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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394501353
Report Date: 07/18/2025
Date Signed: 11/05/2025 12:18:00 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/16/2025 and conducted by Evaluator Stacey Williams
COMPLAINT CONTROL NUMBER: 53-CC-20250716140931
FACILITY NAME:GENIUS KIDS TRACYFACILITY NUMBER:
394501353
ADMINISTRATOR:LOWERY, JEANETTEFACILITY TYPE:
860
ADDRESS:1960 W GRANT LINE RDTELEPHONE:
(732) 429-4511
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:70CENSUS: 25DATE:
07/18/2025
UNANNOUNCEDTIME BEGAN:
12:08 PM
MET WITH:Vantika SinghTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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License:
Staff are operating beyond the terms and conditions of the license
INVESTIGATION FINDINGS:
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 *** This is an amended report***
On July 18, 2025, Licensing Program Analyst, (LPA) Stacey Williams met with Vantika Singh for the purpose of a complaint inspection regarding the above allegation. The facilty was toured.

Upon inspection, LPA observed eleven school age children supervised by one staff in a designated area licensed for infant occupancy. Facilty Representative stated the school age children are in the infant room to minimize disturbing preschool classrooms. Based on the information received, the allegation is susbstantiated.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 53-CC-20250716140931
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: GENIUS KIDS TRACY
FACILITY NUMBER: 394501353
VISIT DATE: 07/18/2025
NARRATIVE
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 *** This is an amended report***

Exit interview conducted at which time the report was reviewed with Facility Representative, Vantika Singh. A Notice of Site Visit was posted by LPA Williams and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20250716140931
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: GENIUS KIDS TRACY
FACILITY NUMBER: 394501353
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/21/2025
Section Cited
CCR
101161(a)
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** This is an amended report**
A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by:
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** This is an amended report**
Owner will submit updated documentation which shall include a facility sketch for the areas in the space being utilized by the school age children. Owner shall submit documentation regarding the Heritage program being ran in the facility.
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Upon facilty inspection and observation, LPA observed eleven school age children supervised by one staff in a designated area licensed for infant occupancy. This is a potential risk the health and safety of childre in care.
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Documentation will be submitted to CCL by POC date- 7/21/25.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3