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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408960
Report Date: 08/02/2023
Date Signed: 08/02/2023 08:11:19 PM

Document Has Been Signed on 08/02/2023 08:11 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 PS-INFANTFACILITY NUMBER:
073408960
ADMINISTRATOR:HELENA GENGFACILITY TYPE:
830
ADDRESS:1550 OAK VIEW AVETELEPHONE:
(510) 529-4443
CITY:KENSINGTONSTATE: CAZIP CODE:
94706
CAPACITY: 16TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
08/02/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:ZhenZhen LiTIME COMPLETED:
06:00 PM
NARRATIVE
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On 08/02/2023 at 5:00 PM, Licensing Program Analyst (LPA) Christina Watts conducted a Case Management Inspection at Kensington L'Academy Language Immersion PS - Infant. LPA met with owner ZhenZhen Li and explained the purpose of today's visit. Present during inspection were 8 infants with 3 staff (2 teachers and 1 teacher's aide) in 2 classrooms. Owner stated 8 children are currently enrolled. All staff present had Criminal Record Clearance.

LPA observed on the infant playground multiple rat traps as well as feces of rat on sidewalk area of playground area. Interviews stated that staff have seen rat and/or rat droppings in the last month. Interviews also disclosed multiple sightings of cockroaches. Interviews stated that facility has an issue with rats with the first sighting in January 2023. Interviews stated that owner brought traps for facility back in March 2023 and staff were tasked to clean up the traps. Interviews also stated exterminator had not been called until July 2023. Interview stated that Exterminator has come to facility and set traps. Staff state they still see rat droppings on the walkway of playground. This is a violation of California Code of Regulations, Title 22.

LPA Christina Watts informed Owner, ZhenZhen Li that this report dated 08/02/23 with 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Furthermore, LPA Watts informed the Owner to provide a copy of this licensing report dated 08/02/23 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.

*SEE LIC 809-D FOR DEFICIENCIES*

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2023
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 08/02/2023 08:11 PM - It Cannot Be Edited


Created By: Christina Watts On 08/02/2023 at 05:58 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 PS-INFANT
FACILITY NUMBER: 073408960

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/03/2023
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.
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By COB 08/03/2023, Facility is to clean the playground and submit to licensing a statement on how they will come back into compliance.
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This requirement has not been met as evidenced by: LPA observed multiple rat traps and multiple sightings of rat feces on the walkway of infant playground which poses an immediate 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: 08/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/02/2023


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 PS-INFANT
FACILITY NUMBER: 073408960
VISIT DATE: 08/02/2023
NARRATIVE
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*PAGE 2*

Exit interview conducted and report was reviewed with the owner, ZhenZhen 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: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
LIC809 (FAS) - (06/04)
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