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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004450
Report Date: 06/07/2019
Date Signed: 06/07/2019 04:58:25 PM

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:GENIUS LEARNINGFACILITY NUMBER:
414004450
ADMINISTRATOR:JUN ZHUFACILITY TYPE:
850
ADDRESS:1165 EL CAMINO REALTELEPHONE:
(650) 826-9926
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY:35CENSUS: 21DATE:
06/07/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Di "Heidi" HaiTIME COMPLETED:
05:15 PM
NARRATIVE
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Licensing Program Analysts (LPA) Andrea Medlin met with staff for this random annual licensing visit. Purpose of visit explained. Days and hours of operation: Monday through Friday 8:00AM-6:00PM. There are 21 children present during the visit. Facility meets teacher/child ratio. The facility has a fully charged fire extinguisher that meet the minimum requirements, smoke detectors, and carbon monoxide (CO) detectors. Children's bathroom inspected; all toilets and hand washing facilities are in safe and sanitary operating condition. No pools, spas, hot tubs, fish ponds, or similar bodies of water are present. Per staff, there are no firearms or weapons on site. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible. Variety of age appropriate toys and materials for children is available. Classrooms are set up for child care and furniture and equipment for children is present. Adequate first aid supplies are available. Sick children will be separated from the group while waiting for parents to pick up. Mats are available for napping; parents are responsible for napping supplies and to wash once a week. Snacks are provided by the facility; meals are provided by parents/guardians. Adequate first aid supplies are available. Outdoor play area is inspected for health and safety hazards. Outdoor activity spaces are fully fenced and surfaces are free of hazards. Facility has posted all the required licensing forms in a prominent accessible location. LPA reviewed staff and children's files. In the children’s files, all have current immunizations; all have a copy of Parent's Rights (LIC 995). In the staff files reviewed, all have the verification of meeting the educational requirements with exception to one staff. Director advised this person does not count in ratio, can not be left alone with children, and cannot provide any element of care and supervision to children without a minimum of 6 ECE units to be qualified as an aide. Staff have verification of the required immunizations/immunity and verification of the required mandated child abuse reporting training as compliant with AB1207.
(Continued on next pages 809-C and 809-D)
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea MedlinTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
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
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: GENIUS LEARNING
FACILITY NUMBER: 414004450
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2019
Section Cited
CCR
101162(a)
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Advertisements and License Number: No person or legal entity shall advertise or represent itself as a licensed child care center without first obtaining a current valid license from the Department.
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Facility to submit a new revised application "Child Care Center" (LIC 279A) application indicating facility name change with the new name. If the Licensee, or LLC, has changed, a complete new appication is needed,
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This requirement is not met as evidence the name of the facility has changed to "Little Gardens Preschool" without notifying the licensing office and completing new application for name change.
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Correct by 6/28/19.
Type B
06/28/2019
Section Cited
CCR
101215.1(h)(a)
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Child Care Center Directors Qualifications and Duties. Three of the 15 units required in (h)(1) above shall be in administration or staff relations.
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Acting director is currently enrolled in the ECE admin course. Director to send director packet including the 3 ECE admin units to the licensing office by 6/28/19.
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This requirement is not met as evidence the acting director, Di Hai does not have the needed 3 ECE units in admin. This is a potential health and safety risk.
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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: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea MedlinTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
LIC809 (FAS) - (06/04)
Page: 3 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: GENIUS LEARNING
FACILITY NUMBER: 414004450
VISIT DATE: 06/07/2019
NARRATIVE
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Incidental Medical Services (IMS) policy discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA is 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. Facility informed that effective September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA reviewed with director the Mandated Child Abuse Reporting training as compliant with AB 1207. As of January 1, 2018 all child care staff and volunteers are required to complete Mandated Child Abuse Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

LPA advised staff to frequently visit the Department's website at www.ccld.ca.gov for licensing regulations and updates. Facility may email childcareadvocatesprogram@dss.ca.gov to be added to the email distribution list for licensing updates.

The deficiencies cited on the following pages are in violation of the California Code of Regulations, Title 22, Division 12, Chapter 1:

This report is reviewed with staff and a copy of this report must be made available for public review upon request.

Notice of site visit posted and shall remain posted for 30 days

SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea MedlinTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
LIC809 (FAS) - (06/04)
Page: 2 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GENIUS LEARNING
FACILITY NUMBER: 414004450
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2019
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for the children during their absence.
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Licensee/Director states she closed her family child care home last December however it's still in licensed status.
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This requirement is not met as the acting director at this center is also currently a licensed family child care home licensee (Lic 414004168). This is a potential health and safety risk.
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Director/Licensee completed a signed declaration (LIC855) forfeiting her family child care license.

Deficiency corrected during visit with forfeiture of FCCH license declaration.
Type B
06/28/2019
Section Cited
CCR
101216(b)(1)
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Teacher Qualifications and Duties: Prior to employment, a teacher shall have completed, with passing grades, at least six postsecondary semester
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Director understands and acknowledges the following: S2 does not count in ratio, cannot provide any element of care and supervision to children, and cannot be left alone with children.
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or equivalent quarter units of the education requirement in Early Childhood Education. This requirement is not met as evidence no educational information available for S2.
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Deficiency cleared during visit.
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: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea MedlinTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4