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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422418
Report Date: 08/03/2023
Date Signed: 08/03/2023 01:35:05 PM

Document Has Been Signed on 08/03/2023 01:35 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
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: 60DATE:
08/03/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Shruti GopinathTIME COMPLETED:
01:30 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 August 3rd, 2023 at approximately 10:30am, Licensing Program Analyst (LPA) April Wright arrived an unannounced Required-1 Year inspection, and met with Administrator Shruti Gopinath. Present at time of inspection were sixty (60) children and seven (7) fingerprint cleared staff members present during the inspection. This facility has a toddler component. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 8:30am to 6:00pm.

CLASSROOMS: Facility has five (5) classrooms, toddler classroom is separated from preschool classrooms. There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting for safety and comfort. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is Director's office away from other children in care. The center has smoke/carbon monoxide detectors, working telephone, first aid kits and two (2) fully charged 3A40BC fire extinguishers. At least one person trained in CPR/First aid is present at the facility during day cafe hours.

BATHROOMS/CHANGING STATIONS: Staff bathroom is located in the hallway and is separate from the classrooms. Children's bathrooms has seven (7) toilets and sinks. All toilets, sinks and faucets are in safe and sanitary operating condition. There are three (3) changing stations located in the toddler classrooms. Changing tables are clean, sanitary and in good condition.

FOOD SERVICE AREAS: This facility provides a snack only option for children in care. Lunch is provided by child's family daily. There is a refrigerator for storage if needed. There are weekly snack menus posted at the facility. All storage containers for solid waste have tight fitting covers that are in good repair.

See LIC809-C for continuance
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/03/2023
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GENIUS KIDS
FACILITY NUMBER: 013422418
VISIT DATE: 08/03/2023
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
26
27
28
29
30
31
32
OUTDOOR PLAY AREAS: There are three (3) play structures with slides that has foam cushioning underneath to absorb falls and that is anchored for stability. There are no pools, hot tubs or other accessible bodies of water. Per Administrator there are no firearms or weapons present at facility.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Eight (8) children's files and nine (9) staff files were reviewed, along with director's and administrators file. All staff files have required health screening and Employee Rights and all children files contain Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. Mandated Reporter Training and CPR and First Aid certificates were reviewed and are up to date. The center is in compliance with the sign in and out procedure via Bright Wheel app. Disaster drills are being conducted at least once every 6 months and the last one conducted was on 6/8/2023. All required documents are posted in a public accessible area.

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.



LPA discussed the safe sleep regulations with Facility representative discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

See LIC809 C for continuance.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GENIUS KIDS
FACILITY NUMBER: 013422418
VISIT DATE: 08/03/2023
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
26
27
28
29
30
31
32
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

LPA referred licensee Facility Representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. LPA reviewed letter from AB2370 Assistance team to schedule facilities sampling appointment.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Deficiencies cited today: Please see attached Deficiency & Advisory Note pages for additional information.

ยท Type B: S1 did not have a current Mandated Reporter certification.



A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee facility representative
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 08/03/2023 01:35 PM - It Cannot Be Edited


Created By: April Wright On 08/03/2023 at 01:00 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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GENIUS KIDS

FACILITY NUMBER: 013422418

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the facility did not comply with the section cited above as S1 do not have updated mandated reporter training on file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/08/2023
Plan of Correction
1
2
3
4
Administrator shall ensure S1 renew their mandated reporter training for child care providers and submit copy of certificate to LPA by due date of 8/8/23
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:Chandra Charles
LICENSING EVALUATOR NAME:April Wright
LICENSING EVALUATOR SIGNATURE:
DATE: 08/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/03/2023


LIC809 (FAS) - (06/04)
Page: 4 of 4