384002496-5-23-2023-05-CC-BVAN-CS4QDB-20230523120429

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002496
Report Date: 05/23/2023
Date Signed: 05/23/2023 12:05:23 PM

Document Has Been Signed on 05/23/2023 12:05 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	ALPHA KIDS ACADEMY, LLC (PS)		FACILITY NUMBER:	384002496
ADMINISTRATOR:	BEISSEKOVA, VIKTORIYA, DIR		FACILITY TYPE:	850
ADDRESS:	300 STONECREST DRIVE		TELEPHONE:	(415) 664-8080
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94132
CAPACITY:	30	CENSUS: 22	DATE:	05/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Viktoriya Beissekova (Ashby) and Natella Shtern		TIME COMPLETED:	12:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On May 23, 2023., Licensing Program Analyst (LPA) Van conducted an unannounced random annual inspection and met with Site Director Viktoriya Beissekova and facility owner Natella Shtern. The purpose of the inspection was explained, and entry to the facility was granted. This facility is a preschool program. Three teachers, including a director, supervised 22 children at the Center. The facility complies with the staff-children ratios today. The Hours of operation are Monday to Friday, 7:30 am to 5:30 pm. LPA toured and inspected the physical plant with the Director for potential health and safety hazards. The facility has a record of sign-in/out of children. All parents' signatures matched and accounted for the number of children present. The Center operates on a large open floor partitioned into smaller pods/classrooms. LPA observed that each child has their cubbies available with their name labeled. The facility is in good repair and has proper temperature and ventilation. Classrooms have age-appropriate toys and learning materials. The furniture appears steady and in good repair. The facility has a carbon monoxide & smoke detector, fully charged fire extinguishers, and working telephones. First aid supplies are fully stocked and available for children's use. All cleaning solutions, poisons, and other dangerous chemicals are inaccessible to children. All toilets and handwashing sinks are in good working condition with proper sanitation. LPA observed no bodies of water on the premises. The facility presently has an outdoor waiver granted by the Department to use the outdoor space allows no more than 12 preschool children at the time, and the rotational schedule is required. The outdoor play area is maintained clean and free of debris. The outdoor play area is completely fenced, clean, and in good repair. LPA reminded the Director that the staff must ensure the playground is cleared of debris or harmful material before use. Continued on page 2...

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ALPHA KIDS ACADEMY, LLC (PS)	FACILITY NUMBER: 384002496
	VISIT DATE: 05/23/2023

NARRATIVE

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Children's records and personnel records were reviewed during the inspection. The Center maintained thorough records of each child. Records include each child's authorized representative's names, addresses, and telephone numbers. In addition, each child's immunization record, medical assessment, and admission agreement can be located in each child's file. Staff records indicate that all staff or individuals requiring caregiver background checks have received criminal records and child abuse index clearances or exemptions. Multiple staff members have a record of valid CPR and Mandated Reporter training. All staff-maintained immunization records. The Director stated that the Center conducts fire and earthquakes monthly and adequately documented; the last drills were completed on 5/18/2023.

The facility had posted the required forms. (i.e., License, waivers, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, Emergency Disaster Plan, and Daily activities). The Center offers only morning and afternoon snacks. Waters are readily available for children indoors and outdoors. All storage containers for solid waste within the Center have a proper tight-fitting cover.

The Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption or transfer their existing clearance or exemption prior to the initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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
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SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ALPHA KIDS ACADEMY, LLC (PS)	FACILITY NUMBER: 384002496
	VISIT DATE: 05/23/2023

NARRATIVE

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The Director was informed about Mandated Reporter training. In addition to AB1207 training required to complete every two years by all staff hired a one-time General Training is also required. Training can be taken online at www.mandaterreporterca.com. Also, the Director was reminded of Pesticide training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

During the inspection, LPA obtained the Incidental Medical Services plan, emergency disaster plan (LIC 610), personnel report (LIC 500), and designation of facility responsibility (LIC 308).

No deficiencies were cited today. An exit interview was conducted, and the report was reviewed with the Center owner, Natella Shtern. Today's report and site visit notice were provided to the owner. LPA informed the owner that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

LIC809 (FAS) - (06/04)

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