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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413902
Report Date: 09/13/2023
Date Signed: 09/13/2023 03:57:03 PM

Document Has Been Signed on 09/13/2023 03:57 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: 72CENSUS: 59DATE:
09/13/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
11:04 AM
MET WITH:Kamal GillTIME COMPLETED:
02:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management-Annual Continuation inspection. LPA met with Licensee Kamal Gill and explained the reason for the inspection. The purpose of this inspection is to finish the annual inspection from 06/14/2023. Present during today's inspection were 59 children and at least seven (7) staff.

During today's inspection, LPA reviewed six (6) staff files. The records reviewed include but not limited to immunization records, education credit, and Mandated Reporter training certificate. LPA discussed with Michael Frugoli to ensure that all forms are signed and dated. S-1's Health Screening was not dated and her TB test is more than a year old. LPA discussed with Michael that the health screening and TB test cannot be more than a year old. Director has a valid CPR/1st Aid which expires on 05/01/2024.

LPA observed that there were two staff outside with 24 children. One staff is fully qualified. S-2 only completed 12 quarter units and is not enrolled to completed additional units. LPA discussed with Michael and Licensee that a teacher needs to complete at least 2 semester unit or equivalent quarter units until the education requirement is met.

Facility will submit the following by 09/15/2023:
- admission agreement for C-1

Facility will submit the following by 09/22/2023:
- either proof of doctor's appointment to complete Health Screening and TB or completed Health Screening and TB for S-1

As a result of this inspection, 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.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023
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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Document Has Been Signed on 09/13/2023 03:57 PM - It Cannot Be Edited


Created By: Samantha Yip On 09/13/2023 at 02:13 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: 09/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216.1(b)(1)
Teacher Qualifications and Duties
(b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below: (1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below; or shall have obtained a Child Development Assistant Permit issued by the California Commission on Teacher Credentialing.

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. S-2 only completed 8 semester units.
POC Due Date: 09/20/2023
Plan of Correction
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By POC 09/20/2023, Licensee will submit proof that S-2 is enrolled in additional course.
Type B
Section Cited
CCR
101216.3(b)(1)
Teacher-Child Ratio
(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. (1) A ratio of one fully qualified teacher (as specified in Section 101216.1(c) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d).

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. S-2 was supervising 24 children with a fully qualified teacher. S-2 has only completed 8 semester units and is not enrolled in additional courses.
POC Due Date: 09/20/2023
Plan of Correction
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By POC 09/20/2022, Licensee will submit written plan on how she will ensure that the center is within ratio; along with staff schedule.
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: 09/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2023


LIC809 (FAS) - (06/04)
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