013423075-6-12-2024-52-CC-JSAI-D66QMW-20240612121814

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423075
Report Date: 06/12/2024
Date Signed: 06/12/2024 12:18:22 PM

Document Has Been Signed on 06/12/2024 12:18 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 DUBLIN ECLIPSE		FACILITY NUMBER:	013423075
ADMINISTRATOR/ DIRECTOR:	SARAF, PUJA		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: 15	DATE:	06/12/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Director, Puja Saraf		TIME VISIT/ INSPECTION COMPLETED:	12:30 PM

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 Puja Saraf 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 15 children and two (2) staff present today. The facility operates under two part-time preschool programs: -9:00 am-to 12:00 pm and 12:00 pm-to 3:00 pm, and the facility also operates after-school programs under the heritage license from (9:00 pm- to 6:00 pm). The Director stated that heritage school students are never commingled with students enrolled in the preschool program. The facility was inspected indoors and outdoors 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, has 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 is visible for review. A first aid kit and a first aid backpack are available. The program requires children to bring their own snacks and only provide snacks during emergencies. The classroom has appropriate postings. The last Emergency Drill was conducted on 05/2024 and is properly logged. LPA reviewed the sign-in and out sheet. The facility uses the Bright Wheel app to sign in and out the children. 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. The center roster was reviewed, and a copy was obtained. A review of six (6) children's files and three (3) staff files was completed. All children have a record of emergency identification information and immunization records on file. The Director, who also acts as opening and closing teacher, has a current Pediatric First Aid/CPR certificate on file. See the next page.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024

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: 06/12/2024

NARRATIVE

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During inspection,

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
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 the facility has completed the lead testing in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
Incidental Medical Services (IMS)
This facility do not provides Incidental Medical Services currently.
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
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.

see next page..

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024

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: 06/12/2024

NARRATIVE

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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.

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

No deficiency is cited today. However, three technical violations were given.

Exit interview conducted and report was reviewed with the facility representative, Puja Saraf.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024

LIC809 (FAS) - (06/04)

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