073408960-7-21-2023-02-CC-MMEA-CU9PW3-20230731114006

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408960
Report Date: 07/21/2023
Date Signed: 07/21/2023 03:44:28 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
07/10/2023 and conducted by Evaluator Melissa Guirit

COMPLAINT CONTROL NUMBER: 02-CC-20230710141117

FACILITY NAME:	KENSINGTON L'ACADEMY LANGUAGE IMMERSION PS-INFANT		FACILITY NUMBER:	073408960
ADMINISTRATOR:	HELENA GENG		FACILITY TYPE:	830
ADDRESS:	1550 OAK VIEW AVE		TELEPHONE:	(510) 529-4443
CITY:	KENSINGTON	STATE: CA	ZIP CODE:	94706
CAPACITY:	16	CENSUS: 5	DATE:	07/21/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Siqi Li		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
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3
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5
6
7
8
9

Qualifications of staff

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 7/21/23, Licensing Program Analyst (LPA) Melissa Guirit conducted an unannounced complaint
investigation to deliver the findings. LPA met with temporary Director, Siqi Li. Present during today's inspection were 5 children and 3 staff. There were no infants present in the crib-age classroom during today's inspection.

Complainant alleges lack of qualifications of staff. Based on staff file reviews, there are staff that do not have complete units to be considered a fully qualified infant teacher. Although Director is present in the infant classroom, the components utilizes two classrooms that separate crib age children and older infants. There must be a fully qualified infant teacher that can be in both classrooms. See 9099-D for Type B citation.

Based on the file reviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. Exit interview conducted and Notice of Site Visit provided and must be posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

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 7

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
07/10/2023 and conducted by Evaluator Melissa Guirit

COMPLAINT CONTROL NUMBER: 02-CC-20230710141117

FACILITY NAME:	KENSINGTON L'ACADEMY LANGUAGE IMMERSION PS-INFANT		FACILITY NUMBER:	073408960
ADMINISTRATOR:	HELENA GENG		FACILITY TYPE:	830
ADDRESS:	1550 OAK VIEW AVE		TELEPHONE:	(510) 529-4443
CITY:	KENSINGTON	STATE: CA	ZIP CODE:	94706
CAPACITY:	16	CENSUS: 5	DATE:	07/21/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:			TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Infant baby (4 months old) sleeping on his stomach

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 7/21/23, Licensing Program Analyst (LPA) Melissa Guirit conducted an unannounced complaint
investigation to deliver the findings. LPA met with temporary Director, Siqi Li. Present during today's inspection were 5 children and 3 staff. There were no infants present in the crib-age classroom during today's inspection.

Complainant alleges infant baby (4 months old) was sleeping on his stomach. Based on staff interviews, the child that is enrolled does sleep on his stomach, side and back. Per interviews, staff stated that the parents are aware and it states on the name tag that is placed on the crib. LPA reminded Director that even though the child does tend to roll already, that the child must be placed back on his/her back. See 9099-D for Type B citation.

Based on staff interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. Exit interview conducted and Notice of Site Visit provided and must be posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

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 7

Control Number 02-CC-20230710141117

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 PS-INFANT	FACILITY NUMBER: 073408960
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/21/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/21/2023 Section Cited CCR 101430(a)(3)(A)	1 2 3 4 5 6 7	101430(a)(3)(A) Staff shall place infants up to 12-months of ageon their backs for sleeping. This was not met as evidenced by	1 2 3 4 5 6 7	By POC date, Director must ensure that staff understand that children under 12 months are required to be placed on their backs while sleeping. Director will review the Infant Safe Sleep regulations with staff and each staff must submit a written statment of what was understood from the review.
	8 9 10 11 12 13 14	Staff interviews stating that the child is able to roll and sleep on their stomach, but does not put him back on his back. Staff stated that parents are aware and is stated on his name tag placed on the crib.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 7

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
07/10/2023 and conducted by Evaluator Melissa Guirit

COMPLAINT CONTROL NUMBER: 02-CC-20230710141117

FACILITY NAME:	KENSINGTON L'ACADEMY LANGUAGE IMMERSION PS-INFANT		FACILITY NUMBER:	073408960
ADMINISTRATOR:	HELENA GENG		FACILITY TYPE:	830
ADDRESS:	1550 OAK VIEW AVE		TELEPHONE:	(510) 529-4443
CITY:	KENSINGTON	STATE: CA	ZIP CODE:	94706
CAPACITY:	16	CENSUS:	DATE:	07/21/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:			TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Infant room crib spacing is cramped and not to regulation

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 7/21/23, Licensing Program Analyst (LPA) Melissa Guirit conducted an unannounced complaint
investigation to deliver the findings. LPA met with temporary Director, Siqi Li. Present during today's inspection were 5 children and 3 staff. There were no infants present in the crib-age classroom during today's inspection.

Complainant alleges infant room crib spacing is cramped and not to regulation. Based on observations, the infant cribs were too close to each other and Director understood that more space needs to be designated for the cribs. See 9099-D for Type B citation.

Based on observations and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. Exit interview conducted and Notice of Site Visit provided and must be posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 7

Control Number 02-CC-20230710141117

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 PS-INFANT	FACILITY NUMBER: 073408960
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/21/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/21/2023 Section Cited CCR 101439.1(g)	1 2 3 4 5 6 7	Cribs, mats or cots shall be arranged so as to provide a walkway and work space between the cribs, mats or cots sufficient to permit staff to reach each infant without having to step over or reach over any other infant. This was not met as evidenced by:	1 2 3 4 5 6 7	By POC due date, Director must ensure that there is adequate spacing between the cribs. Director must submit a picture of the cribs to ensure there is proper spacing between cribs.
	8 9 10 11 12 13 14	Crib head boards being placed too close to one another.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC9099 (FAS) - (06/04)

Page: 5 of 7

Control Number 02-CC-20230710141117

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 PS-INFANT	FACILITY NUMBER: 073408960
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/21/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/21/2023 Section Cited CCR 101416.2c(1)(A)	1 2 3 4 5 6 7	101416.2c To be a fully qualified infant care teacher...with passing grades, of 12 postsecondary...at an accredited or approved college or university. (A)At least three of the units required in (c)(1) above shall be related to the care of infants...This was not met as evidenced by	1 2 3 4 5 6 7	By POC date, Director must ensure that infant staff have the correct amount of units and prior experience before being considered a fully qualified infant teacher. Director must submit proof of units and experience of each individual that is currently enrolled to become a fully qualified teacher.
	8 9 10 11 12 13 14	Staff file reviews revealing that teachers do not have completed units to be considered a fully qualified infant teacher.	8 9 10 11 12 13 14
CCR	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC9099 (FAS) - (06/04)

Page: 7 of 7