<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371210
Report Date: 09/23/2024
Date Signed: 09/24/2024 10:58:00 AM

Document Has Been Signed on 09/24/2024 10:58 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LEPORT-IRVINE WOODBRIDGEFACILITY NUMBER:
304371210
ADMINISTRATOR/
DIRECTOR:		ROTENBERRY, CHRISTINE LINFACILITY TYPE:
850
ADDRESS:26 LAKE ROADTELEPHONE:
(949) 551-9020
CITY:IRVINESTATE: CAZIP CODE:
92604
CAPACITY: 118TOTAL ENROLLED CHILDREN: 118CENSUS: 46DATE:
09/23/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:25 AM
MET WITH:Facility Representative Karla MelgarTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 9/23/2024 at 10:25am, Licensing Program Analyst (LPA), Christine Jung, conducted an unannounced case management – legal/noncompliance inspection. Upon arrival, LPA met with facility representative, Karla Melgar, and was led on a tour of the facility. There were 46 children and nine (9) staff members present. The facility was operating within teacher-child ratios and licensed capacity.

Facility Personnel Report Summary review indicated all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

LPA was led on a tour of Rooms 1 (A & B), 2, 5, 6, and two outdoor play yards. Children from Room 1 (A & B) were engaged in outdoor play in the toddler play yard. Children from Rooms 2, 5, and 6 were engaged in various classroom activities.

During the visit, LPA reviewed the procedures agreed upon during the Noncompliance Conference (NCC) on 8/17/2023.

LPA reviewed 12 teacher files, including teacher aide and substitute teacher files. Based on record review, teachers is the toddler program were not qualified; see LIC 809D for deficiency cited.

LPA observed toddlers in areas separate from the preschoolers. Facility representative provided LPA with an updated children’s roster. LPA verified the ages of all children enrolled to ensure that toddlers were not comingling with preschoolers. Toddlers from Room 1 (A & B) were observed in the toddler play yard. Toddlers from Room 2 were observed in their classroom separate from the preschoolers. Preschoolers were observed in their classrooms which were in Rooms 5 and 6.

(Go to Page 2)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LEPORT-IRVINE WOODBRIDGE
FACILITY NUMBER: 304371210
VISIT DATE: 09/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA observed sufficient supervision being provided by staff and verified staff to child ratios. LPA observed safety latches being used to prevent children from exiting. However, there was a latch in the far end of the main preschool play yard that was not locked. There were no children present in the main preschool play yard at the time of observation. Facility representative stated that staff check the latches when they take their classes outside for outdoor play time. LPA advised facility representative to ensure that latches are always locked to ensure that children are prevented from exiting school grounds.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Karla Melgar

(End of Report)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/24/2024 10:58 AM - It Cannot Be Edited


Created By: Soo Jin Jung On 09/23/2024 at 03:07 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LEPORT-IRVINE WOODBRIDGE
FACILITY NUMBER: 304371210

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/07/2024
Section Cited
CCR
101216.1(c)(1)

1
2
3
4
5
6
7
101216.1(c)(1) Teacher Qualifications and Duties: Twelve post-secondary semester...with passing grades... and at least six months of work experience in a licensed child care center or comparable group child care program. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Facility will ensure that all staff who are not qualified will enroll for additional courses or partner them with qualified staff. Facility will submit proof of enrollment or classroom reassignments to LPA by due date.
8
9
10
11
12
13
14
Based on record review, the licensee did not comply with the section cited above in that, 5 staff members were not qualified, which poses a potential health, safety or personal rights risk to persons in care.
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:Martha Malane
LICENSING EVALUATOR NAME:Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3