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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010912
Report Date: 05/26/2026
Date Signed: 05/26/2026 10:46:59 AM

Document Has Been Signed on 05/26/2026 10:46 AM - 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:A TO Z CHILDCARE CENTERFACILITY NUMBER:
493010912
ADMINISTRATOR/
DIRECTOR:		MICHEL, EMMANUELLEFACILITY TYPE:
860
ADDRESS:1310 CLEGG ST.TELEPHONE:
(707) 727-4400
CITY:PETALUMASTATE: CAZIP CODE:
94954
CAPACITY: 65TOTAL ENROLLED CHILDREN: 65CENSUS: 0DATE:
05/26/2026
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Alexandria PepperTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 05/26/2026, Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Jaelyn Agbayani conducted an announced follow up Pre-Licensing inspection for a New License. An initial pre-licensing inspection visit was conducted on 02/25/2026 with LPAs Jaelyn Agbayani, Yang Yang, and James Clark. Upon arrival, LPAs met with Applicant Representative Emmanuelle Michel and Center Director Alexandria Pepper. The purpose of the visit was an announced follow-up prelicensing inspection at the facility to ensure that health, safety and personal rights as required by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met.

LPA toured the facility to conduct follow up inspection to confirm that applicant Emmanuelle Michel was able to correct all necessary items from the initial inspection.

LPA observed at the initial inspection that there was no gate indicating the physical separation between the infant and toddler yard space. At today’s inspection, LPA observed that the applicant was able to correct this by installing a four foot fence that physically separates the infants and toddlers play yard.

LPAs observed at the initial inspection that the infant changing table was not within arm’s reach to the sink. LPAs also observed at the initial inspection that the infant changing table did not meet title 22 regulation 101439(h) that the infant changing table must contain raised sides at least three inches high. At today’s inspection, LPA observed that the applicant was able to correct this initial correction by placing the changing table to be within arm’s reach to the sink as well as ensure that the infant changing table contained raised sides to at least three inches high to meet standard regulation 101439(h).

LPAs also observed at the initial inspection that the infant crib room was not set up and ready for children to be taken into care. At today’s inspection, LPA observed that the applicant was able to correct this by completing the set up of the infant crib room. LPA observed that there were 7 cribs.

Report continued on LIC 809-C.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Jaelyn Agbayani
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/26/2026
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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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: A TO Z CHILDCARE CENTER
FACILITY NUMBER: 493010912
VISIT DATE: 05/26/2026
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At the initial inspection, LPAs observed and discussed with applicant that the brick wall area located in Toddler A Classroom needed to have a window or similar to ensure supervision requirement can be met at all times. During today’s inspection, LPA observed that the applicant was able to correct this by installing multiple window panes to see inside of the brick wall area to maintain supervision.

Ultimately, LPA can confirm that applicant was able to correct all needed documentation for application purposes as well as receiving approval for staggered outdoor play for the toddler component.

An exit interview was conducted with applicant representative, Emmanuelle Michel.

This report was provided to applicant representative.

Appeal rights were provided to applicant representative.

Effective today, 05/26/2026, this facility will be licensed for 12 infants and 19 toddlers.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Jaelyn Agbayani
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
LIC809 (FAS) - (06/04)
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