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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423044
Report Date: 08/31/2023
Date Signed: 08/31/2023 01:41:08 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/14/2023 and conducted by Evaluator Monica Mathur
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230814115642

FACILITY NAME:AU BEAU SEJOUR FRENCH PRESCHOOLFACILITY NUMBER:
013423044
ADMINISTRATOR:REFES, LILLIAFACILITY TYPE:
850
ADDRESS:860 30TH STREETTELEPHONE:
(510) 817-4532
CITY:OAKLANDSTATE: CAZIP CODE:
94608
CAPACITY:55CENSUS: 37DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Lillia RefesTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Care & Supervision - child/ren left unattended
INVESTIGATION FINDINGS:
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On 8/31/23 Licensing Program Analysts (LPAs) Monica Mathur and Ashley Akinleye conducted an unannounced Subsequent Complaint Investigation at Au Beau Sejour French School, met with Director, Lillia Refes and explained purpose of investigation. Complainant alleges that child/ren were left alone unattended.

During course of investigation LPAs conducted facility observations, record review, interviews and obtained documents. It was determined that an incident happened on 6/12/23 where a child (C1) was left alone in the class restroom while staff and children transitioned to the outdoor yard. C1 was without visual supervision for at least 10 minutes. Another staff found the child and was brought back to teachers.

Based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited.
This is an absence of supervision which is a zero tolerance incident and posed an immediate risk to health & safety of child in care. Type A deficiency with $500 immediate civil penalty is cited on 9099-D page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 02-CC-20230814115642
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: AU BEAU SEJOUR FRENCH PRESCHOOL
FACILITY NUMBER: 013423044
VISIT DATE: 08/31/2023
NARRATIVE
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Exit interview was conducted, report was reviewed with Director, Lillia Refes.
A NOTICE OF SITE VISIT WAS ISSUED, MUST BE POSTED FOR 30 DAYS.

LPA Monica Mathur informed Director, Lillia Refes that this report dated 8/31/23 with 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
Also, LPA Mathur informed Director, Lillia Refes to provide a copy of this licensing report dated 8/31/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 02-CC-20230814115642
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: AU BEAU SEJOUR FRENCH PRESCHOOL
FACILITY NUMBER: 013423044
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/01/2023
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1)No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation.
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By POC Due Date 9/1/23 Director agreed to
1. submit written plan on how they will ensure compliance with this regulation.
2. By 9/8/23 conduct staff traning, watch CCL training video on Supervision, submit verification of meeting.
www.ccld.ca.gov
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Per investigation, on 6/12/23 a child (C1) was left alone in the class restroom while staff and children transitioned to the outdoor yard. C1 was without visual supervision for at least 10 minutes. Another staff found the child and was brought back to teachers. This posed an immediate risk. $500 immediate civil penalty is assessed.
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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: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5