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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434413902
Report Date: 05/29/2024
Date Signed: 05/29/2024 05:00:52 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/21/2024 and conducted by Evaluator Liridon Fici
COMPLAINT CONTROL NUMBER: 07-CC-20240521095830
FACILITY NAME:GENIUS KIDSFACILITY NUMBER:
434413902
ADMINISTRATOR:HOURIEH GHARIBIFACILITY TYPE:
850
ADDRESS:174 W. MAIN AVENUETELEPHONE:
(408) 782-2636
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:86CENSUS: 52DATE:
05/29/2024
UNANNOUNCEDTIME BEGAN:
11:51 AM
MET WITH:Kamal GillTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Staff are not providing adequate food service.

INVESTIGATION FINDINGS:
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On 5/29/2024, at 11:51 AM, Licensing program analyst (LPA), Doni Fici arrived unannounced to conduct a 10-day initial complaint investigation visit. LPA was greeted by Kamal Gill, Licensee and explained the purpose of today's visit.

During visit, LPA interview four (4) staff, and requested and obtained the following documents: Bright wheels roster for preschool, Staff roster, a list of children no longer attending the center, food menu (May 2024), and admissions agreement.

During LPAs tour in the center, LPA observed no fruits on the children's plates during lunch


Continue on Lic9099-C...

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 07-CC-20240521095830
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: GENIUS KIDS
FACILITY NUMBER: 434413902
VISIT DATE: 05/29/2024
NARRATIVE
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It was alleged that: Staff are not providing adequate food service. Based on observation, LPA observed the food menu is not being given accordingly to what the center is posting and emailing to parents. LPA observed no fruits on the children’s plates during lunch time, which does not meet the minimum requirement in food service.

Based on observation, which was conducted, the preponderance of evidence standard has been met, therefore the above allegation was found to be Substantiated. California Code of Regulations, (Title 22, Division 12, Chapter 1) 102370(d)(1).

The following deficiency was observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

Exit interview conducted with Licensee, and a copy of this report reviewed and provided along with appeal rights.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 07-CC-20240521095830
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: GENIUS KIDS
FACILITY NUMBER: 434413902
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/05/2024
Section Cited
CCR
101227(a)(1)
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101227(a)(1) Food Service: (a) In childcare centers providing meals to children, the following shall apply: (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children...
This requirement is not met as evidenced by:
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Licensee agreed to read, understand, and to compose, sign, and date a self-certification on section 101227- Food Service and to submit a signed written copy to CCL by POC due date.
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Based on observation, the licensee did not comply with the section cited above by not following the centers food menu that was submitted to CCL and to parents via email, which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
LIC9099 (FAS) - (06/04)
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