Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004002
Report Date: 02/22/2018
Date Signed 02/22/2018 03:36:07 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: 48DATE:
02/22/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Denis TongTIME COMPLETED:
04:00 PM
NARRATIVE
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3, Licensing Program Analyst, LPAs Yee and Mok conducted an annual random inspection today. We met with site director, Mr. Denis Tong, 8 staff members and 48 children. LPAs toured the facility together with Mr. Tong. Facility operates two programs on site. Preschool program is licensed by CCL department. Heritage program is an exempt program from CCL. LPA reminded Mr. Tong that no co-mingling between the two programs (Heritage and preschool) Day-care areas (preschool): Room #1, #2, #3, #4 #5, bathroom A, and E. Play ground areas is shared with Heritage program. Waiver for shared playground is posted. Staff files were reviewed. Sign in/out sheets were reviewed. Children toys appear to be in good condition. This facility provides Incidental Medical Services - IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children's, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, Available at: http://www.ada.gov/childqanda.htm
Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. Child Abuse Mandated Reporter Training was discussed. All staff members and site director need to complete this training by March-2018. www.mandatedreporterca.com. One staff has current CPR & 1st aid certificate which expires 5/2019.
    Website: www.ccld.ca.gov. Title 22, Div 12, Chp 1.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2018
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: 02/22/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/22/2018
Section Cited
CCR
101170(e)(1)
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101170(e)(1) Criminal Record Clearance. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption.

LPAs observed 2 staff members in classroom #1, #5 with no finger print association. Civil penalty of $200 was issued today.
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LIC9182 was obtained today.

Deficiency has been corrected.
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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: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2018
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: 02/22/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2018
Section Cited
CCR
101212(b)
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101212(b) Reporting Requirements. The name of the child care center director or fully qualified teacher(s) designated to act in the director’s absence shall be reported to the Department with in 10 days of a change.

Facility has a change of site director and facility did not notify licensing office.
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Site director file was reviewed during the inspection. Facility needs to submit the following records by due date, 3/8/18. Failure to correct the deficiency will result civil penalty.

NEED CURRENT CPR & 1ST AID, NEED RECORD KEEPING.
Type B
03/21/2018
Section Cited
CCR
101239(n)
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101239(n) Fixtures, Furniture, Equipment and Supplies. Furniture and equipment shall be in good condition, free of sharp, loose, or pointed parts.

LPAs observed 2 holes on the ground in room #4. Large outdoor yard has one hole on the ground. Outdoor yard was repaired during inspection.
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Director said room #4 is not being used, facility is fixing the room.

Failure to correct the deficiency will result civil penalty.
Type B
03/21/2018
Section Cited
HSC
1596.7995(a)(1)
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Staff Immunization:
Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles.

Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

**Licensees and staff didn't have proof of staff immunization's (measles, pertussis and flu) for review during inspection.**
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Facility needs to correct this deficiency by due date.

Failure to correct the deficiency will result civil penalty.
Type B
02/22/2018
Section Cited
CCR
101229.1c
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Sign in/out: A person who removes the child from the center during the day, and returns the child to the center the same day, shall sign the child in/out.

LPAs reviewed sign in/out sheets. Total kids on site, 48 and only 46 children were signed in.
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Mr. Tong said he will speak to the parents regarding the sign in/out procedure. He will move the sign in /out sheets to the classroom and have the staff monitor the sign in/out.

Deficiency has been corrected.
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: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2018
LIC809 (FAS) - (06/04)
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