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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493003399
Report Date: 10/16/2024
Date Signed: 10/16/2024 02:29:17 PM

Document Has Been Signed on 10/16/2024 02:29 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:
493003399
ADMINISTRATOR/
DIRECTOR:		MELISSA TERHUNEFACILITY TYPE:
850
ADDRESS:1485 N. MC DOWELL BOULEVARDTELEPHONE:
(707) 794-0211
CITY:PETALUMASTATE: CAZIP CODE:
94954
CAPACITY: 85TOTAL ENROLLED CHILDREN: 52CENSUS: 49DATE:
10/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:11 AM
MET WITH:Melissa "Mel" TerhuneTIME VISIT/
INSPECTION COMPLETED:
11:01 AM
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An unannounced case management visit to the facility was made by Licensing Program Analysts (LPAs) Y. Yang and S. Phouthavong at the request of the facility director, Melissa "Mel" Terhune. The center director is requesting to change the room designation for the "Toddler Room" and the "Two's Room." The current "Toddler Room" will now serve children from the "Two's Room" and the current "Two's Room" will now serve children from the "Toddler Room." The LPA's observed a changing table within arms reach of a sink in both rooms. Both rooms are approved for use for their respective age groups. The preschool license has a toddler component. Both rooms are part of the preschool license. An updated floor sketch was 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, Mel Terhune. There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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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