Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004002
Report Date: 05/19/2015 12:00:00 AM
Date Signed 05/19/2015 12:16:52 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:GENIUS LEARNING (PS)FACILITY NUMBER:
414004002
ADMINISTRATOR:LINDA TONG, MGR.FACILITY TYPE:
850
ADDRESS:700 PENINSULA AVENUETELEPHONE:
(650) 666-7726
CITY:BURLINGAMESTATE: CAZIP CODE:
94010
CAPACITY:49CENSUS: 37DATE:
05/19/2015
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Toro RoanTIME COMPLETED:
10:00 AM
NARRATIVE
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1, LPA Yee conducted an Annual/Random visit today. Present were 6 staff members and 37 children. The purpose of the visit was explained. This is a combination center for preschool and school age program. Days and hours of operation: Monday - Friday, 6:30am - 6:00pm. Facility operates in room 1, 2, 3, 4. Preschool rooms are licensed in room 1,2,3,4,5 for capacity of 49. Room 5 is converted to after school program. Facility needs to update licensing of their classroom changes. Outdoor yard is securely fenced, shared with school age program. Waive is on file. Indoor and outdoor areas were inspected for health and safety hazards.
There are plenty of children toys, learning materials and equipment available for both indoor, outdoor and in good repair. There are sufficient cots and mats for each child and stored properly. Last disaster drill was conducted 4/13/15. First Aid supplies are available for both indoor and outdoor. Medication policy was discussed. No visible hazards were observed during the visit. All toys and equipment are in good repair. CPR and First Aid current is current which expires 5/2017 . Sign-in/out sheets were reviewed. Licensing fees are current. Isolation area for ill child is located in the site director's office and staff's bathroom is available if needed for the ill child. Children bring own lunches. Facility provides snacks. Drinking water is readily available for indoor and outdoor via pitcher with cups. Staffing, ratio and capacity was discussed. No co-mingling.
SUPERVISOR'S NAME: Suzanne Roman-ClarkTELEPHONE: (650)266-8823
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8843
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2015
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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: GENIUS LEARNING (PS)
FACILITY NUMBER: 414004002
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/19/2015
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2015
Section Cited
1596.8555
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Posting of License:
A licensed child day care facility shall post its license in a prominent, publicly accessible location in the facility.

License, waiver, play ground schedule are not posted.
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License, waiver, play ground schedule are posted during the visit.

* deficiency is cleared*
Type B
05/22/2015
Section Cited
101215.1(f)(1)
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Child Care Center Directors Qualifications and Duties:
When the child care center director is absent from the center, the substitute director shall meet the qualifications of a director.

Substitute did not pass Administration class. Currently, facility does not have qualified site director.
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Facility shall correct this deficiency by due date.
Type B
05/22/2015
Section Cited
101229.1(a)(1)
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The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

LPA reviewed sign in/out, 37 signatures are not full legal signatures. One parent did not sign in.
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Facility needs to correct this deficiency by due date.
Type B
05/22/2015
Section Cited
101237(a)
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Prior to alterations, the licensee shall notify the Department of the proposed change(s)

Facility is currently using room 1,2,3,4. Room #5 is now using for after school program. Total 5 rooms are licensed for 49 children. LPA reviewed sign in/out sheets, there are 50 students (2 students leave at noon). 37 children present at the facility today.
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Facility needs to correct this deficiency by due date.
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: Suzanne Roman-ClarkTELEPHONE: (650)266-8823
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8843
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2015
LIC809 (FAS) - (06/04)
Page: 2 of 2