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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423075
Report Date: 09/29/2022
Date Signed: 09/29/2022 02:35:22 PM

Document Has Been Signed on 09/29/2022 02:35 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:GENIUS KIDS DUBLIN ECLIPSEFACILITY NUMBER:
013423075
ADMINISTRATOR:ASAD HALIM, HANEENFACILITY TYPE:
850
ADDRESS:5286 IRON HORSE PARKWAY STE. DTELEPHONE:
(925) 361-0398
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 16DATE:
09/29/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director Haneen Asad HalimTIME COMPLETED:
02:50 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
Licensing Program Analyst (LPA) Jyoti Saini arrived at the facility unannounced for the purposes of conducting a Case Management inspection regarding an Unusual Incident Report filed by the facility. LPA was met by Program Director, Haneen Asad Halim. The facility operates under two part-time preschool programs; -9:00am-12:00pm and 12:00pm-3:00pm and The facility also operates after school program under the heritage license from (12:00 pm- 6:30 pm). Present for today's inspection are 6 fingerprints cleared and associated staff members and 16 children in care.
LPA inspected the the facility for health and safety hazards. LPA conducted staff interview and obtained copy of current LIC 500 and Children’s Roster.

During the interview, Staff mentioned that the discipline policy is mainly 'redirection.' The facility states that Staff does not aggressively handle or grab the children in care, and no one has witnessed anyone holding any child inappropriately. Staff denied that no one has pushed the child into the wall.

There are no deficiencies cited on today's visit.

An exit interview was conducted and the report was discussed.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2022
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 1