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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423075
Report Date: 03/21/2023
Date Signed: 03/21/2023 04:42:25 PM

Document Has Been Signed on 03/21/2023 04:42 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: 0DATE:
03/21/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Kaneez Tumpa & Sarwar MohibTIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility announced to conduct a Case Management - Licensee Initiated inspection. LPA met with Licensee's Kaneez Tumpa and Sarwar Mohib. Facility has submitted a waiver request to go from a Drop-In day care center to a Full-Time day care center. There were no children present during today's visit as the facility was already closed for the day.

LPA went for a tour with Licensee's to the Don Biddle Community Park located at 6100 Horizon Parkway, Dublin, CA 94568. LPA was taken to the Community Park via Genius Kids Van. LPA was shown the driving route. During this visit LPA observed the Community Park and took photographs of the playground. LPA discussed with the Licensee's their plan for ensuring the children stay safe while transporting children to/from and keeping children safe while away from the facility. Licensee's will submit an updated waiver request with addendum regarding what was discussed during today's visit.

Notice of Site Visit will be provided. Exit interview conducted and report reviewed with Licensees, Kaneez Tumpa & Sarwar Mohib.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2023
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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