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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015701534
Report Date: 08/13/2026
Date Signed: 08/13/2026 12:48:02 PM

Document Has Been Signed on 08/13/2026 12:48 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 - DUBLIN BLVDFACILITY NUMBER:
015701534
ADMINISTRATOR/
DIRECTOR:
KELLY SAMIMIFACILITY TYPE:
860
ADDRESS:11760 DUBLIN BLVDTELEPHONE:
(925) 828-2081
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 71TOTAL ENROLLED CHILDREN: 71CENSUS: 15DATE:
08/13/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Director, Kally SamimiTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 08/13/2026, Licensing Program Manager (LPM) Wynn Norona and Licensing Program Analyst (LPA) Jyoti Saini met with facility representative Kelly Samimi. The owner, Yang Yang, joined during the visit. The purpose of the visit was to review the change of ownership for a total capacity of 71 children, consisting of 47 preschool children ages 2–6 years and 24 infants ages 0–24 months. The facility plans to utilize Building A: Large Room #1, Room #2 (aka Giggle Giraffes), and Room #3 (Happy Hippos); and Building C: Room #4 (Playful Pandas) for preschool children. Building C Room #5 (aka Tiny Tigers) and Room #6 (aka Cuddly Cubs) will be used for infants. The building also operates a Heritage program, which will be exclusively run in Building B. Building B will be used only to prepare food for the preschool program; children will not have access to this building. The facility is aware that preschool and Heritage children shall not be commingled at any time.The childcare center will operate Monday–Friday from 8:00 AM to 5:30 PM for infants and 8:00 AM to 6:00 PM for preschool children. Fire clearance was approved on 07/21/2026 by the Dublin Fire Prevention Center. There are 15 children (10 preschoolers and 5 infants) present at the facility during today's inspection. LPA and LPM inspected the facility and measured the on-limits areas and classrooms located at the facility

LPA reviewed with facility representative 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 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 Senior Director 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.

Report continues on LIC809-C page 2.

Wynn Norona
Jyoti Saini
DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 - DUBLIN BLVD
FACILITY NUMBER: 015701534
VISIT DATE: 08/13/2026
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Page 2.

INDOOR ACTIVITY SPACE:

There are four preschool classrooms and two infants classrooms.LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, napping cots. There is a first aid kit in each of the classrooms. Medications will be stored in the classroom. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. The Facility representative stated there are no poisons or firearms on the premises. The facility representative stated that children will bring their water bottles and the facility will refill as needed. The facility representative is aware that water must be readily available to children in care at all times. LPA observed fully charged fire extinguishers, carbon monoxide and smoke detectors in the facility.

LPA measured Preschool classrooms. The total classroom spaces contain a total of 2613.78 square feet, which can accommodate applicants’ request for 47 preschool age children and 24 infants. Building A has four toilets and four sinks. Building B has four toilets and three sinks; however, one of the toilet stalls in Building B is exclusively assigned to the Heritage program and is properly labeled. There is a separate private restroom for the staff located in building B. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:

The facility has three separate playgrounds. The preschool play area is a large open space with a shaded section located by Building A. The infant play area is adjacent to the infant classrooms in Building C and is enclosed with a white fence. The Heritage program will use a separate playground located behind Building C. There are no bodies of water on the premises during today's inspection. LPA measured the outdoor activity space. The outdoor play area contains a total of 6980.45 square feet, which can accommodate applicant’s request for 47 preschool aged children and 24 inafnts in care. LPA measured the preschool outdoor activity space. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Report continues on LIC809-C page 3.

NAME OF LICENSING PROGRAM MANAGER: Wynn Norona
NAME OF LICENSING PROGRAM ANALYST: Jyoti Saini
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
LIC809 (FAS) - (06/04)
Page: 3 of 4
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 - DUBLIN BLVD
FACILITY NUMBER: 015701534
VISIT DATE: 08/13/2026
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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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 discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with applicants 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.

The facility was 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, 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.

The facility were 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.

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.

The facility is recommended to be licensed for a total capacity of 71 children (47 preschoolers and 24 infants), effective 08/13/2026


Exit interview conducted and report was reviewed with facility representatives Kelly Samimi and Yang Yang.
NAME OF LICENSING PROGRAM MANAGER: Wynn Norona
NAME OF LICENSING PROGRAM ANALYST: Jyoti Saini
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
LIC809 (FAS) - (06/04)
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