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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625085
Report Date: 08/08/2023
Date Signed: 08/08/2023 02:44:25 PM

Document Has Been Signed on 08/08/2023 02:44 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:GENIUS KIDS PRESCHOOLFACILITY NUMBER:
343625085
ADMINISTRATOR:SADISHKUMAR, KOTHAIFACILITY TYPE:
850
ADDRESS:2800 LA LOMA DRIVETELEPHONE:
(925) 998-0385
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY: 58TOTAL ENROLLED CHILDREN: 58CENSUS: 45DATE:
08/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kothai SadishkumarTIME COMPLETED:
03:00 PM
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Licensing Program Manager (LPM) Natalie Dunaway, and Licensing Program Analysts (LPA), Erwina Pascual-Golamco and Kyrsten Williams, met with Licensee Kothai Sadishkumar, for a case management visit to discuss Heritage School.

Census included 45 preschool children and 9 staff.

There are no deficiencies cited during today's visit. Exit interview conducted with Licensee, Kothai Sadishkumar.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2023
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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