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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004671
Report Date: 05/26/2022
Date Signed: 05/26/2022 04:39:06 PM

Document Has Been Signed on 05/26/2022 04:39 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:VIKTORYA BEISSEKOVAFACILITY TYPE:
850
ADDRESS:201 RAVENSWOOD AVENUETELEPHONE:
(415) 664-8080
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 50TOTAL ENROLLED CHILDREN: 13CENSUS: 11DATE:
05/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Director, June Keo & Licensee, Natella ShternTIME COMPLETED:
12:20 PM
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On May 26th, 2022 at 9:15am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, annual, required inspection. LPA met with Director, June Keo and Licensee, Natella Shtern and explained the purpose of the inspection. Present in the facility are a total of 3 staff caring for a total of 11 preschool age children. All adults working in the facility are fingerprint cleared and associated. Facility is currently operating within teacher to child ratio on this date.

Facility operates in the following rooms: Main Room, Room 2, Room 3, Room 4, Room 5, and Room 6. The hours of operation are Monday-Friday from 8:30am to 5:30pm. LPA observed each classroom to be clean and equipped with age appropriate toys and materials. Storage for children's belongings are labeled with each child's individual names. LPA observed facility has an installation of a fire alarm system throughout the building as well as a fully charged fire extinguisher, smoke and carbon monoxide detector installed as well as emergency kits with first aid materials and emergency contact information. Medication is stored appropriately, inaccessible to enrolled children and maintained with proper documentation.

All poisons, cleaning solutions and hazardous materials are stored inaccessible to children in off limit area. Facility prepares breakfast and snack for children and Parents provide lunch. Water is available to children indoors and outdoors. Facility is currently using water bottles to offer drinking water. Outdoor area appears to be clean and orderly. There are a variety of outdoor equipment that are in good working condition. Play structures have resilient padding. Children are signed in and out of facility with parents' signatures. Facility has license documentation and information properly posted and available in each classroom..

LPA reviewed facility records that included 10 children's records and 3 staff records. LPA observed children's and staff's records to be complete. There are several teachers who have CPR & First Aid certificates. Last emergency drill was conducted 04/2022. Emergency drills are conducted at least once every month and are properly logged and documented.

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Cindy Interiano
Leslit Tapia-Mandujano
DATE: 05/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/26/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: ALPHA KIDS ACADEMY LLC
FACILITY NUMBER: 414004671
VISIT DATE: 05/26/2022
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Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificate on file. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Directors were 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 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.

This facility is willing to provide Incidental Medical Services – IMS. Facility currently does not have any children with IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

No deficiencies were issued under CCR, Title 22, Division 12.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director, June Keo and Licensee, Natella Shtern.
SUPERVISOR'S NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022
LIC809 (FAS) - (06/04)
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