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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417063
Report Date: 03/13/2023
Date Signed: 03/13/2023 05:37:28 PM

Document Has Been Signed on 03/13/2023 05:37 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:PRE SCHOOL LEARNING ACADEMY LLC DBA GENIUS KIDSFACILITY NUMBER:
434417063
ADMINISTRATOR:KAMLJIT K. GILLFACILITY TYPE:
850
ADDRESS:16560 MONTEREY ROADTELEPHONE:
(408) 893-2223
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 0DATE:
03/13/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Kamal Gill, Rohan GillTIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs) Samantha Yip and Ashley Lopez conducted an announced pre-licensing inspection. LPA met with Applicant Kamal Gill and Michael and explained the reason for the inspection. Applicant Rohan Gill arrived shortly after. The purpose of inspection is Applicants are applying for a preschool license for a capacity of 40 children. Applicant is also applying for a infant license at the same location. A fire clearance was granted on 03/07/2023.

The measurement for the indoor and outdoor were conducted during inspection.
The measurement are as followed:

INDOOR MEASUREMENTS:
Room 2: (17.083 x 11= 187.913) + (10.167 x 12.750 = 129.629) = 317.542
Room 3: (42.500 x 32.917= 1398.972) minus encumbered space (13.667 x 2 = 27.334) + (6.500 x 2.083 = 13.539) + [4(4.833x1)= 19.332] + [2(2.500 x 2) = 10] +(17.417 x 4.917 = 85.639) +( 2.083 x 8 = 16.664) + (2 x 2.500= 5) = 177.508
= 1398.972- 177.508 = 1221.464
Total Indoor Square Footage: 317.542 + 1221.464= 1539.006 divided by 35 = 43 children

OUTDOOR MEASUREMENTS:
(88.917 X 34.917 = 3104.714) +( 2.083 X 9.833 = 20.482) + (16.083 X 2.500 = 40.207) = 3165.403 minus encumbered space (24.750 x 3.500 = 86.625) + (7.585 x 8.167 = 61.930) = 148.555 = 3016.848
Total Outdoor Square Footage: 3016.848 divided by 75 = 40 children

------------------continues on 809 dated 03/13/2023 page 2----------------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: PRE SCHOOL LEARNING ACADEMY LLC DBA GENIUS KIDS
FACILITY NUMBER: 434417063
VISIT DATE: 03/13/2023
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-----------------continuation of 809 dated 03/13/2023 page 1---------------------

There are 76 chairs, 12 tables, 55 cubbies, 4 toilets, 6 sinks, and 60 cots. There are toys for children. Facility will be providing meals and snacks to children. There is kitchen to prepare and store meals and snacks. Kitchen has running hot and cold water. Drinking water is provided through Brita filtered water.

The outdoor area is fenced. Area around play structure has resilient material. LPA discussed with Applicant about ensuring that there are no holes in the resilient material. LPA also observed that the bolts in the toy train structure were missing bolts causing the bottom inner base board to come loose. It left a gap between the structure and the baseboard, which could pose a risk to children. Applicant stated that they will install bolt and send proof to licensing. LPA also discussed with applicant about power washing structure due to there being cobweb. LPA observed that there was moss under the slides, which was slippy. Shaded rest area is provided through canopy.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. 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

LPA discussed with Applicant Rohan Gill regarding ensuring that all staff have cleared fingerprints and are associated to facility prior to them being present at the facility. Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

-----------------continues on 809 dated 03/13/2023 page 3---------------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
LIC809 (FAS) - (06/04)
Page: 2 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: PRE SCHOOL LEARNING ACADEMY LLC DBA GENIUS KIDS
FACILITY NUMBER: 434417063
VISIT DATE: 03/13/2023
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LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with Applicant Rohan Gill. LPAs advised applicant upon approval of Licensing Management, a license for an preschool center license will be granted and issued to Applicant and upon completion of the following:
- baseboard of the train structure is bolted
- moss under the slide is removed
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
LIC809 (FAS) - (06/04)
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