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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493001831
Report Date: 11/20/2025
Date Signed: 11/20/2025 04:18:48 PM

Document Has Been Signed on 11/20/2025 04:18 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:KINDERCARE LEARNING CENTERFACILITY NUMBER:
493001831
ADMINISTRATOR/
DIRECTOR:		DEL CALVO, NICOLEFACILITY TYPE:
850
ADDRESS:6150 STATE FARM DRIVETELEPHONE:
(707) 584-0124
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY: 96TOTAL ENROLLED CHILDREN: 37CENSUS: 17DATE:
11/20/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:21 PM
MET WITH:Nicole Del CalvoTIME VISIT/
INSPECTION COMPLETED:
03:07 PM
NARRATIVE
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An unannounced case management visit was made to the facility by Licensing Program Analyst (LPA) Y. Yang to address observations made during a previous, unrelated visit on 11/14/25. During today’s visit, the LPA met with the center director, Nicole Del Calvo.

During the LPA’s visit to the facility on 11/14/25, the LPA conducted a tour of the indoor and outdoor areas with Director Del Calvo. While inspecting the main play yard, the LPA and Director observed that the facility’s Little Tikes plastic play structure was not in safe operating condition. Upon closer inspection, the LPA noted that a metal cylindrical pin, approximately four feet in length, which is intended to secure a section of the play structure’s interlocking plastic panels to the frame, had become loose. The pin was protruding several inches above its proper, flush position and was located in an area accessible to children. The LPA was able to lift and remove the pin using only three fingers, indicating that the component was not securely attached and posed a safety hazard. The metal pins are designed to hold walls, platforms, or slides securely to the frame. These pins typically slide down through aligned holes in multiple components and should sit flush when fully inserted. When properly installed, these pins prevent pieces from separating or shifting.

The condition of the current play structure is not in compliance with California Code of Regulations, Title 22, Section 101239(o), which requires that: “Playground equipment shall be securely anchored to the ground unless it is portable by design. (1) Equipment shall be maintained in a safe condition, free of sharp, loose, or pointed parts.”

Additionally, the LPA observed that the plastic pyramid-shaped roof component of the play structure was no longer securely attached to the metal frame. The roof component is designed to be secured to the frame by two tamper-proof bolts; however, the LPA noted that one of the bolts was no longer fastened to the frame. As a result, the roof component was unstable and the LPA was able to lift the roof using one hand, demonstrating that it was not properly secured. The roof is positioned approximately eight feet above the ground, and the Director expressed concern that, due to its looseness, the roof could become detached or blown off during strong wind gusts, posing a safety hazard to children and staff. (Continued on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Melchisedeck Augustin
NAME OF LICENSING PROGRAM ANALYST: Yang Yang
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
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: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 493001831
VISIT DATE: 11/20/2025
NARRATIVE
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Loose pins or bolts on a play structure pose an immediate health and safety risk because they compromise the structural stability of the equipment. When components such as walls, platforms, or roofs are not securely fastened, they can shift, detach, or collapse during use. This creates the potential for children to be struck by falling parts, pinched between shifting components, or fall from elevated surfaces if the structure becomes unstable. In addition, unsecured parts, particularly metal pins or elevated roof components, can become projectile hazards if dislodged by force or wind. Because children routinely climb, pull, and place weight on these structures, any loose or missing fastener presents an immediate hazard requiring prompt correction.

Although no children were present on the playground at the time of the inspection, the Director stated that the play structure was being used daily by children ages two to five. This age range is consistent with the manufacturer’s recommended age range. During the inspection, the LPA was unable to locate a manufacturer’s label, serial number, or model number on the play structure. Photographs were taken for documentation purposes. The Director acknowledged the LPA’s safety concerns and agreed that the issues must be addressed immediately. As an interim safety measure, the Director restricted access to the play structure by using tape to block off the play structure and the climbing areas/stairs and notifying staff not to use that area.

Additionally, while inspecting the main play yard, the LPA observed an area of lawn immediately next to the concrete play area/tricycle track that is uneven and sunken compared to the surrounding ground. In some spots, the dirt has sunk approximately eight inches, creating a tripping hazard for children and staff. The Director stated that this area has gradually deepened over time and is now considered a safety concern. California Code of Regulations (CCR) Title 22, CCR 101238.2(d)(1-2) states “(d) The surface of the outdoor activity space shall be maintained: (1)In a safe condition for the activities planned. (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.”

The Director reported that multiple work orders were submitted to the KinderCare facility manager in 2023 and 2025 to address the outdoor play areas, including the removal and replacement of the existing play structure, which staff have considered outdated and unsafe for use. According to the Director, little action has been taken by KinderCare in response to these requests, despite repeated follow-ups from the center. The Director stated that she will be consulting with her District Manager immediately to develop a plan to correct the identified deficiencies.

California Code of Regulations, Title 22, is being cited on the attached LIC 809-D. An exit interview was conducted, and this report was read and discussed with the center director, Nicole Del Calvo. A notice of site visit was given and must remain posted for 30 days. Appeal rights provided.

Reports citing Type A violations are to be provided to parents/guardians of children currently enrolled by the next business day or the next day the children are in care, and to parents/guardians of children newly enrolled at the facility for the next 12 months from the date of this report. Parents/guardians must sign form LIC 9224 to be kept in each child's file.

NAME OF LICENSING PROGRAM MANAGER: Melchisedeck Augustin
NAME OF LICENSING PROGRAM ANALYST: Yang Yang
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/20/2025 04:18 PM - It Cannot Be Edited


Created By: Yang Yang On 11/20/2025 at 02:25 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: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 493001831

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/21/2025
Section Cited
CCR
101239(o)(1)

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Fixtures, Furniture, Equipment and Supplies
(o) Playground equipment shall be securely anchored to the ground unless it is portable by design. (1)Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts.

This requirement was not met as evidenced by:
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Center Director Del Calvo stated that as an interim safety measure, the center will restrict access to the play structure by using tape to seal off the climbing areas/stairs and notifying staff not to use that area.

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Based on the LPA's observation on 11/14/25 and 11/20/25, the LPA observed observed that the facility’s Little Tikes plastic play structure was not in safe operating condition. The LPA noted that a metal cylindrical pin,approximately four feet in length, which is intended to secure a section of the play structure’s interlocking plastic panels to the frame, had become loose. Additionally, the LPA observed that the plastic pyramid-shaped roof component of the play structure was no longer securely attached to the metal frame. This poses an immediate health, safety and/or personal rights risk(s) to children in care.
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The Director stated she will work with the District Manager to take action on replacing the play structure. The Director shall submit a plan in writing to the LPA by end of day 11/21/25 indicating how the facility and KinderCare plans to bring the play structure back into compliance and shall notify the LPA once work has begun on the play structure.

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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.
Melchisedeck Augustin
NAME OF LICENSING PROGRAM MANAGER:
Yang Yang
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/20/2025 04:18 PM - It Cannot Be Edited


Created By: Yang Yang On 11/20/2025 at 02:27 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: 493001831

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2025
Section Cited
CCR
101238.2(d)(1)

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Outdoor Activity Space
(d)The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned.

This requirement was not met as evidenced by:
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Center Director Del Calvo stated she will work with the District Manager to take action on repairing or replacing the sunken area(s) in the facility's main play yard and submit proof to the LPA by 12/05/25.
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Based on the LPA's observations on 11/14/25 and 11/20/25, the LPA observed an area of lawn immediately next to the concrete play area/tricycle track that is uneven and sunken compared to the surrounding ground. In some spots, the dirt has sunk approximately eight inches, creating a tripping hazard for children and staff. This poses a potential health, safety and/or personal rights risk(s) to children 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.
Melchisedeck Augustin
NAME OF LICENSING PROGRAM MANAGER:
Yang Yang
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2025


LIC809 (FAS) - (06/04)
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