013423075-5-3-2023-52-CC-JSAI-CRGPDR-20230503111357

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423075
Report Date: 05/03/2023
Date Signed: 05/03/2023 11:14:06 AM

Document Has Been Signed on 05/03/2023 11:14 AM - 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 DUBLIN ECLIPSE		FACILITY NUMBER:	013423075
ADMINISTRATOR:	ASAD HALIM, HANEEN		FACILITY TYPE:	850
ADDRESS:	5286 IRON HORSE PARKWAY STE. D		TELEPHONE:	(925) 361-0398
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY: 22	TOTAL ENROLLED CHILDREN: 22	CENSUS: 12	DATE:	05/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Director , Haneen Asad Halim		TIME COMPLETED:	11:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Jyoti Saini met with Director, Haneen Halim for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the director. In addition to the director, there are 12 children and 4 staff present today. The facility operates under two part-time preschool programs; -9:00am-12:00pm and 12:00pm-3:00pm and the facility also operates after school program under the heritage license from (12:00 pm- 6:30 pm).The Director stated that heritage school students are never commingled with students enrolled in preschool programme.The facility was inspected indoor and outdoor today for health and safety hazards and the following was observed: There are no bodies of water, firearms, or weapons on the premises. The center is in good condition with proper temperature and ventilation and is free of any hazards. All furniture is in good repair. The Center has age-appropriate toys and equipment. The facility has a waiver for no outdoor space present and visible for review. A first aid kit and a first aid backpack are available. The program requires children to bring their own snacks. Cleaning supplies/toxins are stored inaccessible to children during the inspection. The classroom has appropriate postings. The last Emergency Drill was conducted on 04/12/2023 and is properly logged. LPA reviewed sign-in and out sheet. The center has a complete record of sign-in/out sheets by an authorized pick-up person. There is a working fire alarm system. The room has a working smoke and carbon monoxide detector a fully charged fire extinguisher, and a working telephone available. The center roster was reviewed, and a copy was obtained. A review of 5 children's files and 5 staff files was completed. All children have a record of emergency identification information and immunization record on file. All staff has a criminal record clearance on file. The director was reminded that the opening and closing staff should have a current Pediatric First Aid/CPR certificate on file. see next page..

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GENIUS KIDS DUBLIN ECLIPSE	FACILITY NUMBER: 013423075
	VISIT DATE: 05/03/2023

NARRATIVE

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During inspection,

Director 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.

Incidental Medical Services (IMS) policy was discussed. This facility does not provide IMS (Incidental Medical Services) to children currently. If any IMS is provided, a Plan for Providing 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

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 deficiencies were cited today however, technical violations were given.

A notice of site visit was given and must remain posted for 30 days

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC809 (FAS) - (06/04)

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