<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005628
Report Date: 09/20/2024
Date Signed: 09/20/2024 11:31:36 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 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
09/17/2024 and conducted by Evaluator Nathan Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240917144051
FACILITY NAME:ALPHA KIDS ACADEMY LLC INFANT - NOVATOFACILITY NUMBER:
214005628
ADMINISTRATOR:BACHAKASHVILI, MAGDAFACILITY TYPE:
830
ADDRESS:1461 S. NOVATO BLVD.TELEPHONE:
(415) 664-8080
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:10CENSUS: 7DATE:
09/20/2024
UNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Savannah RangerTIME COMPLETED:
11:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Physical Plant - Staff did not ensure that the facility was free of hazards.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On September 20, 2024, Licensing Program Analyst (LPA), Nathan Garcia conducted an unannounced 10-day complaint inspection and met with the director, Savannah Ranger to discuss the above allegation. Purpose of the inspection was explained. Present in the facility were 4 staff members supervising 7 children.

During the course of the investigation, interviews were conducted, and pertinent documentation were reviewed. LPA has determined that the allegation of "Staff did not ensure that the facility was free of hazards. " is SUBSTANTIATED, meaning the preponderance of evidence standard has been met. LIC 9099D is on the next page for the deficiency.

LPA conducted exit interview with Director, Savannah Ranger.

Report and Notice of Site Visit was provided.
Notice of Site Visit shall be posted for 30 consecutive days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
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-20240917144051
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ALPHA KIDS ACADEMY LLC INFANT - NOVATO
FACILITY NUMBER: 214005628
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/21/2024
Section Cited
CCR
101238(a)
1
2
3
4
5
6
7
101238 Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
The facility will develop a plan of correction and training curriculum going over immediate and potential safety hazards in and around the facility. The facility will also go over reporting requirements for incident reports that needs to be submitted to the department.
8
9
10
11
12
13
14
Based on director interview, there was an incident that occured when a child found a thumbtack on the plant box. This poses a potetial health and safety risk to children in care.
8
9
10
11
12
13
14
POC shall be met by set due date of 10/21/24.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2