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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371212
Report Date: 05/12/2026
Date Signed: 05/12/2026 01:45:27 PM

Document Has Been Signed on 05/12/2026 01:45 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LEPORT-IRVINE ORCHARD HILLSFACILITY NUMBER:
304371212
ADMINISTRATOR/
DIRECTOR:		RATNAYAKE, AYANTHIFACILITY TYPE:
850
ADDRESS:3983 PORTOLA PARKWAYTELEPHONE:
(408) 973-7337
CITY:IRVINESTATE: CAZIP CODE:
92602
CAPACITY: 98TOTAL ENROLLED CHILDREN: 71CENSUS: 49DATE:
05/12/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH: Facility Representative Ayanthi RatnayakeTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 5/12/2026 Licensing Program Analyst (LPA) K. Navar conducted an unannounced Case Management – Incident visit to investigate an unusual incident report that was filed with the office on 4/10/2026. Upon arrival, the LPA met with Facility Representative Ayanthi Ratnayake and informed them of the purpose of the visit. The census at the time of the visit was 49 children and 8 staff present. This is a continuation of a Case Management Incident inspection initiated on 04/20/2026.

A review of the Facility Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.

On 4/10/2026 The Department received an incident report stating that on 4/10/26 2 staff and 16 children were transitioning from playground to classroom 5 and that classroom 5’s door was locked. 1(one) staff S4 then took 4 (four) children through a hallway that leads through the staff break room and to the backdoor of classroom 5 so that S4 can let the 12 children and 1 staff member into classroom 5. 2 staff (S2-S3) were in the staff break room and heard C1 crying at the end of the hallway near the glass entry door. S2 then took C1 to classroom 5 with S4 and called admin.



During the investigation LPA toured the facility on 4/20/2026 with Facility Representative Ratnayake, Ayanthi, interviewed 3 (three) staff (S1, S2, and S5), took video footage, obtained Training Agenda and Signatures of staff present.

Continue to page 2.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LEPORT-IRVINE ORCHARD HILLS
FACILITY NUMBER: 304371212
VISIT DATE: 05/12/2026
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During facility inspection LPA toured hallway that leads to staff break room and classroom 5’s back door. Hallway is about xx steps long that leads to the staff break room that has tables and staff supplies with a back door that was closed. Facility representative stated the back door is classroom 5’s back door and that door is always closed.

3 (three) staff interviewed stated that children were transitioning from the playground and that classroom 5 door was locked and that S4 had taken 4 (four) children with them through a hallway that leads to the staff breakroom and to the backdoor of classroom 5 to let the other staff member and 12 children in. 3 (three) staff interviewed stated that they do not know what happened or why C1 was left at the end of the hallway by the glass door and that 2 (two) staff S2 and S3 heard C1 crying and that S3 had taken C1 back to classroom 5.

During records review, LPA reviewed Training Agenda and Signatures of 10 (ten) staff present. Summary of Training Agenda Topics included Importance of Child Supervision, Classroom Safety, and Licensing Regulations regarding safety and supervision, Face to Name Procedure Review, Transition Observations, and Staff Corrective Action.

LPA K.Navar informed Facility Representative Ayanthi Ratnayake that this report dated 5/12/2026 for Type A citation shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA K. Navar informed Facility Representative Ayanthi Ratnayake to provide a copy of this licensing report dated 5/12/2026, Type A citation 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.

Exit interview conducted and report was reviewed with the Director Ayanthi Ratnayake. A notice of site visit was given and must remain posted for 30 days. Failure to post will result in civil penalties of $100.

End of Report.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/12/2026 01:45 PM - It Cannot Be Edited


Created By: Karen Navar On 05/12/2026 at 01:18 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 ORCHARD HILLS
FACILITY NUMBER: 304371212

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/12/2026
Section Cited
CCR
101229(1)

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101229 Responsibility for Providing Care and Supervision. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This regulation was not met as evidenced by:
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Director provided LPA with Training Agenda Topics regarding care and supervision of children in with 10 (ten) staff signatures of who was present and a copy of 1 (one) staff corrective action.
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Based on records review and staff interviews, C1 was found to be alone without adult supervision in a hallway. This poses as an immediate risk to the health, safety, and 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.
Thuy Ho
NAME OF LICENSING PROGRAM MANAGER:
Karen Navar
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2026


LIC809 (FAS) - (06/04)
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