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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415300
Report Date: 07/31/2025
Date Signed: 07/31/2025 03:45:09 PM

Document Has Been Signed on 07/31/2025 03:45 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ENGENIUS LEARNING CENTER @ BOOKSIN ELEMENTARYFACILITY NUMBER:
434415300
ADMINISTRATOR/
DIRECTOR:
IKEMOTO, DOUGFACILITY TYPE:
840
ADDRESS:1590 DRY CREEK ROADTELEPHONE:
(408) 785-1599
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY: 150TOTAL ENROLLED CHILDREN: 150CENSUS: 0DATE:
07/31/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:31 PM
MET WITH:Doug Ikemoto & David WalterTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Jennifer "Jen" Beehler met with Co-Directors Doug Ikemoto & David Walter for a case management inspection. LPA stated the reason for the visit. The Facility is currently closed for summer break and will reopen on 8/07/2025. The program is currently licensed in Rooms 5,6,7,8, F, 24 and Library. The program has requested to increase capacity.

Since the program will be operated at a functioning elementary school site, the facility is exempt from the indoor and outdoor square footage requirements, fencing requirements, and toilet/sink ratios and isolation area requirements. LPA toured the indoor and exterior of the facility.

LPA observed 201 chairs, 49 tables and 25 desks which are enough supplies to support the capacity increase of 175 children. The supplies for children such as tables, chairs and desks were in working order and safe for the children to use. LPA observed the facility to be clean and orderly.

There are two outdoor activity spaces. One is referred to as the "Kindergarten Playground". There is play equipment that is age appropriate for 5-12 year olds. There is a large blacktop area for running and games. Co-Director Ikemoto stated the TK children are directed to play on the black top area until they reach 5 years old. Shade is provided by trees. The second outdoor activity space is on the same side of the school campus and it is a large grassy area. The area is fenced in and lined with large trees for shaded areas. There is a large play equipment device that children can throw balls into and it will randomly shoot them out at different angles.

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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Jennifer Beehler
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ENGENIUS LEARNING CENTER @ BOOKSIN ELEMENTARY
FACILITY NUMBER: 434415300
VISIT DATE: 07/31/2025
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The Facility has a capacity letter from the San Jose Unified School District dated October 21, 2022 that states the following measurements and capacity:
  • Room #5 - 840 Square Feet (SQFT) Capacity: 42
  • Room #6 - 840 SQFT Capacity: 42
  • Room #7 - 840 SQFT Capacity: 42
  • Room #8 - 840 SQFT Capacity: 42
  • Room #24 - 960 SQFT Capacity: 42
  • Room #F - 1,920 SQFT Capacity: 96
  • Library - 1,933 SQFT Capacity: 150


Total capacity allowed by the District is: 456 Children

A fire inspection was completed on 06/26/2025. LPA received the fire clearance on 07/24/2025 approving the 175 total capacity for the facility.

LPA stated the increase of capacity will be granted based on management review and the receipt of the following document:
  • Rental/lease agreement from the San Jose Unified School District verifying control of property for rooms: 5, 6, 7, 8, F, 24 and the library.

As a result of today's inspection, no deficiencies are cited. Exit interview conducted with Co-Directors Doug Ikemoto and David Walter. Report was reviewed and provided along with appeal rights.

NOTICE OF SITE VISIT PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS.
NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Jennifer Beehler
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
LIC809 (FAS) - (06/04)
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