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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700619
Report Date: 08/30/2023
Date Signed: 08/30/2023 03:40:53 PM

Document Has Been Signed on 08/30/2023 03:40 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-FREMONT MISSIONFACILITY NUMBER:
015700619
ADMINISTRATOR:NATTANMAI SARAVANA PRABHU,FACILITY TYPE:
850
ADDRESS:4423 MISSION BOULEVARDTELEPHONE:
(510) 659-9900
CITY:FREMONTSTATE: CAZIP CODE:
94539
CAPACITY: 29TOTAL ENROLLED CHILDREN: 29CENSUS: 1DATE:
08/30/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:K. Prabhu & V. RagavanTIME COMPLETED:
03:59 PM
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A Prelicensing inspection was conducted today 8/302023 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicants, Kaushika Nattanmai Saravana Prabhu and Vaishnavee Ragavan. The applicant has submitted a CHANGE IN OWNERSHIP application for a PRESCHOOL license for 29 preschoolers. The program will operate from 7AM - 6:30PM, Monday through Friday, in 2 classrooms. A health and safety inspection was conducted inside and outside. Applicants stated no changes have been made to the facility. Measurements are on file and they are as follows:

INDOORS: 1004.30 square feet = 29 children
OUTDOORS: 5104.57 square feet = 68 children

The center has obtained an approved fire inspection clearance from the Fremont Fire Department on 8/14/2023.

The preschool rooms are equipped with varied age appropriate materials and equipment. There are 2 toilets and 3 sinks available for children use. There is a separate toilet for staff use. Facility will provide AM/PM snacks and children will bring lunch from home. Menu will be posted at least one week in advance in a place visible for the authorized representative to see. LPA observed age appropriate play equipment and shade for the children on the play yard. Facility will utilize the director's office and staff bathroom as necessary for an ill child. Mats were observed today. Both Kaushika Nattanmai Saravana Prabu and Vaishnavee Ragavan are fully qualified directors and complete director packets have been submitted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2023
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GENIUS KIDS-FREMONT MISSION
FACILITY NUMBER: 015700619
VISIT DATE: 08/30/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (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
LPA reviewed with Applicant the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
LPA discussed the safe sleep regulations with applicant 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 the Applicant of the importance of checking for 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. 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 platforms.
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.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview conducted and report was reviewed with the applicants, K. Prabhu & V. Ragavan.

A license for 29 preschool aged children will be issued effective today's date, 8/30/2023.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC809 (FAS) - (06/04)
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