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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408228
Report Date: 04/26/2022
Date Signed: 04/26/2022 05:42:50 PM


Document Has Been Signed on 04/26/2022 05:42 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:LIL' GENIUS KID, THEFACILITY NUMBER:
073408228
ADMINISTRATOR:YING CUIFACILITY TYPE:
830
ADDRESS:33 AMBROSE AVETELEPHONE:
(925) 709-2900
CITY:BAY POINTSTATE: CAZIP CODE:
94565
CAPACITY:30CENSUS: 12DATE:
04/26/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Ying CuiTIME COMPLETED:
06:00 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Cherie Acosta,, Michelle Sutton, Monica Mathur, Christina Watts, and Morgan Pringle conducted an unannounced case management inspection.
During the course of a complaint investigation it was discovered that Nancy Acevedo and Kirsten Pooley do not have fingerprint clearance.
Nancy Acevedo was caring for children during todays inspection. A letter was submitted to Community Care Licensing (CCL) by Kirsten Pooley. Letter indicates that Ms. Pooley worked at this facility for the period of 2/1/17 to 9/25/18. The letter is signed by Director Makita Fontenet and dated 3/10/22. Ms. Pooley has never had fingerprint clearance to work at a child care center.

Civil penalty in the amount of $500.00 is assessed for both Nancy Acevedo and Kirsten Pooley

There were no teachers present during the inspection. Teacher aides were providing care for children today. LPAs reviewed file. Teacher aides present do not have required qualifications.

During the inspection LPAs observed 4 infants under the age of 12 months sleeping on their stomachs. Infants did not have an Individual Sleeping Plan on file.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/26/2022
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 4


Document Has Been Signed on 04/26/2022 05:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: LIL' GENIUS KID, THE
FACILITY NUMBER: 073408228

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/27/2022
Section Cited

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Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
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Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by Nancy Acevedo and Kirsten Pooley do not have criminal record clearance which poses an immediate risk to children in care.
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• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected
Type A
04/27/2022
Section Cited

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Infant Care Aide Qualifications and Duties. An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1).
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This requirement was not met as evidenced by: There were no teachers present during today's inspection. All infants were being supervised by aids only which poses an immediate risk to children in care.
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 Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE: 04/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/26/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4


Document Has Been Signed on 04/26/2022 05:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: LIL' GENIUS KID, THE
FACILITY NUMBER: 073408228

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/27/2022
Section Cited

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Infant Care Activities. All infants shall be given the opportunity to sleep without distraction or disturbance from other activities at the center whenever the infant desires.
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Staff shall place infants up to 12 month of age on their backs for sleeping. This requirement was not met as evidenced by: LPAs observed 4 infants under the age of 12 months sleeping on their stomachs.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected

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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.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE: 04/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/26/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: LIL' GENIUS KID, THE
FACILITY NUMBER: 073408228
VISIT DATE: 04/26/2022
NARRATIVE
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The attached type A violations are cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing.

Exit interview was conducted and report was reviewed with Ying Cui
Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4