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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393622247
Report Date: 07/20/2023
Date Signed: 07/20/2023 01:41:11 PM


Document Has Been Signed on 07/20/2023 01:41 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:GENIUS KIDS TRACYFACILITY NUMBER:
393622247
ADMINISTRATOR:JEANETTE LOWERYFACILITY TYPE:
830
ADDRESS:1960 WEST GRANT LINE ROADTELEPHONE:
(209) 834-5383
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:21CENSUS: 4DATE:
07/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:38 AM
MET WITH:Navi HyareTIME COMPLETED:
10:00 AM
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On July 20, 2023, Licensing Program Analyst (LPA) Stacey Williams met with Facility Representative, Navi Hyare for the purpose of an unannounced 1 year required inspection. Program hours are Monday through Friday 6:30AM-6:00PM. Upon arrival, LPA observed at total of (4) four infant children supervised by (2) two staff. Criminal record clearances have been verified.

LPA conducted a health and safety inspection for all areas accessible to children. Facility Representative stated there are no poisons on the premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. There were cribs available for each infant under 12 months old and cots available for infants over 12 months old. LPA observed a functional smoke/carbon monoxide detector and a fully charged 2A :10BC fire extinguisher. The floors appeared clean throughout the facility. Outdoor play area is free from dangerous conditions and playground equipment is securely anchored to the ground.


There is sufficient resilient material underneath climbing structures. Shade is provided by the building overhang. There is an outdoor waiver on file specifying the following:

1. The number of children in the playground shall not exceed 42.

2. There shall be a schedule of use of the playground made available to all staff.

3. Play equipment shall be age appropriate in designated outdoor yard.

4. There will be no comingling of the infant, preschool, and school age children. All three groups must utilize the playground at separate times.

Program does not provide meals for children in care. Meals and snacks are provided by parent’s/authorized representatives. The facility has a surplus of snacks should a child not bring food from home. Bottles/ cups are labeled. Facility offers drinking water by utilizing a water pitcher where each child’s individual cup is filled. There are also two water fountains onsite. Lead Testing was discussed with the Owner. The owner reported the facility’s water outlets will be tested for lead at the end of July 2023. Sign in/out sheet were reviewed and are conducted via the Brightwell App.

Report continues on LIC 809-C

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: GENIUS KIDS TRACY
FACILITY NUMBER: 393622247
VISIT DATE: 07/20/2023
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Four child files were reviewed. Each child’s file contained required licensing documents. Infant needs and Services Plans were current in infant files. LPA observed infant sleep logs in the files which are done through the Brightwell App. Files for staff who were present at the facility were reviewed. Staff have a criminal record clearance, health screening report, immunization records, and documentation of their educational background, training, and/or experience. Mandated reported training was in each file. CPR certification was verified. Director has an CPR expiration date 6/2025.

LPA reviewed the Department's inspection authority and discussed with staff any changes that may occur regarding Director/Site Supervisor or an employee acting in the director's absence must be reported to department within 10 working days.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Facility Representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee 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.



Per facility representative there are no children that require medication. Facility has an Incidental Medial Service Plan on file. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Report continues on LIC 809-C

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
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
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: GENIUS KIDS TRACY
FACILITY NUMBER: 393622247
VISIT DATE: 07/20/2023
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To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

No Title 22 deficiencies were observed in an area evaluated during the inspection.

Exit interview conducted and report was reviewed with the Facility Representative, Navi Hyare. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
LIC809 (FAS) - (06/04)
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