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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004888
Report Date: 08/05/2024
Date Signed: 08/05/2024 10:43:19 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/14/2024 and conducted by Evaluator Kassandra Medrano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240514161715
FACILITY NAME:ALPHA KIDS ACADEMY LLC-INFANTFACILITY NUMBER:
414004888
ADMINISTRATOR:SHTERN, NATELLAFACILITY TYPE:
830
ADDRESS:201 RAVENSWOOD AVENUETELEPHONE:
(415) 664-8080
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY:12CENSUS: 8DATE:
08/05/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Natella & JuneTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Facility staff used chairs to restrain infants
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kassandra Medrano, conducted a subsequent site visit to the facility to deliver investigation findings. LPA met with Natella Shtern, Licensee and June Keo, Director, and the purpose of the visit was explained. Present in the facility duing the inspection are 8 infants and 4 staff.

LPA Medrano interviewed staff, management, and parents. Based on interviews, observations, as well as information gathered; it was found that children were in high chairs for extended times while not actively eating. As well as the facility used high chairs to conduct arts and craft projects, which is not the intended use of the devices. The allegation noted above is thus found to be SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

Exit interview conducted and a copy of this report and appeal rights were reviewed and provided to Licensee, Natella Shtern and June Keo, Director.

California Code of Regulations, Title 22 deficiencies are being cited on the following page(s):
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 05-CC-20240514161715
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 LLC-INFANT
FACILITY NUMBER: 414004888
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/05/2024
Section Cited
CCR
101223(a)(7)
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101223(a)(7) Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (7) Not to be placed in any restraining device...
This requirement was not met as evidenced by:
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Per facility represtantives they will conduct an all staff training regarding feeding infants and usage of high chairs. As well as licensee stated that she will look into alternatives for project use. Facility to write up what it was covered in the staff training. As well as have staff sign off on the training.
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Based on interview and observations made children are placed in high chairs while not actively eating for extended times as well as the facility uses the chairs for activities (arts and crafts projects) other than feeding. This poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2