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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700572
Report Date: 07/06/2022
Date Signed: 07/06/2022 12:35:14 PM

Document Has Been Signed on 07/06/2022 12:35 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 KIDSFACILITY NUMBER:
015700572
ADMINISTRATOR:SUBBARAYALU, GOWTHAMANFACILITY TYPE:
830
ADDRESS:4168 TECHNOLOGY DRIVETELEPHONE:
(408) 401-8171
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
07/06/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:32 AM
MET WITH:Gowthaman SubbarayaluTIME COMPLETED:
12:40 PM
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On 07/06/2022, a Prelicensing Visit was conducted today by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Applicant/Director, Gowthaman Subbarayalu. The applicant has submitted an application for an INFANT license. A health and safety inspection was conducted inside and outside. The infant program will operate in 4 classrooms (Classroom (napping rooms 7, 8), Library and open space). Also on site is a Preschool Component operating out of 3 classrooms (Daycare Room, Toddler Option Room, Classroom B (consists of Rooms 1-3)) and a Heritage Program. Applicant understands that no programs will commingle with each other. This facility is located within a business park. Operating Monday through Friday from 8AM - 6PM. . The measurements are as follows:

INDOORS: 809.03 square feet = 23 children
OUTDOORS: 3897.02 square feet = 52 children

Classrooms are equipped with varied age appropriate materials and equipment. There are multiple changing tables within arms reach of a sink. Facility has enough crib space for 8 crib aged children. Applicant is aware that napping space and activity space must be kept separate. There are 2 sinks located within the classrooms. Office and staff bathroom will serve as isolation area for ill children. There is a total of 2 play yards for the infant aged children to utilize. Facility will request an outdoor waiver with sample play schedule due to play yard only measuring for 52 children. Canopies provide sufficient shade in all play yards. Children will bring lunch and AM/PM snacks from home. Facility will have back-up supplies should a child forget or need additional food. Cabinets with cleaners are locked and/or inaccessible to prevent access to children. Facility will utilize electronic sign in and out. The system allows for a unique identifier and records the date and time of day.
This facility plans to provide Incidental Medical Services - IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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
Wynn Norona
Melanie Otsuji
DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GENIUS KIDS
FACILITY NUMBER: 015700572
VISIT DATE: 07/06/2022
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Gowthaman Subbarayalu a fully-qualified infant/preschool director. Subbarayalu has current pediatric cpr/first aid. There is a working telephone on site. Zero Tolerance policies were explained. The center was found to be clean, safe, sanitary, and in good repair.

Facility has received an approved fire clearance from Fremont Fire Department on 6/6/2022. Playground equipment is in good condition. Drinking water is available inside and outside. All toilets and hand washing facilities are in safe and sanitary operating conditions. All licensing required documents are posted.

Applicants were reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

LPA discussed the safe sleep regulations with Applicants and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Applicants of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA reviewed with Applicants the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A license for 23 infants operating out of 4 classrooms (open space, library, and napping rooms [rms 7 & 8]) will be approved effective today's date, 7/6/2022. Also on site are 80 preschool aged children which includes the option to have up to 8 toddlers in the toddler option component.


An exit interview was conducted.
SUPERVISOR'S NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022
LIC809 (FAS) - (06/04)
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