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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371211
Report Date: 06/01/2021
Date Signed: 06/01/2021 01:30:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LEPORT - IRVINE WESTPARKFACILITY NUMBER:
304371211
ADMINISTRATOR:RIVAS, ANAFACILITY TYPE:
850
ADDRESS:1055 SAN MARINOTELEPHONE:
(949) 833-8474
CITY:IRVINESTATE: CAZIP CODE:
92614
CAPACITY:169CENSUS: DATE:
06/01/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Ms. Rivas, Ana TIME COMPLETED:
11:00 AM
NARRATIVE
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Licensing Program Analyst (LPA) Ketki Desai conducted an announced Case Management Licensee initiated inspection for a change in capacity (Decrease) in the current site for the Preschool program.

Facility currently is licensed for 169 (145 Preschoolers and 24 Toddlers) in room # 2,3,4,5,6,7,8, and 9.

Now facility is requesting a decrease in capacity by removing Room # 5 from Preschool License, reducing the capacity to 140 Preschool age children (116 Preschool age children and 24 Toddlers)

Rooms used by Preschool children are room # 2,6,7,8 and 9.

Rooms used by Toddler option are room # 3 and 4.

LPA met with Facility Administrator Ms. Rivas, Ann who gave a tour of the Preschool and Toddler rooms


All areas identified on the Facility Sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair in the preschool rooms. Napping area has appropriate cots for preschool children. There is a diaper standing up station in the Toddler rooms.

All the rooms were inspected for availability, good repair, water temperature, toilet paper, paper towels, area safety and sanitation. First Aid supplies were inventoried. Playground is completely enclosed by a fence. Outdoor activity area is supplied with age and size appropriate equipment including a climbing structure. An adequate amount of cushioning material (Softcrete) is in place under the equipment. Shade is provided by shaded structure through the entire yard and a Water pitcher and personnel water bottles are used for drinking water.
A review of medication policy, including administering, labeling, storage, and records were made, disaster drills, posting requirements, children records, mandated child abuse and injury/death reporting, and criminal records clearances/exemption transfer requests. (Page-1)
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2021
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LEPORT - IRVINE WESTPARK
FACILITY NUMBER: 304371211
VISIT DATE: 06/01/2021
NARRATIVE
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Indoor measurements: Room # 2,3,4,5,6,7,8 and 9
Preschool # 2
33.5
25.92
868.32
868.32
Preschool # 3 (toddler)
25.25
21
530.25
530.25
Preschool # 4 (toddler)
29.17
16.5
481.31
0.00
481.31
Preschool # 6
37.83
25.58
967.69
0.00
967.69
Preschool #7
36.83
22.17
816.52
0.00
816.52
Preschool # 8
37.83
22
832.26
0.00
832.26
Preschool # 9
31.67
27
855.09
855.09

Total Indoor capacity: 5351.44 divided by 35 = 152.90 (153 children)

There are two yards one for Preschool and One for Toddler option. There is a Waiver for a Staggered schedule for Toddler option on file

Total outdoor activity area (Preschool yard): 9,350 sq. ft = 125 children. / Toddler yard: 75.33 x 42.33 = 3188.72 divided by 75= 42.52 (43 toddlers)
Total Sinks : 12 x15= 180 / Toilets: 12 x 15= 180 (9 toilets and 6 urinals)

Based on today's inspection facility has sufficient space (indoor/ Outdoor/ Sinks and Toilet availability) for the requested capacity of 116 Preschool children age (2-6 years old in Room # 2,6,7,8 and 9 Monday to Friday 7.00 am to 6.00 PM.
24 Toddlers (18 to 36 months) in Room # 3 and 4 only.
Facility shall request a new Waiver for Staggered schedule for Outdoor Toddler yard with Infant yard.

License with the new change in capacity shall be granted after the final review.
Report was read to the Facility Administrator and appeal rights were provided.

Notice of site visit shall be posted for 30 days.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2