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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408904
Report Date: 08/11/2023
Date Signed: 08/11/2023 02:43:48 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
07/26/2023 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230726094038
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:65CENSUS: 27DATE:
08/11/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Selene LiTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Director did not report mulitple cases of COVID-19 to licensing or parents
INVESTIGATION FINDINGS:
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On 08/11/2023 at 10:00 AM, Licensing Program Analyst (LPA) Christina Watts conducted an Unannounced Subsequent Complaint Investigation at Kensington L'Academy Language Immersion Preschool. LPA met with Area Manager, Selene Li and explained purpose of investigation. Finding for the above allegation was delivered during the inspection. Complainant alleges that Director did not report multiple cases of COVID-19 to licensing or parents.During the course of the investigation, LPA inspected the facility, reviewed records and conducted interviews. It was determined that facility has 3 positive cases of COVID-19 between July 22 -July 24. Facility failed to inform parents of 2 COVID-19 cases and inform licensing of the 3 positive cases of COVID-19. 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 on 9099-D page. Exit interview was conducted with Selene Li. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECTIVE DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023
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 2
Control Number 02-CC-20230726094038
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: 08/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2023
Section Cited
CCR
101212(d)(1)(E)
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101212 Reporting Requirements (d)...during the operation of the child care center...a report shall be made to the Department by telephone or fax within the...next working day and during its normal business hours. In addition, a written report...shall be submitted to the Department within seven days...
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By COB 08/14/2023, Facility will report to licesning all 3 cases of COVID-19. Facility will submit statement on how facility will come back into compliance.
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1)Events reported shall include the following: (E) Epidemic outbreaks.This requirement has not been met as evidenced by: Facility failed to report 3 COVID cases to licensing 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
CCR
101212(f)
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101212 Reporting Requirements f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement has not been met as evidenced by: Facility failed to inform parent/authorized representative of 2 positive cases of COVID-19...
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By COB 08/14/2023, Facility will inform parent of 2 COVID-19 cases. Facility will submit a statement on how they will come back into compliance.
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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.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023
LIC9099 (FAS) - (06/04)
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