434415770-3-1-2023-07-CC-SCOS-CPJ34K-20230301165517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415770
Report Date: 01/26/2023
Date Signed: 03/01/2023 04:55:23 PM

Document Has Been Signed on 03/01/2023 04:55 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	GENIUS KIDS		FACILITY NUMBER:	434415770
ADMINISTRATOR:	SHIVASHANKARI VELMURUGAN		FACILITY TYPE:	830
ADDRESS:	1682 & 1686 BERRYESSA ROAD		TELEPHONE:	4088999324
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95133
CAPACITY:	6	CENSUS: 3	DATE:	01/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Shivashankari Velmurugan		TIME COMPLETED:	02:30 PM

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	Page 1 Licensing Program Analyst (LPA), Stephanie Collins, conducted an unannounced annual inspection of the Preschool. LPA met with Director/Administrator Shivashankari Velurugan informed her the purpose of the visit. LPA arrived at the facility at 9:40 AM . Notification of Parents’ Right Poster, Children's Personal Rights, Child Car Seat Laws, Child Care License, LIC 610 Emergency Disaster Form (1and 2), LIC 308 Designation of Responsibilities, and menu were observed to be posted. Facility’s operating days and hours are Monday-Friday 8:30 AM to 06:00 PM. During visit, LPA observed a ratio of 3 children to 2 staff. Facility representative Shivashankari Velmurugan was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. LPA inspected the building inside with Director (Shivashankari Velmurugan ) . The activity area(s), restroom(s) office area, food storage areas were clean, free of litter, rubbish, and rodents/vermin. Trash cans for solid waste had tight-fitting covers on. Furniture and equipment were observed to be age appropriate and in good condition, free of sharp, loose, or pointed parts. The Infant Isolation area is equipped with mats for each ill infant. The director understands the Isolation area shall be under constant visual observation by a director, an assistant director ,teacher or teachers assistant. Infant sleeping area was observed as being physically separate from the indoor activity space. The infant changing tables padding surface was observed to be no less than one inch thick and covered with washable vinyl. The table was observed to have raised sides at least three inches high and maintained in good repair in a safe condition. The changing table was observed to be in arms reach of a sink.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: GENIUS KIDS	FACILITY NUMBER: 434415770
	VISIT DATE: 01/26/2023

NARRATIVE

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LPA observed play equipment were maintained in a good condition, free of hazards. There were no bodies of water observed. Director stated that facility does not have weapons on the premises. First aid kit, fully charged fire extinguishers and smoke detectors were observed.

There are separate staff rest rooms with separate stalls for employees. Disinfectants, cleaning solutions, poisons, sharps, and other items that are dangerous to children were stored inaccessible.
Log recorded that the last fire/disaster drill was conducted 12/05/2022. LPA reviewed facility's sign in/out procedure and record (Bright Wheel App).

Infants file and (Needs and Services Plan/ Safe Sleep Plan) and Staff files were reviewed all files were observed to be current and completed.

This facility provides Incidental Medical Services – Currently the facility does not have any children in care who requires IMS. The following information regarding ADA was 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.
Safe Sleep

LPA discussed the safe sleep regulations with facility Director/Administrator Shivashankari Velmurugan and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: GENIUS KIDS	FACILITY NUMBER: 434415770
	VISIT DATE: 01/26/2023

NARRATIVE

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
Annual fees were discussed and reviewed.

In the areas that were evaluated, no regulatory violations were observed at the time of the inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Director/Administrator Shivashankari Velmurugan

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

LIC809 (FAS) - (06/04)

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