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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417063
Report Date: 06/30/2023
Date Signed: 06/30/2023 05:51:30 PM

Document Has Been Signed on 06/30/2023 05:51 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: 17DATE:
06/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:07 PM
MET WITH:Michael Frugoli and Kamal GillTIME COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management-Other inspection. LPA met with Director Michael Frugoli and explained the reason for the inspection. The purpose of this inspection is LPA observed that there is a half wall installed that divides the room in half. The half wall goes from the wall that is perpendicular to the kitchen to the wall to the left of the door that leads to the preschool yard. There are doors at each end of the wall.

LPA interviewed staff. LPA interviewed Licensee Kamal Gill on the phone. Licensee stated that the wall was installed after the pre-licensing inspection. LPA discussed that the Licensee needs to inform Licensing if they are going to make any alternations to the building and that a fire clearance is needed. LPA obtained an updated LIC 999 to reflect the change to the facility.

As a result of this inspection, a Type A citation was issued. Exit interview conducted and report was reviewed with Licensee Kamal Gill. A notice of site visit has been issued and must remain posted for 30 days.

LPA Samantha Yip informed Licensee Kamal Gill that this report dated 06/30/2023 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Samantha informed the Licensee, Kamal, to provide a copy of this licensing report dated 06/30/2023 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/30/2023
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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Document Has Been Signed on 06/30/2023 05:51 PM - It Cannot Be Edited


Created By: Samantha Yip On 06/30/2023 at 01:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PRE SCHOOL LEARNING ACADEMY LLC DBA GENIUS KIDS
FACILITY NUMBER: 434417063

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/03/2023
Section Cited
CCR
101237(a)

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Alterations to Existing Buildings or New Facilities. Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).
This requirement is not met as evidenced by:
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An updated fire clearance will need to be obtained and the indoor space needs to be remeasured.
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Based on observation and interview, a half wall was installed in Classroom 3. Licensee did not notify Licensing of the alteration, which poses an immediate health and safety risk to children in care.
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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:Joel Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 06/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/30/2023


LIC809 (FAS) - (06/04)
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