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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414478
Report Date: 03/20/2024
Date Signed: 03/20/2024 09:27:31 AM

Document Has Been Signed on 03/20/2024 09:27 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:
434414478
ADMINISTRATOR:JATIN SANHRAJKAFACILITY TYPE:
850
ADDRESS:7132 SANTA TERESA BOULEVARDTELEPHONE:
(408) 771-3403
CITY:SAN JOSESTATE: CAZIP CODE:
95139
CAPACITY: 81TOTAL ENROLLED CHILDREN: 21CENSUS: 10DATE:
03/20/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:53 AM
MET WITH:Stephanie Demelo & Theresa CampbellTIME COMPLETED:
09:40 AM
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Licensing Program Analyst (LPA) Marilou Monico met with Site Directors, Stephanie Demelo and Theresa Campbell, for an unannounced Plan of Correction inspection. LPA explained to them the purpose of today's visit. The facility was cited on March 14, 2024 under Teach-Child Ratio, Sign In and Sign Out, and Immunizations.

During today's inspection, LPA observed the following:
1) Site Director, Stephanie Demelo, supervising 10 preschool children in the classroom.
2) Sign in and sign out sheets with full legal signature of parents/authorized representatives.
3) Completed and signed Acknowledgement of Receipt of Licensing Report (LIC 9224) in the children's file.
4) Notice of Site Visit and Type A deficiency posted on the board.

Deficiencies under Teacher-Child Ratio and Sign in and Sign out are hereby corrected and cleared.

There were no deficiencies cited.

Exit interview conducted and report was reviewed with Site Directors, Stephanie Demelo and Theresa Campbell.

A NOTICE OF SITE VISIT WAS POSTED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2024
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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