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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 03:30:29 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
08/30/2023 and conducted by Evaluator Monica Mathur
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230830133750

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: DATE:
09/01/2023
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Eva PoonTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Outdoor Activity Space - Playground area is not being maintained
INVESTIGATION FINDINGS:
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On 9/1/23 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Initial Complaint Investigation at Kensington L'Academy Language Immersion Preschool. LPA met with Interim Director, Eva Poon and explained the purpose of today's inspection. Complainant alleges that playground area is not being maintained. During course of investigation LPA conducted indoor and outdoor facility inspection, observations, record review, interviews and obtained documents.

During inspection today, LPA observed fungal growth inside plastic wall of the boat sandbox. The plastic tarp under soft mulch was exposed in several areas, posing a tripping hazard. This is a potential risk to health/safety of children in care.
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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. This is a repeat violation within 12 months under same regulation. Civil penalty of $250 is assessed today.

Exit interview was conducted with Director, Eva Poon. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
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: 2 of 3
Control Number 02-CC-20230830133750
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
101238(a)
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101238 Building & Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by:
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BY POC Due Date 9/8/23 Director agreed to submit plan on how they will stay in compliance; remove hazards and make boat sandbox inaccessible until safe for use.
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LPA observed fungal growth inside plastic wall of the boat sandbox. The plastic tarp under soft mulch was exposed in several areas, posing a tripping hazard. This poses a potential risk to health/safety of children in care.This is a repeat violation within 12 months. Civil penalty of $250 assessed.
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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: Monica Mathur
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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