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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493002241
Report Date: 02/26/2025
Date Signed: 02/26/2025 12:21:00 PM

Document Has Been Signed on 02/26/2025 12:21 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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:CHILDREN'S LEARNING CENTER - PRESCHOOLFACILITY NUMBER:
493002241
ADMINISTRATOR/
DIRECTOR:		ALI, NADEREHFACILITY TYPE:
850
ADDRESS:1213 W. STEELE LANETELEPHONE:
(707) 575-7486
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY: 39TOTAL ENROLLED CHILDREN: 39CENSUS: 16DATE:
02/26/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:01 AM
MET WITH:Nadereh Ali TIME VISIT/
INSPECTION COMPLETED:
12:40 PM
NARRATIVE
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An inspection was conducted at the facility by Licensing Program Analysts, Sebastian Phouthavong. LPA met with Director, Nadereh Ali. During the inspection the facility was toured inside and outside. During the inspection, LPA observed three toddler aged children commingling with the pre-school aged children in the pre-school classroom. According to California Code of Regulations 101216.4(a)(2) Preschool Program with Toddler Component: The toddler program shall be conducted in areas physically separate from those used by older or younger children. The facility has addressed the issue.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.

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 Staff, Jenny Gillespie.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
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 02/26/2025 12:21 PM - It Cannot Be Edited


Created By: Sebastian Phouthavong On 02/26/2025 at 11:12 AM
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: CHILDREN'S LEARNING CENTER - PRESCHOOL
FACILITY NUMBER: 493002241

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/12/2025
Section Cited
CCR
101216.4(a)(2)

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101216.4(a)(2) Preschool Program with Toddler Component: Licensees serving preschool-age children may create a special program component for children who are between 18 months and 36 months of age...The toddler program shall be conducted in areas physically separate from those used by older or younger children...This requirement is not met as evidenced by:
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The facility has moved the toddler aged children to a separate classroom with a staff member and regulation 101216.4 was provided. The facility will submit a statement/plan to ensure the toddler and preschool aged children never commingle. The facility will submit the statement/plan by 03/12/2025.
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Based on LPA's observation three toddler aged children were commingling with the pre-school aged children in the pre-school classroom.
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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:Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:
DATE: 02/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/26/2025


LIC809 (FAS) - (06/04)
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