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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005071
Report Date: 01/30/2024
Date Signed: 01/30/2024 10:12:24 AM

Document Has Been Signed on 01/30/2024 10:12 AM - 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:ATLANOVA, ALEXANDRAFACILITY NUMBER:
414005071
ADMINISTRATOR:ATLANOVA, ALEXANDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(646) 258-1158
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
01/30/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:59 AM
MET WITH:Alexandra AtlanovaTIME COMPLETED:
10:25 AM
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
On January 30, 2024 at approximately 9:00Am, Licensing Program Analyst (LPA) Maria Olguin-Leon arrived at the facility and met with Applicant, Alexandra Atlanova for a follow-up Pre-Licensing visit. Applicant’s initial pre-licensing visit was conducted on December 29, 2023 and an informal office visit was conducted on January 16, 2024. Purpose of today’s visit is to verify applicant is living in home. Present in the home today was applicant, helper, and 3 preschool age children. Applicant has applied for a Large Family Child Care License. Fire inspection clearance was received on December 15, 2023

Applicant rents this two-story house, which is a four-bedroom three-bathroom home with backyard and garage. Applicant lives in the home with her two minor children. THE DAYCARE AREAS: are entire 1st floor, which consist of the living room(playroom), daycare room, dining room, kitchen (walk through to dining room only), bathroom #1, outdoor deck and backyard. THE OFF-LIMIT AREAS the entire second floor which consist of all four bedrooms, two bathrooms, and garage. Staircase is properly barricaded with a childproof gate. Applicant was notified any off-limit areas are not to be used as a day care area without prior approval from department.

Applicant and minor childr occupy one-bedroom, other minor occupies two bedroom, 4th bedroom is currently used for storage of boxes unpacked items and unused furniture. LPA confirmed applicant is living in home.

LPA observed the following:

*Bedrooms are furnished with beds, dressers, and bedding.
*Closets and dresser have clothing and personal items.
*Bathrooms have personal items (toothpaste, shampoos, hair accessories), cleaning supplies and towels.
*Kitchen cabinets have personal food items, cookware, dinnerware, flatware, and other personal items.
*Garage has washer/dryer.

LPA will approve Large Family Child Care License as of today January 30, 2024.

Exit interview conducted and report was reviewed with the applicant, Alexandra Atlavnova.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1