013423054-1-10-2024-52-CC-JSAI-CZCQGB-20240110110916

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423054
Report Date: 01/10/2024
Date Signed: 01/10/2024 11:09:22 AM

Document Has Been Signed on 01/10/2024 11:09 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 KIDS DOUGHERTY		FACILITY NUMBER:	013423054
ADMINISTRATOR:	PUJA SARAF		FACILITY TYPE:	850
ADDRESS:	6044 DOUGHERTY ROAD		TELEPHONE:	(925) 999-9575
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS: 10	DATE:	01/10/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Director, Deepa Shah		TIME COMPLETED:	11:30 AM

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	Licensing Program Analyst (LPA) Jyoti Saini met with Teacher Praneetha Kondparthi for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the staff. The facility director, Deepa Shah, arrived during the inspection. The facility operates two programs: Preschool from 8:00 am to 6:00 pm and the after-school programs under the Heritage license from (12:00 pm- to 6:00 pm). The facility has three classrooms: D101( Pre-K), E107( Early preschool), C5 ( music and exercise), and an indoor play area. The preschool program does not have a play yard but an indoor motor skills room and an outdoor yard waiver posted by the entrance. The director understands that the preschool program may never be commingled with the Heritage School. Present for today's inspection are the director, two fingerprints cleared, staff members and ten children in care. The facility was inspected indoors and outdoors today for health and safety hazards, and the following was observed: There are no bodies of water, firearms, or weapons on the premises. The Center is in good condition with proper temperature and ventilation, and is free of any hazards. All furniture is in good repair. The Center has age-appropriate toys and equipment. The children and staff have a separate bathroom. The bathrooms appear safe, sanitary, and free of any hazardous items. The children bring their water bottles and the facility refills water bottles using water coolers and dispensers. The facility only provides snacks, and children bring their lunch. A menu is posted for the entire month. The classroom has appropriate postings. The last Emergency Drill was conducted on 01/08/2024 at 12:10 pm and properly logged. LPA reviewed the sign-in and out sheet. The facility uses the Bright Wheel app for sign-in and out. The Center has a complete record of sign-in/out sheets by an authorized pick-up person. There are first aid kits available. The room E-107 has a functioning smoke and carbon monoxide detector. The facility has a fully charged fire extinguisher, and a working telephone available. All children have a record of emergency identification information. The staff records reviewed were complete. All staff members have a criminal record clearance on file. The site Director and staff have a current Pediatric First Aid/CPR certificate. All of the staff has taken Mandated Reporter training. see next page..

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024

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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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 DOUGHERTY	FACILITY NUMBER: 013423054
	VISIT DATE: 01/10/2024

NARRATIVE

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During inspection,

Criminal Record Clearance -

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.

Lead Testing –

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
Incidental Medical Services (IMS)
This facility does nor provides Incidental Medical Services – IMS.
For IMS information see PIN 22-02-CCP. 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/.
MyChildCarePlan.org
The director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

No deficiency is cited today, however one technical violation was given.

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

Exit interview conducted and report was reviewed with the director, Deepa Shah. .

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024

LIC809 (FAS) - (06/04)

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