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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408904
Report Date: 08/02/2023
Date Signed: 08/02/2023 08:14:13 PM

Document Has Been Signed on 08/02/2023 08:14 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KENSINGTON L'ACADEMY LANGUAGE IMMERSION PRESCHOOLFACILITY NUMBER:
073408904
ADMINISTRATOR:GENG, HELENAFACILITY TYPE:
850
ADDRESS:1550 OAK VIEW AVENUETELEPHONE:
(510) 529-4443
CITY:KENSINGTONSTATE: CAZIP CODE:
94706
CAPACITY: 65TOTAL ENROLLED CHILDREN: 41CENSUS: 37DATE:
08/02/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:ZhenZhen LiTIME COMPLETED:
05:00 PM
NARRATIVE
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On 08/02/2023 at 4:00 PM, Licensing Program Analyst (LPA) Christina Watts conducted a Case Management Inspection at Kensington L'Academy Language Immersion Preschool. LPA met with owner ZhenZhen Li and explained the purpose of today's visit. Present during inspection were 37 preschool aged children with 6 staff (3 teachers and 3 teacher's aide) between 3 classrooms. Owner stated 41 children are currently enrolled. All staff present had Criminal Record Clearance.

Upon inspection of the facility, LPA observed two staff were supervising 13 preschool . During record review and interviews, it was discovered that there were 2 teacher's aide supervising and caring for children. Staff interviews disclosed that 1 teacher's aide was providing a break to the Fully Qualified staff when LPA entered and inspected the facility. Also, during file review, it was discovered opening staff currently do not possess an up to date ESMA First Aid/CPR certificate. LPA informed and reminder that owner the importance and requirement for one staff member that opens the facility to have a current ESMA approved First Aid/CPR certificate. LPA asked owner on multiple occasions the whereabouts of the Area Manager who is currently Interim Director and owner gave multiple statements as to where the Area Manager location. Interviews disclosed that Area Manager was at another location. When interviewed, staff could not determine which staff was in charge. When LPA asked who was in charge, Owner was unable to identify any staff who were in charge. These are violations of California Code of Regulations, Title 22.
LPA Christina Watts informed Owner, ZhenZhen Li that this report dated 08/02/23 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. Furthermore, LPA Watts informed the Owner to provide a copy of this licensing report dated 08/02/23 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. *SEE LIC 809-D FOR DEFICIENCIES*
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2023
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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Document Has Been Signed on 08/02/2023 08:14 PM - It Cannot Be Edited


Created By: Christina Watts On 08/02/2023 at 05:07 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 08/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/03/2023
Section Cited
CCR
101216(f)

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101216 Personnel Requirements (f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid...shall be present when children are at the child care center...This requirement has not been met as evidenced by:
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By COB 08/02/2023, facility will submit statement on how they will come into compliance and will staff individuals who have ESMA approved CPR/First Aid training.
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Record review revealed opening staff does not have CPR/First Aid when supervising and caring for children which poses an immediate risk to the health, safety or personal rights of children in care.
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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.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 08/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/02/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/02/2023 08:14 PM - It Cannot Be Edited


Created By: Christina Watts On 08/02/2023 at 05:26 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 08/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2023
Section Cited
CCR
101215.1(f)

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101215.1 Child Care Center Directors Qualifications and Duties (f) When the child care center director is absent from the center, arrangements shall be made for a fully qualified teacher...to act as substitute. This substitute child care center director shall be aware of center operations...
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By COB 08/14/2023, Facility must desingate a interim director and will submit statement to licensing on how facility will come back into compliance.
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This requirement has not been met as evidenced by: Staff and Owner were unable to inform Licensing of designate of the facility which poses an potential risk to the health, safety or personal rights of children in care.
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Type B
08/14/2023
Section Cited
HSC1596.885(c)

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The department may...revoke any license...issued under this act upon any of the following grounds and in the manner provided in this act:(c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state.
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By COB 08/14/2023, Owner submit a statement to licensing about how the facility can come into compliance.
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This requirement has not been met as evidenced by: Owner providing multiple statements on the whereabouts of Area Manager.
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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.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 08/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/02/2023


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Document Has Been Signed on 08/02/2023 08:14 PM - It Cannot Be Edited


Created By: Christina Watts On 08/02/2023 at 05:45 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 08/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2023
Section Cited
CCR
101216.2(e)

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101216.2 Teacher Aide Qualifications and Duties (e) An aide shall work only under the direct supervision of a teacher.
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By COB 08/14/2023, facility will submit statement on how facility will come back into compliance.
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This was not met as evidenced by: LPA observed two aides supervising and caring for 13 preschool aged children which poses an potential risk to the health, safety or personal rights of children in care.
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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.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 08/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/02/2023


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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KENSINGTON L'ACADEMY LANGUAGE IMMERSION PRESCHOOL
FACILITY NUMBER: 073408904
VISIT DATE: 08/02/2023
NARRATIVE
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Exit interview conducted and report was reviewed with the owner, ZhenZhen Li. A notice of site visit was given and must remain posted for 30 consecutive days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
LIC809 (FAS) - (06/04)
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