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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423054
Report Date: 01/09/2025
Date Signed: 01/09/2025 02:43:51 PM

Document Has Been Signed on 01/09/2025 02:43 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:GENIUS KIDS DOUGHERTYFACILITY NUMBER:
013423054
ADMINISTRATOR/
DIRECTOR:		PUJA SARAFFACILITY TYPE:
850
ADDRESS:6044 DOUGHERTY ROADTELEPHONE:
(925) 999-9575
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 6DATE:
01/09/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:25 PM
MET WITH:facility representative- Vantika SinghTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Jyoti Saini conducted an unannounced Annual Random Inspection and met with facility representative Vantika Singh. LPA disclosed the purpose of the inspection and was granted entry by the staff. The facility operates two programs: A preschool program from 8:00 am to 6:00 pm and an after-school program under the Heritage license from 12:00 pm to 6:00 pm. The facility includes three classrooms: D101 (Pre-K), E107 (Early Preschool), and C5 (Heritage), along with an indoor play area. While the preschool program does not have an outdoor play yard, it provides an indoor motor skills room and has an outdoor yard waiver posted by the entrance. The facility representative is aware that the preschool program must not be commingled with the Heritage School program. Present for the inspection were the facility representative, one fingerprint cleared staff member, and six (6)children in care. The facility was inspected for health and safety hazards, and the following was observed.
The Classroom E-107 is equipped with a functioning carbon monoxide detector. The facility has a fully charged fire extinguisher and a working telephone available. During the inspection, LPA did not observe any bodies of water on the premises. The facility representative confirmed that no firearms or weapons are stored on the premises. The children and staff have separate bathrooms. Children bring their own water bottles, which the facility refills using water dispensers. The facility provides only snacks, and children bring their lunches. All the required postings are posted. The last emergency drill was conducted on 3/12/2024 at 10:10 am and was properly logged. Staff records were reviewed and completed. All staff members have criminal record clearances on file. The opening and closing staff members have current Pediatric First Aid/CPR certifications.
see next page..
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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: 01/09/2025
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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 do not have any children on medications.
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 facility representative 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.


A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with facility representative, Vantika Singh.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
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