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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004671
Report Date: 10/17/2024
Date Signed: 10/17/2024 02:04:26 PM

Document Has Been Signed on 10/17/2024 02:04 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:ALPHA KIDS ACADEMY LLCFACILITY NUMBER:
414004671
ADMINISTRATOR/
DIRECTOR:		JUNE KEOFACILITY TYPE:
850
ADDRESS:201 RAVENSWOOD AVENUETELEPHONE:
(415) 664-8080
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 38TOTAL ENROLLED CHILDREN: 26CENSUS: 20DATE:
10/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Natella ShternTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On October 17th, 2024, Licensing Program Analyst (LPA) Kassandra Medrano conducted an unannounced Case Management inspection regarding an unusual incident report that was submitted to CCLD 10/08/2024. LPA met with Licensee, Natella Shtern and explained the purpose of the visit.

On the date listed above an incident occurred between two staff members outside of the presence of children. Menlo Park Police department was called out to the facility during operation hours. Police conducted interviews and gathered information regarding the situation. Case number was provided by facility. The facility has a zero tolerance policy for incidents such as these, and are currently conducting an internal investigation, the staff are currently on administrative leave. The facility will update regional office when the internal investigation is complete.

Exit interview conducted and report was reviewed with licensee, Natella Shtern.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2024
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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