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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004671
Report Date: 07/06/2022
Date Signed: 07/06/2022 02:13:21 PM

Document Has Been Signed on 07/06/2022 02:13 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:JUNE KEOFACILITY TYPE:
850
ADDRESS:201 RAVENSWOOD AVENUETELEPHONE:
(415) 664-8080
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 50TOTAL ENROLLED CHILDREN: 18CENSUS: 14DATE:
07/06/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Natella ShternTIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Marie Rodriguez conducted a licensee initiated case management inspection in response to the addition of an infant center at this location which is resulting in a capacity decrease to the licensed preschool. LPA met with Applicant Natella Shtern. LPA inspected the facility for health and safety hazards to ensure the facility was in compliance with Title 22 Regulations for Child Care Centers.

Applicant has converted classrooms 3 and 4 into the infant center. The total square footage of both classrooms is 424.81 sq ft as measured by LPA today. The deduction of this square footage results in a NEW total square footage for the preschool program of 1,517.99 divided by 35 sq ft per child equals
43 children. Applicant is requesting a decrease of capacity to 38 children (ages two years old to entry into first grade). Children in the infant center will not share a bathroom with preschool children. The preschool center will operate from Monday to Friday 7:30am to 6:00pm. There is an approved open space waiver for outdoor space and this will be updated to reflect the new capacity.

Fire clearance inspection was conducted and approved on April 25, 2022.

Based on the new square footage, the request to decrease the capacity to 38 children will be granted as of today, July 6, 2022.

Exit interview conducted and report was reviewed with Applicant Natella Shtern.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2022
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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