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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408904
Report Date: 08/11/2023
Date Signed: 08/11/2023 02:40:31 PM

Document Has Been Signed on 08/11/2023 02:40 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: 27DATE:
08/11/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Selene LiTIME COMPLETED:
10:00 AM
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On 08/11/2023 at 8:30 AM, Licensing Program Analyst (LPA) Christina Watts conducted a Case Management Inspection at Kensington L'Academy Language Immersion Preschool. Licensee met with Area Manager (AM), Selene Li to explain the purpose of this visit. During today's inspection, there were 27 children in care with 7 staff in three classroom. (2 Fully Qualified Staff, 2 Teachers and 2 Aide) AM stated there are 41 preschool aged children enrolled. All staff present have Criminal Record Clearance.

During today's inspection, LPA observed aide with 6 unit and not currently enrolled supervising and caring 9 children alone. LPA observed the Fully Qualified Teacher for room enter the facility after it was observed that aide was supervising and caring for 9 children alone. This is a violation of California Code of Regulations, Title 22.

LPA Christina Watts informed Selene Li that this report dated 08/11/2023 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care.

LPA Christina Watts assessed a civil penalty of $250 for a repeat violation within a 12 month period.

*SEE LIC 809-D FOR DEFICIENCIES*

Exit interview conducted and report was reviewed with the Area Manager, Selene 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: 08/11/2023
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.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/11/2023 02:40 PM - It Cannot Be Edited


Created By: Christina Watts On 08/11/2023 at 01:39 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: 08/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/16/2023
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 1 aide supervising and caring for 9 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: 08/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2023


LIC809 (FAS) - (06/04)
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