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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422066
Report Date: 05/07/2025
Date Signed: 05/07/2025 03:33:06 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/14/2025 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250414113706
FACILITY NAME:GENIUS KIDSFACILITY NUMBER:
013422066
ADMINISTRATOR:SAMIMI, KELLYFACILITY TYPE:
830
ADDRESS:11760 DUBLIN BLVD.TELEPHONE:
(925) 828-2081
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:24CENSUS: 4DATE:
05/07/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director, Kelly SamimiTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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-Broken toys and hazardous objects are accessible to children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jyoti Saini arrived unannounced to deliver the findings from a complaint investigation for the above allegation. LPA met with Director Kelly Samimi and explained the purpose of the inspection. The director, two (2) fingerprint-cleared and associated staff members, and four children in care were present for today's visit.
Based on interviews and observations, the facility acknowledged that a pile of broken toys was stored at the back of the building; however, they were never accessible to the children. Furthermore, the facility shared an instance where a teacher accidentally left a purse open on the classroom floor, which contained medications. therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, {Title 22, Division 12, Chapter 1, Section 101223(a)(2) is being cited on the attached LIC 9099D
Appeal rights were given.
A notice of site visit was posted and must remain posted for a period of 30 days.
An exit interview was conducted with Director Kelly Samimi.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/14/2025 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250414113706

FACILITY NAME:GENIUS KIDSFACILITY NUMBER:
013422066
ADMINISTRATOR:SAMIMI, KELLYFACILITY TYPE:
830
ADDRESS:11760 DUBLIN BLVD.TELEPHONE:
(925) 828-2081
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:24CENSUS: 4DATE:
05/07/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director, Kelly SamimiTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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8
9
-A broken ceiling tile in the infant room.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Jyoti Saini arrived unannounced to deliver the findings from a complaint investigation for the above allegation. LPA met with Director Kelly Samimi and explained the purpose of the inspection. The director, two (2) fingerprint-cleared and associated staff members, and four children in care were present for today's visit.
Based on interviews and observations, the facility acknowledged that the ceiling tile had become crooked due to a craft hung by a teacher. The preponderance of evidence standard has been met; therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, {Title 22, Division 12, Chapter 1, Section 101238(a) is being cited on the attached LIC 9099D.
Appeal rights were given.
A notice of site visit was posted and must remain posted for a period of 30 days.
An exit interview was conducted with Director Kelly Samimi.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 52-CC-20250414113706
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
FACILITY NUMBER: 013422066
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/12/2025
Section Cited
CCR
101238(a)
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01238 Buildings and Grounds (a)The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met as evidenced by:
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The facility has fixed the ceiling and issued a directive to the teachers not to hang crafts from the ceiling moving forward.
The POC has been cleared.
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above 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.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 52-CC-20250414113706
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
FACILITY NUMBER: 013422066
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/12/2025
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement is not met as evidenced by:
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The facility shall submit a plan on how to prevent this from happening in the future and submit a plan to CCLD.
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above 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.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5