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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422418
Report Date: 11/03/2022
Date Signed: 11/03/2022 11:23:26 AM

Document Has Been Signed on 11/03/2022 11:23 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:GENIUS KIDSFACILITY NUMBER:
013422418
ADMINISTRATOR:SUBBARAYALU, GOWTHAMANFACILITY TYPE:
850
ADDRESS:4168 TECHNOLOGY DR.TELEPHONE:
(510) 996-4948
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: DATE:
11/03/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Gowthaman Subbarayalu / Shruti GopinathTIME COMPLETED:
11:30 AM
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On November 3, 2022, at 10:00am, Licensing Program Analyst (LPA) April Wright and Licensing Program Manager (LPM) Chandra Charles met with Center Director Gowthaman Subbarayalu and Administrator Shruti Gopinath for a Case management visit. The purpose of the visit was obtain clarification of the toddler option preschool license. Present during this inspection were 23 preschool children, 7 toddlers and 5 staff personnel.

During a previous Annual/Random site inspection on 10/26/2022, of the Preschool /Toddler option program; the Infant component was mistakenly included in this inspection.

In a review our facility database It was revealed the licensee recently added an Infant program (licensee #015700572) which allows the facility to have Infants starting from birth to 24 months.

LPM Chandra Charles, explained to the Administrator and to the Center Director the difference between the two licenses and that because they were issued on two separate dates and separate inspection date will occur .

No deficiencies cited today. Report read and review with Administrator Shruti Gopinath.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2022
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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