414004888-7-6-2022-05-CC-MROZ-CG3SWR-20220706141445

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004888
Report Date: 07/06/2022
Date Signed: 07/06/2022 02:14:52 PM

Document Has Been Signed on 07/06/2022 02:14 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 LLC-INFANT		FACILITY NUMBER:	414004888
ADMINISTRATOR:	SHTERN, NATELLA		FACILITY TYPE:	830
ADDRESS:	201 RAVENSWOOD AVENUE		TELEPHONE:	(415) 664-8080
CITY:	MENLO PARK	STATE: CA	ZIP CODE:	94025
CAPACITY:	12	CENSUS: 0	DATE:	07/06/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Natella Shtern		TIME COMPLETED:	02:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Marie Rodriguez made a scheduled Pre-Licensing inspection to facility and met with applicant Natella Shtern. Applicant is requesting a capacity of 12 infants (ages birth to 24 months). The infant program will be part of a combination center as the applicant has has an existing preschool license, #414004671, for 50 children (ages 2 years old to entry into first grade). The applicant has also submitted an application to reduce the capacity of the preschool program due to the infant program. The facility will operate from Monday to Friday from 7:30 am to 6:00 pm. The designated center director/site supervisor will be June Keo. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity. Indoor: Applicant has converted classrooms 3 and 4 into the infant center. Facility has infant classroom 1 and 2, a crib area, and an outdoor play area designated for infant use only. Total useable indoor square footage is 424.81 sq ft divided by 35 sq ft equals 12 children. The indoor space for infants is observed today to be clean and all furnishing, toys and equipment observed to be age appropriate, safe, and in good condition. There is storage space for children's personal belongings and cots to be utilized for older infants. Parents will provide a sheet and blanket for each child and bedding will be brought home to be laundered on the weekends. Cots will be cleaned at least weekly or more often if needed. Classroom 4 is equipped with a fire extinguisher and smoke and carbon monoxide detectors. Garbage cans have tight-fitting lids. First aid kit and emergency supplies are located in the classroom inaccessible to children. The facility is adequately ventilated. (Continued on next page)

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
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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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-INFANT	FACILITY NUMBER: 414004888
	VISIT DATE: 07/06/2022

NARRATIVE

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Bathroom is located between classroom 3 and 4 with one toilet, one sink, and a changing table. The bathroom was observed to be clean and with no health and safety hazards. Sink accessible to children deliver water that is no warmer than 120 degrees. The program will provide a pitcher with water to replenish reusable water bottles provided by parents to drink water indoors and and outdoors. All toxins and other hazardous items will be stored in high cabinets in the classroom and will be inaccessible to children. Isolation of ill children will be in the office and the staff bathroom will be used for an ill child.

For food service, facility will only provide morning and afternoon snacks for infants 12 months and older. Older infants will bring their lunch. Snack menu is posted on bulletin board. For infants under 12 months old, parents will provide facility with the required amount of bottles to feed the infants to prevent cross contamination due to the pandemic. Required postings were observed during today's inspection.

Outdoor: The outdoor areas measure a total of 443.28 sq ft. divided by 75 sq ft. equals 5 children. The applicant will submit a request for an outdoor space rotation waiver. Outdoor area is observed to be clean, safe and equipped with toys and equipment for appropriate for infant children. Shade is provided through through the awning over outdoor space. Classroom has a designated part of the outdoor area separate from the preschool program. Infants will not commingle with other classrooms.

Fire clearance inspection was conducted and granted on April 25, 2022. LPA will recommend approval of infant center license as of today, July 6, 2022.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

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SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
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

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-INFANT	FACILITY NUMBER: 414004888
	VISIT DATE: 07/06/2022

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LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed [applicant, licensee, or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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.

LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the applicant Natella Shtern.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
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

LIC809 (FAS) - (06/04)

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