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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700661
Report Date: 11/18/2024
Date Signed: 11/18/2024 05:51:41 PM

Document Has Been Signed on 11/18/2024 05:51 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:GENIUS KIDS - MOWRY CAMPUSFACILITY NUMBER:
015700661
ADMINISTRATOR/
DIRECTOR:		SUGAM TIKUFACILITY TYPE:
860
ADDRESS:3645 MOWRY AVETELEPHONE:
(510) 713-2431
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 23DATE:
11/18/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:44 AM
MET WITH:Sugam Tiku and Nitin Mangi TIME VISIT/
INSPECTION COMPLETED:
06:05 PM
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On Monday, November 18, 2024, at 10:44 AM, Licensing Program Analyst, (LPA) Caroline Colson met with Applicant Sugam Tiku and Managing Member Nitin Mangi for a Change of Ownership prelicensing inspection. The applicant requests 28 Toddler children from 18 months - 36 months and 42 preschool children from 2 years of age to 5 years of age. A health and safety inspection in all areas accessible to children was conducted. There are 23 children and 3 staff members including the center director. The program will operate Monday through Friday from 8:00 AM to 5:00 PM for the Toddler component and 8:00 AM - 6:00 PM for the Preschool component.

Physical Plant: The facility has five (5) classrooms and an outdoor play area. There is adequate heating, lighting, and ventilation. There are no cleaning solutions, chemicals, or other hazards accessible to children. Per Applicant, there are no weapons at the facility.

Classrooms: Furniture and equipment are age appropriate and in good repair. There are separate storage areas for children’s belongings. Drinking water will be provided and distributed in labeled water bottles and an uncontaminated water pitcher for all children. Children do take naps at the facility. There are cots and bedding materials for all the children. Parents will wash all bedding materials every Friday. Staff will sanitized the cots everyday. There is a first aid kit within the each emergency disaster bag. Parents provides all snacks and meals. There are emergency snacks readily available for children.

Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2024
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GENIUS KIDS - MOWRY CAMPUS
FACILITY NUMBER: 015700661
VISIT DATE: 11/18/2024
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Restrooms: Toilets and sinks are operable. There is soap, toilet paper and paper towels for sanitary use.

Classroom measurements:
LPA measured two (2) classrooms for the Toddler Component. LPA measured three (3) classrooms for the Preschool Component. The total indoor measurements for Toddler care and supervision is 1110.66 square feet which will accommodate Applicant's request for 28 Toddler children. The total indoor measurements for Preschool care and supervision is 1366.29 square feet and will not accommodate Applicant's request for 42 Preschool children.

There are a total of five (5) toilets, and five (5) sinks for the children. Administrative Office will be the isolation area. Isolation bathroom will be the staff bathroom.

Outdoor Activity Space:
The outdoor play area is fenced by the building walls. There is enough age-appropriate equipment and toys. The play area has cushioning material underneath all outdoor climbing equipment. The first play area only has shade and play equipment is specifically designated for 2 - 5 year old children. The remaining three areas do not have shade. Per Applicant, the building provides shade for the children when playing outside. There are no bodies of water on the premises. Climbing structures and slides are safe and in good condition. Playground is free of debris and other hazards. Children have access to drinking water and will use their own labeled water bottles outside. The total outdoor play area measurements are 2,444.54 square feet which will not accommodate Applicant's request for 42 Preschool children. Furthermore, the outdoor space will not accommodate the Applicant request for the Toddler children because it is a shared space.

Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GENIUS KIDS - MOWRY CAMPUS
FACILITY NUMBER: 015700661
VISIT DATE: 11/18/2024
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Emergency Preparedness/Safety: Emergency Disaster Plan is dated and posted for review. The facility utilizes a land line telephone and cell phones. Fire Clearance was received.

Sign in/Sign out: Applicant is providing a QR code for parent to sign in and sign out. There will be a paper document if the QR does not work.

Licensee 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.

LPA advised per Health and Safety Code 1597.16(a)(1) Lead Testing and PIN-21-21-CCP Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test.

Per Written Directive 100700(c)(1) Written Directives for Lead Testing (1) For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure. LPA discussed the safe sleep regulations with Applicant and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Applicant 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.

Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GENIUS KIDS - MOWRY CAMPUS
FACILITY NUMBER: 015700661
VISIT DATE: 11/18/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and ADA, available at http://www.ada.gov/childqanda.htm

LPA reviewed with Applicant the LIC 311 A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPA discussed 100% supervision is always required in all areas that children have access to including the bathroom. Personal Rights, inspection authority, reporting requirements, maintaining buildings and grounds was reviewed. Staff Qualifications, Staff to Children’s ratios and Capacity was explained to ensure compliance. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

Applicant was informed of the MyChildCarePlan.org website; 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.

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.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GENIUS KIDS - MOWRY CAMPUS
FACILITY NUMBER: 015700661
VISIT DATE: 11/18/2024
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Exit interview was conducted with Applicant Sugam Tiku

The following items are required before a license will be issued:

1. Applicant will purchase antiseptic solutions for each first aid kit.
2. Applicant will purchase tweezers for each first aid kit.
3. Applicant will need to label the men's bathroom as a child's bathroom.
4. Applicant will need to purchase additional soap for the bathroom.
5. Applicant will need to purchase a garbage can for Classroom 1.
6. Contact Fire Department regarding smoke detectors.
7. Applicant will need to contact a contractor to fix the uneven surfaces in the outdoor play areas.
8. Applicant will submit a waiver for the shared play area and for the limited square footage.
9. Applicant will send a copy of the sign in and sign out sheets.
10. Licensing Program Manager (LPM) final file review.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
LIC809 (FAS) - (06/04)
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