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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408904
Report Date: 04/08/2022
Date Signed: 04/08/2022 04:01:38 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
02/16/2022 and conducted by Evaluator Phyllis Dyer
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220216145559
FACILITY NAME:KENSINGTON L'ACADEMY LANGUAGE IMMERSION PRESCHOOLFACILITY NUMBER:
073408904
ADMINISTRATOR:GENG, HELENAFACILITY TYPE:
850
ADDRESS:1550 OAKVIEW AVENUETELEPHONE:
(510) 526-1010
CITY:KENSINGTONSTATE: CAZIP CODE:
94706
CAPACITY:65CENSUS: 16DATE:
04/08/2022
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Rose GriffinTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Qualifications - Staff not qualified to care and supervise children in care.
INVESTIGATION FINDINGS:
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 LPA Dyer met with Director Rose Griffin to provide the results of the above allegation. Present at the facility is the director, 2 staff and 16 children. It was alleged that Staff not qualified to care and supervise children in care. LPA toured the facility and conducted interviews. During the course of the investigation, interviews disclosed that a teacher was recently terminated from her job, and another teacher had not yet been hired. During this time period, when the teacher in the classroom went on a break, there were only aids taking care of children in the classroom. Also, it was disclosed that teachers took care of more than the allotted number of children in the classroom on at least one occasion.
Therefore, the above allegation is Substantiated. California Code of Regulations, (Title 22, Division 12), are being cited on the attached LIC 9099D (Type B) and must be corrected by the due date.
Exit interview conducted. Director was provided copy of their appeal rights. This report must be kept available for public review for 3 years.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022
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 7
Control Number 02-CC-20220216145559
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: KENSINGTON L'ACADEMY LANGUAGE IMMERSION PRESCHOOL
FACILITY NUMBER: 073408904
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/09/2022
Section Cited
CCR
101216.3
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Teacher-Child Ratio. There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance..
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Director must verify that there is sufficient staff to meet licensing regulations at all times. A written plan of action will be sent to LPA Dyer providing staff schedules and/or steps that will be taken to ensure that ratios are being met at all times.
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This requirement was not met as evidenced by interview: when teacher went on breaks in classroom, there were no other teachers left to substitute. There were only aids left in the classroom. This poses a potential Health and Safety risk to clients in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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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: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022
LIC9099 (FAS) - (06/04)
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