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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005495
Report Date: 08/13/2021
Date Signed: 08/17/2021 12:43:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:ALPHA KIDS ACADEMY LLCFACILITY NUMBER:
214005495
ADMINISTRATOR:MAGDA BACHAKASHVILIFACILITY TYPE:
850
ADDRESS:1461 SOUTH NOVATO BLVDTELEPHONE:
(415) 408-3645
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:30CENSUS: 13DATE:
08/13/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Magda Bachakashvili TIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Haydee Caliboso met with the Director Magda Bachakashvili in response to a follow-up case management inspection due to construction and temporary room change on July 12th – August 3rd, 2021. Present during the inspection were 13 children and 3 staff. LPA inspected classroom #1, #2, and #3 for health and safety hazards.

LPA observed the classrooms furniture equipment are clean and in good condition. Children’s toys are orderly, in good condition, and age appropriate. The facility is equipped with a fire extinguisher, smoke and carbon monoxide detectors. The classrooms have adequate ventilation and ample lighting. Facility floor is in good repair and free of any hazards. The facility has a first aid kit in and a designated backpack with emergency supplies. The facility has 2 toilets and 2 sinks available for children to use. The restrooms are clean and does not have any health or safety hazards. All cleaning supplies and hazardous items are stored in a locked cabinet made inaccessible to children. The isolation area for ill children is in the site supervisor office, and staff bathrooms will be used for ill children. LPA reminded Magda Bachakashvili to ensure ratio and supervision are observed at all times.


This report must be available in the facility for public review. Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650)266-8864
LICENSING EVALUATOR NAME: Haydee R CalibosoTELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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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