<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417064
Report Date: 06/04/2024
Date Signed: 06/04/2024 04:06:09 PM

Document Has Been Signed on 06/04/2024 04:06 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:PRE SCHOOL LEARNING ACADEMY LLC DBA GENIUS KIDSFACILITY NUMBER:
434417064
ADMINISTRATOR/
DIRECTOR:		KAMALJIT K. GILLFACILITY TYPE:
830
ADDRESS:16560 MONTEREY ROADTELEPHONE:
(408) 893-2223
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 7DATE:
06/04/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:28 PM
MET WITH:Kamaljit and Sukh GillTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 6/4/24, at 3:28 PM, Licensing Program Analyst (LPA) Liridon Fici arrived unannounced to conduct a Case Management Visit. LPA met and was greeted by Licensees, Kamaljit and Sukh Gill and explained the purpose of today’s visit.

During today's visit, Licensee informed LPA there will be a new Director for this center, however, Licensee did not notify CCL within 10 days after their old director left on 4/26/2024. Licensee submitted a directors packet for LPAs review.

Licensee informed LPA on 5/27/2024, there was water damage in the infant's room and the center closed their doors on 5/27/2024, and 5/28/2024 until further notice. LPA asked Licensee if there was an incident report that was submitted to CCL, and Licensee stated there was no incident report was submitted to CCL.

The following type B deficiency was cited on the attached page (809-D). Licensee was informed that failure to correct the deficiency by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

A notice of site visit was given and must remain posted for 30 days.





Exit interview conducted with Licensee, and a copy of this report reviewed and provided along with appeal rights.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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 2
Document Has Been Signed on 06/04/2024 04:06 PM - It Cannot Be Edited


Created By: Liridon Fici On 06/04/2024 at 03:46 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: 434417064

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/11/2024
Section Cited
CCR
101212(b)

1
2
3
4
5
6
7
101212- Reporting Requirements: (b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days...
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee agreed to read, understand, and compose a self-certification letter on section 101212(b)- Reporting Requirements and to submit a signed and dated copy to CCL by POC due date.
8
9
10
11
12
13
14
Based on interview, the licensee did not comply with the section cited above by not informing CCL about a new director within 10 days, which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
Type B
06/11/2024
Section Cited
CCR101212(d)(1)(c)

1
2
3
4
5
6
7
101212- Reporting Requirements: (d) Upon the occurrence, during the operation of the child care center of any of the events... (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
1
2
3
4
5
6
7
Licensee agreed to read, understand, and compose a self-certification letter on section 101212(d)(1)(c)- Reporting Requirements and to submit a signed and dated copy to CCL by POC due date.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above by not reporting to CCL the water damage in the infants room on 5/27/2024 within 7 days, which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Liridon Fici
LICENSING EVALUATOR SIGNATURE:
DATE: 06/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/04/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2