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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413902
Report Date: 12/07/2022
Date Signed: 12/08/2022 08:07:37 AM


Document Has Been Signed on 12/08/2022 08:07 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:GENIUS KIDSFACILITY NUMBER:
434413902
ADMINISTRATOR:JENNIFER KWONGFACILITY TYPE:
850
ADDRESS:174 W. MAIN AVENUETELEPHONE:
(408) 782-2611
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:86CENSUS: 63DATE:
12/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Kamal GillTIME COMPLETED:
10:50 AM
NARRATIVE
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management- Other inspection. LPA met with Licensee Kamal Gill and explained the reason for the inspection.

At 9:55AM, LPA observed that a child walked from the front door to the room between the toddler room and last room on the left hand side. LPA observed that a staff was standing at the front door and that Licensee Kamal walked up to the child and brought her inside the room. Around 10:40AM, LPA observed that a child walked out of the classroom to throw away food in a garage next to the kitchen. Staff moved to the door. Due a shelf, staff is unable to see child nor able to visually supervise children inside the room. LPA discussed with Licensee that children need to be escorted and visually supervised at all time.

LPA observed that there was a container with diaper cream on the water fountain next to the changing table, which is accessible to children. Licensee moved diaper cream to a shelf that is inaccessible to children. LPA also reminded Licensee that all diaper creams need to be inaccessible to children.

S-1 was present at the facility. Based on facility roster is showed that S-1's fingerprints are showed that it was still in process. LPA reviewed fingerprints via Guardian, which indicated that LIC 508 was uploaded on Guardian. Licensee stated that she will submit the LIC 508 and valid ID to documentsubmission@dss.ca.gov.

As a result of this inspection, one Type B citation was issued. Exit interview conducted and report was reviewed with Licensee Kamal Gill. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2022
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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Document Has Been Signed on 12/08/2022 08:07 AM - 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131


FACILITY NAME: GENIUS KIDS
FACILITY NUMBER: 434413902

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2022
Section Cited

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Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time,... Supervision shall include visual observation.
This requirement is not met as evident by:
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Based on observation, LPA observed at 9:55AM that a child walked from the front door to the room. LPA also observed around 10:40AM that a child walked out of the classroom. This poses a potential health and safety risk to children in care.
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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: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2022
LIC809 (FAS) - (06/04)
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