: DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2024
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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