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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002291
Report Date: 07/29/2019
Date Signed: 07/29/2019 12:39:07 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:
384002291
ADMINISTRATOR:RACHAEL ROCHA,DIRFACILITY TYPE:
850
ADDRESS:175 JUNIPERO SERRA BLVDTELEPHONE:
(415) 664-8080
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94127
CAPACITY:53CENSUS: 39DATE:
07/29/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Rachael Rocha, Natella ShternTIME COMPLETED:
11:49 AM
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2, Licensing Program Analyst, LPA Yee conducted an annual random inspection today. The purpose of the inspection was explained. There are 39 children and six staff members present at the facility today. Days and hours of operation: Monday - Friday, 7:30 am - 6:00 p.m. This facility is a year-round preschool program. The facility personnel summary report was reviewed with the site director and she said it's current. Day-care areas: room 1, 2 (a,b), 3, 4 (sensory room), 5 (located in the back), common areas and outdoor play yard. The facility is equipped with a smoke detector and a fire extinguisher. Fire clearance is on file. The facility provides snacks. Children bring their lunches. CPR/1st aid certificate is current. LPA discussed the Mandated Reporter Training, AB1207 that was effective on 1/1/2018. All staff must take the training and keep the certificate on file. The training needs to be renewed once every 2 years. Child Abuse Mandated Reporter Training, AB1207. https://www.mandatedreporterca.com/ Staff has AB1207 certificate on file. Last emergency drills were practice 6/26/2019 and a log sheet was reviewed. This facility provides Incidental Medical Services - IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, Available at http://www.ada.gov/childqanda.htm. A written IMS plan is on file. Staff files were reviewed.
The facility is in compliance today.

website: www.ccld.ca.gov. Title 22, Div 12, Chp 1
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2019
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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