Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004002
Report Date: 08/06/2015 12:00:00 AM
Date Signed 08/06/2015 01:37:57 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: 45DATE:
08/06/2015
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Linda Tong, Toro RoanTIME COMPLETED:
01:50 PM
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LPA Yee conducted an Annual/Required visit today. Annual/Random visit was done on 5/19/15. Pls. refer to the report dated 5/19/15. Present were 7 staff members and 45 children. There were 55 Heritage children on site during the visit. Some Heritage left during the visit. The purpose of the visit was explained. Facility operates in room 1, 2, 3, 4 and 5. Waiver for playground is posted. Indoor and outdoor areas were inspected for health and safety hazards.
There are plenty of children toys, and learning materials available for both indoor, outdoor and in good repair. Discipline policy was discussed. Medication policy was discussed. No visible hazards were observed during the visit. At least one staff has current CPR and First Aid. Facility provides snacks. Drinking water is readily available for both indoor and outdoor. No co-mingling. Facility personnel summary report was reviewed and current. Facility is in compliance today.

Website: www.ccld.ca.gov. Title 22, Div 12, Chp 1.
SUPERVISOR'S NAME: Suzanne Roman-ClarkTELEPHONE: (650)266-8823
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8843
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2015
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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