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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408904
Report Date: 09/01/2023
Date Signed: 09/01/2023 04:01:33 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
07/31/2023 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230731224201
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: 28DATE:
09/01/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Eva PoonTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Child sustained multiple insect bites due to vermin at facility
INVESTIGATION FINDINGS:
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On 09/01/2023 at 1:00 PM, Licensing Program Analyst (LPA) Christina Watts conducted an Unannounced Subsequent Complaint Investigation at Kensington L'Academy Language Immersion Preschool. LPA met with Director, Eva Poon and explained purpose of investigation. During today's inspection, there was 28 preschool children in care with 6 staff. Director stated they are 37 children enrolled. Finding for the above allegation was delivered during the inspection.

Complainant alleges that child sustained multiple insect bites due to vermin at facility.
During the course of the investigation, LPA inspected the facility, reviewed records and conducted interviews. It was determined that C1 did sustain multiple insect bites due to the condition of the sandbox in the facility. 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 Director, Eva Poon. 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: 09/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2023
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-20230731224201
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: 09/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/08/2023
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement has not been met as evidenced by:
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LPA observed sandbox and mulch has been installed in the sandbox area. By COB, 09/08/2023, Director will send a statement on how they stay in compliance.
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Facility failed to upkeep the sandbox which resulted in C1 receiving mulitple vermin bites on their body 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: 09/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2023
LIC9099 (FAS) - (06/04)
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