Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004002
Report Date: 04/05/2018
Date Signed 04/05/2018 11:51:53 AM

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: 62DATE:
04/05/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Dennis Tong, Linda TongTIME COMPLETED:
12:15 PM
NARRATIVE
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LPAs Yee and Mok conducted a follow up inspection today. Today, we observed 45 preschool children, 17 TK children (24 TK are enrolled at the facility) and 41 Heritage program Children. Heritage program is exempt from CCL. Site director, Dennis Tong stated that Heritage program children are here all day due to Spring break at Burlingame Elementary School and San Mateo Elementary School. On 3/29 LPAs observed 44 preschool children and 24 TK children on site. Those 24 TK children were on site all day. LPAs reviewed "2017-2018 preschool application form and TK enrollment form". Office meeting is scheduled for March-13 at 10:00 a.m. Office meeting letter is hand delivered during the inspection.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2018
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: 04/05/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/06/2018
Section Cited
CCR
101161(a)
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101161(a) Limitations on Capacity and Ambulatory Status. The licensee shall not exceed the conditions, limitations and capacity specified in the license.

License is approved for 49 chidlren. Facility has 62 children (45 preschool children, 17 TK) which is over the capacity limitations today. There are total of 24 TK enrolled at the facility.
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Facility needs to correct this deficiency. An office meeting is scheduled for March-13 at 10:00 a.m.
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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: 04/05/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2018
LIC809 (FAS) - (06/04)
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