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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413902
Report Date: 06/14/2023
Date Signed: 06/14/2023 11:45:05 PM

Document Has Been Signed on 06/14/2023 11:45 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: 86TOTAL ENROLLED CHILDREN: 86CENSUS: 57DATE:
06/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:46 PM
MET WITH:Kamal GillTIME COMPLETED:
05:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Required 1- Year inspection. LPA met with Director Jennifer Kwong and Assistant Director Michael Frugoli and explained the reason for the inspection. LPA entered the facility at 1:52PM. Licensee Kamal Gill arrived shortly after.

There is an area to post required postings, such as license, car seat, notification of parent's rights, and personal rights. The hours of operation of Monday through Friday 6AM to 6:30PM. Facility uses an electronic sign in/out. LPA reviewed the electronic sign in/out. There were 81 children signed in today.

LPA toured the inside and outside of the center. LPA observed that there were bottles of disinfectant spray in the cabinet in Preschool Classroom #2, next to the utility room, and disinfectant spray on the pony wall in Preschool Room #2 that is in-between the Toddler Room and Pre-K room. Licensee Kamal moved the disinfectant spray to an area that is inaccessible during today's inspection. LPA also discussed with Licensee and Assistant Director Michael that diaper creams and sunscreen to be inaccessible to children. LPA observed that there a container of medication in a staff's bag, which was accessible to child. Staff moved bag during today's inspection. The bathroom for children were observed to in functioning condition. There is a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. The last disaster drill was conducted on 04/27/2023. Licensee stated that there are no weapons, such as firearms, stored on the premise.

-----------------------continuation of 809 dated 06/14/2023 page 2-----------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2023
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: GENIUS KIDS
FACILITY NUMBER: 434413902
VISIT DATE: 06/14/2023
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--------------------continuation of 809 dated 06/14/2023 page 1---------------------

The outdoor area is fenced. Shaded rest area is provided through trees, building overhang, and canopy. Area around play structure has resilient material, but does not have enough to absorb fall. LPA discussed with Licensees to check all equipment for any crack. LPA observed that one area of the grass had water and was muddy causing it to be slippy. Licensee placed an empty wading pool to cover the area. There were no bodies of water observed during today's inspection.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. C-1's medication expired on 03/2023. Licensee followed up with parent during today's inspection to obtain an updated medication. For IMS information, see PIN 22-02-CCP. 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.

10 children's files were reviewed during today's inspection. The records reviewed include but not limited to immunization record and parent's rights.

Licensee Kamal was informed that informed that the Annual Inspection will continue and be completed at a later date.

As a result of this inspection, a Type A and Type B citations were issued. Exit interview conducted and report was reviewed with Licensee Kamal Gill. A notice of site visit has been issued and must remain posted for 30 days.

LPA Samantha Yip informed Licensee Kamal Gill that this report dated 06/14/2023 document(s) one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Samantha informed the facility representative to provide a copy of this licensing report dated 06/14/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
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Document Has Been Signed on 06/14/2023 11:45 PM - It Cannot Be Edited


Created By: Samantha Yip On 06/14/2023 at 05:00 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: GENIUS KIDS
FACILITY NUMBER: 434413902

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. LPA observed that there was a spray with disinfectant spray on the pony wall and medication in a bag that was accessible to children.
POC Due Date: 06/15/2023
Plan of Correction
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Deficiency was corrected during today's inspection. Disinfectant spray and medication was moved to an area that inaccessible to children during today's inspection.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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 Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 06/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/14/2023


LIC809 (FAS) - (06/04)
Page: 3 of 10
Document Has Been Signed on 06/14/2023 11:45 PM - It Cannot Be Edited


Created By: Samantha Yip On 06/14/2023 at 05:00 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: GENIUS KIDS
FACILITY NUMBER: 434413902

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(1)
Health-Related Services
(e) In centers where the licensee chooses to handle medications: (1) All prescription and nonprescription medications shall be centrally stored in accordance with the requirements specified below:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. C-1's medication expired on 03/2023.
POC Due Date: 06/21/2023
Plan of Correction
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By POC 06/21/2023, Licensee will submit proof that an updated medication will be obtained.
Type B
Section Cited
CCR
101238.2(e)
Outdoor Activity Space
(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. LPA observed that there is not enough resilient material to absorb falls.
POC Due Date: 06/21/2023
Plan of Correction
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By POC 06/21/2023, Licensee will submit proof that additional resilient material is being purchased and will send proof once obtained.
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 Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 06/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/14/2023


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