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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422418
Report Date: 08/03/2023
Date Signed: 08/03/2023 07:11:25 PM

Document Has Been Signed on 08/03/2023 07:11 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: 19DATE:
08/03/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Shruti GopinathTIME COMPLETED:
02:30 PM
NARRATIVE
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On August 3rd, 2023 at 1:30pm, Licensing Program Analyst (LPA) April Wright met with Center Director Gowthaman Subbarayalu and Administrator Shruti Gopinath for a Case management visit. The purpose of the visit was obtain clarification of alterations made to the facility in the toddler /early preschool classrooms. Present during this inspection were nineteen (19) children.

During a previous Case Management site inspection 11/3/2022, of the Preschool /Toddler option program; LPA Wright and LPM Charles noticed there was an open space the area between the preschool classroom and toddler/early preschool area. On a complaint inspection on 4/27/2023 for the infant license #015700572, LPA Wright and LPM Charles noticed the alterations made to the toddler portion of the facility.

Two walls had been constructed to make classrooms for the toddler early preschool children. LPA inquired if LPA Otsuji was notified of the changes and Administrator Shruti Gopinath stated that LPA Otsuji were made aware. LPA Wright advised LPA Otsuji of changes to facility and LPA Otsuji stated that no prior noticed was received regarding construction or alterations to the facility.

Alterations to were made in November 2022 during the Thanksgiving holiday when no children were present.

A Type B deficiency was cited for failure to report changes to the facility to CCLD. Please see attached LIC9099A.

Report read and review with Administrator Shruti Gopinath
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)
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Document Has Been Signed on 08/03/2023 07:11 PM - It Cannot Be Edited


Created By: April Wright On 08/03/2023 at 01:40 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
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/03/2023
Section Cited
CCR
101237(a)

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101237 Alterations to Existing Buildings or New Facilities

(a) Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).
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Corrected by visit.
Facility representative will notify LPA Otsuji to come to facility to re-evaluate capacity measurements.
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Based on observations and file review, facility did not comply with the section cited above as changes were made to the facility and did not notify licensing of the proposed change, which poses a potential health, safety, or personal rights risk to persons 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: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)
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