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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408904
Report Date: 09/01/2023
Date Signed: 09/01/2023 03:36:55 PM

Document Has Been Signed on 09/01/2023 03:36 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: 37CENSUS: 28DATE:
09/01/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Eva PoonTIME COMPLETED:
04:30 PM
NARRATIVE
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On 9/1/23 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Case Management inspection at Kensington L'Academy Language Immersion Preschool. LPA met with Director, Eva Poon and explained purpose of inspection.

Facility self reported an unusual incident to Licensing. Today, LPA conducted interviews, inspected facility and reviewed records. It was determined that an incident happened on 8/30/23 where Child C1's class of 3 teachers and 14 children transitioned indoor, leaving C1 unattended in the outdoor large playground, without visual supervision. C1 was alone for approximately 5-7 minutes. Another staff who was entering playground saw the child; brought them back and informed Director, Eva Poon. Child's room teachers who had transitioned inside were unaware they were missing a child.

This is a zero tolerance incident and posed an immediate risk to health and safety of child in care. Type A deficiency is cited on 809-D page. Immediate civil penalty of $500 is assessed. Exit interview was conducted, this report was reviewed with Director, Eva Poon. A NOTICE OF SITE VISIT WAS ISSUED, MUST BE POSTED TO 30 DAYS.

LPA Monica Mathur informed Director, Eva Poon that this report dated 9/1/23 with 1 Type A citation shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Mathur informed Director to provide a copy of this licensing report dated 9/1/23 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.

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.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/01/2023 03:36 PM - It Cannot Be Edited


Created By: Monica Mathur On 09/01/2023 at 02:36 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: 09/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/05/2023
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation. This requirement is not met as evidenced by:
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By POC Due Date 9/5/23 Director agreed to submit a written plan on how they will come into compliance with regulation.
By Due Date 9/15/23 conduct staff training, discuss regulation, watch training video on CCLD website
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C1 was left outside unattended and without visual supervision, alone for approximately 5-7 minutes. Another staff entering playground saw C1 and brought them back and informed Director. Child's room teachers were unaware they were missing a child. This posed an immediate risk to health & safety of child in care. $500 civil penalty assessed.
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www.ccld.ca.gov

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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: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


LIC809 (FAS) - (06/04)
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