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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002496
Report Date: 06/13/2019
Date Signed: 06/13/2019 12:52:53 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, LLC (PS)FACILITY NUMBER:
384002496
ADMINISTRATOR:BEISSEKOVA, VIKTORIYA, DIRFACILITY TYPE:
850
ADDRESS:300 STONECREST DRIVETELEPHONE:
(415) 664-8080
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY:30CENSUS: 24DATE:
06/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Natella ShternTIME COMPLETED:
01:15 PM
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2, Licensing Program Analyst, LPA Yee conducted an annual random inspection today. There are 24 children, owner, 3 staff members present today. Day-care areas: one large room, one small room, patio areas for outdoor activities. The large playground is adjacent to the large classroom which belongs to the Park and Rec. Waiver for the large playground is on file and posted. The facility personnel summary report was reviewed with the owner and updated during the inspection. LPA toured the facility with Ms. Shtern. The facility is ventilated properly. Children toys are age appropriate and appear to be clean and safe. The facility provides snacks and lunches. 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/
The staff has a Child Abuse Mandated Reporter Training certificate on file. CPR & 1ST aid certificate is current until 10-2020. The facility provides snacks and children to bring their own lunches. Isolation for the ill child is available in the site director office. Current LIC500 was obtained during the inspection. Last emergency drill was conducted May-16-2019. The facility said they conduct emergency drill once a month.

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: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
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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