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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413688
Report Date: 08/16/2023
Date Signed: 08/16/2023 12:01:24 PM

Document Has Been Signed on 08/16/2023 12:01 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 KIDSFACILITY NUMBER:
434413688
ADMINISTRATOR:SHIVASHANKARI VELMURUGANFACILITY TYPE:
850
ADDRESS:1682-1686 BERRYESSA ROADTELEPHONE:
(408) 899-9324
CITY:SAN JOSESTATE: CAZIP CODE:
95133
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 23DATE:
08/16/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Shivashankari VelmuruganTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Ashley Lopez conducted a Case Management Inspection in response to alleged incidents that were self-reported by Director to Community Care Licensing (CCL) on 7/27/23. LPA met with the Director Shivashankari Velmurugan, and explained the purpose of today's visit. There were 23 children present at the facility today along with 4 staff.

LPA conducted additional interviews pertinent to this case management inspection and observed children and staff. LPA discussed with the Director and staff about incidents in further detail and the action taken following the incident. The incident involved two previous teacher aides (S1) and (S2); the director and other staff had witnessed S1’s and S2’s not properly supervising the children in care and potentially violating the children's personal rights.

Due to additional information needed, this case management needs further investigation.

No deficiencies cited. Exit interview conducted and report was reviewed with Director, Shivashankari Velmurugan.

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.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2023
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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