015700572-10-1-2024-52-CC-LDBX-D9MVSJ-20241001164137

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700572
Report Date: 10/01/2024
Date Signed: 10/01/2024 04:41:45 PM

Document Has Been Signed on 10/01/2024 04:41 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		FACILITY NUMBER:	015700572
ADMINISTRATOR/ DIRECTOR:	SUBBARAYALU, GOWTHAMAN		FACILITY TYPE:	830
ADDRESS:	4168 TECHNOLOGY DRIVE		TELEPHONE:	(408) 401-8171
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY: 23	TOTAL ENROLLED CHILDREN: 23	CENSUS: 9	DATE:	10/01/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:20 PM
MET WITH:	Shruti Gopinath		TIME VISIT/ INSPECTION COMPLETED:	04:50 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	On October 1, 2024 at approximately 1:20 PM, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux arrived for an unannounced Required - 1 Year inspection, and met with Center director, Shruti Gopinath Present today were nine (9) children in care (6 infants and 3 toddler age) and two (2) ) fingerprint cleared staff members present during the inspection. The facility is in ratio today. The facility was toured for a health and safety inspection. This facility has a preschool component #13422418. Hours of operation are Monday through Friday, 8:00am to 6:00pm. CLASSROOMS: Infant Center has three (3) classrooms (Rainbow, Shooting Stars and Room #3). There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting for safety and comfort. There is proper individual storage space for each child. The center has smoke detectors, carbon monoxide detector, working telephone, and fully charged 3A40BC fire extinguishers through out the facility. At least one person trained in CPR/First aid. Per Director, there are no weapons or firearms present in the center. ISOLATION AREA: Director's office away from other children in care until parents arrive. BATHROOMS/CHANGING STATIONS: Staff bathrooms are separate from the children's bathroom. There are three (3) changing stations within the classrooms. Changing tables are clean, sanitary and in good condition. FOOD SERVICE AREAS: This facility provides a snack only option for children in care. Lunch is provided by child's family daily. There is a refrigerator for storage if needed. There are weekly snack menus posted at the facility. All storage containers for solid waste have tight fitting covers that are in good repair. LIC 809-C

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

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	FACILITY NUMBER: 015700572
	VISIT DATE: 10/01/2024

NARRATIVE

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OUTDOOR PLAY AREA: Infant license has no infant outdoor play yard.

Records: LPAs reviewed the facility roster and personnel report and copies were obtained. All individuals subject to criminal record review have a clearance and/or exemption and have been associated to the facility. LPA reviewed two (2) staff files. At least one opening/closing staff member has a current Pediatric CPR/First-Aid Certification. Mandated Reporter Training certificates were reviewed and current. LPA reviewed 4 children’s files. The center utilizes an electronic sign-in/out system. Fire/disaster drills are performed at least once every six months. The last drill was a fire drill conducted on 09/03/2024. All required documents, including waivers are posted in a publicly accessible area.

Record Keeping and Reporting Requirements: Director was reminded that EMSA approved Pediatric CPR and First Aid training must be completed every two (2) years. Mandated Reporter Training ("Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting https://mandatedreporterca.com/. Personnel and facility roster must be properly maintained, and fire/disaster drills must be conducted at least every six (6) months and documented.

Effective August 1, 2003 California Law requires Child Care Licensees to report unusual incidents or injuries to children in care to child’s parents and to the Department of Social Services using the Unusual Incident/Injury Form (LIC 624). Incidents must be reported within 24 hours to the regional office by phone and the written report, LIC 624, within seven (7) business days. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov.

Criminal Record Clearance: Director 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.

LIC 809-C

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

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	FACILITY NUMBER: 015700572
	VISIT DATE: 10/01/2024

NARRATIVE

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Lead 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 referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Per director not administer medication at during today's visit.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When 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.

One (1) Type B deficiencies and one (1) Advisory Notes were issued during today’s inspection.

Type B Deficiencies: In both infant Classrooms the sinks (Rainbow and Shooting Stars) the portal sinks does not work, no water coming out of both faucets at the time of the visit. (See LIC 809Ds for more details.)

Advisory Notes (Technical Violations): During the health and safety inspection, LPA Dacanay Breaux observed three infant bouncers. (See LIC 9102 (TV) for more details.)

A Notice of Site Visit was given and must remain posted for 30 days. Appeal Rights provided. Exit interview was conducted, report was reviewed, with director, Shruti Gopinath.

End of Report

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/01/2024 04:41 PM - It Cannot Be Edited

Created By: Lorraine Dacanay-Breaux On 10/01/2024 at 04:10 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GENIUS KIDS	FACILITY NUMBER: 015700572
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/01/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101439(h)(4)

Infant Care Center Fixtures, Furniture, Equipment and Supplies

(h) Infant changing tables shall: (4) While in use, be placed within arm's reach of a sink. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interviews with teachers in the classrooms, the licensee did not comply with the section cited above in portable sinks not operating, there was no water flowing from the faucet, for the staff to wash hands and/or clean/ sanitize which poses/posed a potential health, safety or personal rights risk to persons in care. The tour was at 2:00PM in the afternoon which meant the sink was not working all day.
	POC Due Date: 10/01/2024
	Plan of Correction
1 2 3 4	Director fixed and/or refilled the water for the portable sink to function properly. LPA observed. Going forward, staff will inform director when the sinks are not working properly and will check the water to ensure there is adequate water.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Chandra Charles

LICENSING EVALUATOR NAME:

Lorraine Dacanay-Breaux

LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

LIC809 (FAS) - (06/04)

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