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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 344500883
Report Date: 12/19/2024
Date Signed: 12/20/2024 07:59:55 AM

Document Has Been Signed on 12/20/2024 07:59 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:L'ACADEMY LANGUAGE IMMERSION PRESCHOOL ELK GROVEFACILITY NUMBER:
344500883
ADMINISTRATOR/
DIRECTOR:		WRIGHT, KATHERINEFACILITY TYPE:
830
ADDRESS:2501 W TARON CTTELEPHONE:
(408) 916-7536
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY: 24TOTAL ENROLLED CHILDREN: 7CENSUS: 4DATE:
12/19/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Osiris Sanchez PalmaTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On 12/19/2024, Licensing Program Analyst (LPA) Beckby conducted a field visit to the facility for the purpose of a case management inspection. LPA arrived at the facility and met with the Spanish Program Specialist, Osiris Sanchez Palma. LPA disclosed the purpose of the inspection and was granted entrance. LPA toured the facility and observed 4 children being supervised by 3 staff. LPA determined, through accessing Guardian, that all required adults were background cleared and associated to the license.

On 11/01/2024, an incident happened at the facility, and the facility failed to report this Unusual Incident to the Department. The lack of reporting poses/posed a risk to the health, safety, and personal rights of person(s) in care. As a result, a Type-B deficiency was cited on a subsequent 809-D page.

An exit interview was conducted, and the report was reviewed with Spanish Program Specialist, Osiris Sanchez Palma. LPA provided Licensee with Appeal Rights. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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 12/20/2024 07:59 AM - It Cannot Be Edited


Created By: Corina Beckby On 12/19/2024 at 09:23 AM
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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: L'ACADEMY LANGUAGE IMMERSION PRESCHOOL ELK GROVE
FACILITY NUMBER: 344500883

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/08/2025
Section Cited
CCR
102416.2(b)

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The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C). This requirement was not met as evidenced by:
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LPA provided a UIR form and department video on reporting requirements. Site Director and Regional Manager will watch the video, write a statement saying they understand and will comply with reporting requirements.
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Site Director failed to report an Incident that happened at the facility on 11/01/2024 to the licensing department.
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A UIR will be submitted to the department by due date. Site Director will email LPA Beckby the statement by due date.

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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:Bettina Engelman
LICENSING EVALUATOR NAME:Corina Beckby
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024


LIC809 (FAS) - (06/04)
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