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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004671
Report Date: 05/24/2021
Date Signed: 05/24/2021 01:49:21 PM

Document Has Been Signed on 05/24/2021 01:49 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:ALPHA KIDS ACADEMY LLCFACILITY NUMBER:
414004671
ADMINISTRATOR:SHTERN, NATELLAFACILITY TYPE:
850
ADDRESS:201 RAVENSWOOD AVENUETELEPHONE:
(415) 999-2208
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 45TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/24/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Magda BachakashviliTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Glenn Schnell conducted a follow up pre licensing inspection to follow up on corrections identified during the previous pre licensing inspection on November 16, 2020. LPA Schnell met with applicant Magda Bachakashvili and inspected the facility. Since the playground construction has been completed , LPA re-measured the outdoor space during todays inspection.
The following corrections were verified and were determined to meet the Title 22 Regulations for Licensure:
-Fire Clearance for 50 children was received on 5/24/21
-Outdoor area has been constructed. LPA re-measured the side yard with fencing and the square footage is 1489.703 sq feet which is enough space for 19 children. A rotation waiver will be approved. The conditions of the waiver reviewed with applicant today.
-Rooms to be used have been cleaned and cleared of stored church items
-Rooms have garbage cans with tight fitting lids and a first aid kit with all supplies has also been obtained. All rooms have carbon monoxide detectors
-Required postings, including COVID-19 postings, are posted
-COVID self assessment has been completed and reviewed
-Director requirements for Viktorya have been received and verified
-Health Screening Reports (LIC 503) forms for Natella and Magda have been received

LPA Schnell also provided applicants with a Technical Advisory Note during today's inspection. LPA informed the applicants of the new Health and Safety Code requirement that water testing for Lead must be completed by January 2023, since the building the facility is located in was constructed prior to 2010. Once the report is completed, the applicants must submit the results to Licensing.
LPA Schnell will recommend licensure of this facility for a capacity of 50 children, ages 2 years old to entry into first grade, effective today May 24, 2021.
Ali Zebila
Glenn A Schnell
DATE: 05/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2021
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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