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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413902
Report Date: 01/18/2023
Date Signed: 01/18/2023 05:59:52 PM


Document Has Been Signed on 01/18/2023 05:59 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, 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: DATE:
01/18/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:11 PM
MET WITH:Kamal GillTIME COMPLETED:
01:55 PM
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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.

During today's inspection, Licensee stated that they are providing meals for children who forgot their food. LPA observed that there was a staff who was preparing meal in the kitchen. LPA discussed with Licensee that the menu needs to be posted where authorized representatives can review it. Assistant Director post menu during today's inspection. LPA also discussed about all solid waste needs to have tight-fitted lid.

LPA discussed with Licensee about ensuring that cots are arranged where there is a walkway for children without having to walk over the mats. LPA observed that Licensee and a child walked over a mat. Licensee and staff rearranged the cots during inspection.

LPA provided Licensee the regulation for admission agreement. Licensee will modify admission agreement to add 101219(b)(7) and send it to Licensing.

As a result of this inspection, no deficiencies were issued. Exit interview conducted and report was reviewed with the 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: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/18/2023
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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