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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413902
Report Date: 06/20/2023
Date Signed: 06/21/2023 06:55:47 AM

Document Has Been Signed on 06/21/2023 06:55 AM - 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: 75DATE:
06/20/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
01:59 PM
MET WITH:Kamal GillTIME COMPLETED:
04:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management-Annual Continuation inspection. LPA met with Director Jennifer Kwong and explained the reason for the inspection. LPA entered the facility at 2:16PM. Licensees Kamal Gill and Sukbindar Gill arrived at 2:16PM. The purpose of this inspection is to continue the Required 1 year inspection from 06/14/2023. LPA observed in at 2:32PM that there were 28 children present and two staff. Children were stating to wake up from nap at the time. A third staff walked in at 2:34PM. LPA discussed with Licensee Kamal Gill about the ratio and that ratio of 1 to 12 needs to be maintain once naptime is over.

During today's inspection, LPA inspected the outside area and observed that additional tan bark has been placed around the play structure and climbing structure. The deficiency regarding resilient material has been cleared. LPA also reviewed four staff files during today's inspection.

S-1 was present during today's inspection, but fingerprints are stating that is closed on the facility roster. S-1 has cleared fingerprints and was associated to the facility, but separated on 12/08/2022. S-1 is associated to Licensee's other facility. S-1's fingerprints were re-associated during today's inspection. LPA discussed with Licensee Kamal about checking the determination status of all her staff.

As a result of this inspection, a Type A and Type B citation were issued. A civil penalty of $100 was assessed for caregiver background check. 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.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2023
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: 06/20/2023
NARRATIVE
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-------------continuation of 809 dated 06/20/2023 page 1------------------

LPA Samantha Yip informed Licensee Kamal Gill that this report dated 06/20/2023 documents 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 Licensee to provide a copy of this licensing report dated 06/20/2023 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.

Due to exposure, LPA informed Licensee that the Annual Inspection will continue and be completed at a later date.

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

DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023
LIC809 (FAS) - (06/04)
Page: 6 of 10
Document Has Been Signed on 06/21/2023 06:55 AM - It Cannot Be Edited


Created By: Samantha Yip On 06/20/2023 at 04:09 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: 06/20/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101216.3(a)
Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

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 at 232PM that children were starting to wake up from nap. There were 28 children and two staff.
POC Due Date: 06/21/2023
Plan of Correction
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By POC 06/21/2023, Licensee will submit plan on how she will ensure that the center is within ratio at all times.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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4
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: 06/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2023


LIC809 (FAS) - (06/04)
Page: 7 of 10
Document Has Been Signed on 06/21/2023 06:55 AM - It Cannot Be Edited


Created By: Samantha Yip On 06/20/2023 at 04:09 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: 06/20/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101170(e)(2)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) or

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 posed a potential health, safety or personal rights risk to persons in care. S-1's eligible fingerprint was disassociated to facility. S-1 is associated to Licensee's other facility.
POC Due Date: 06/21/2023
Plan of Correction
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Deficiency corrected during today's inspection. S-1 was associated to facility.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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4
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: 06/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2023


LIC809 (FAS) - (06/04)
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