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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371213
Report Date: 11/17/2025
Date Signed: 11/17/2025 03:55:53 PM

Document Has Been Signed on 11/17/2025 03:55 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 SPECTRUM-SOUTH CAMPUSFACILITY NUMBER:
304371213
ADMINISTRATOR/
DIRECTOR:		RIVAS, ANAFACILITY TYPE:
850
ADDRESS:1 TECHNOLOGY DRIVE, BLDG HTELEPHONE:
(949) 525-9922
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY: 156TOTAL ENROLLED CHILDREN: 156CENSUS: 86DATE:
11/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:47 AM
MET WITH:Director- RIVAS, ANATIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 11/17/2025, Licensing Program Analyst (LPA), Carreiro conducted an unannounced subsequent visit to the facility to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Director RIVAS, ANA. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 86 children and 17 staff members present. Hours of operation are Monday through Friday 7:00am to 6:00pm.

A review of the Facility Personnel Report Summary on this date 11/17/2025 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Director reported that on 10/16/2025, the facility just finished conducting their evacuation drill, and the children were walking from the parking lot to the playground. The Director was notified by Staff #1 (S1) that Child #1 (C1) ran about 5-10 feet outside of the gate, after C1’s classroom walked into the playground, approximately within a minute, S1 saw C1 outside out of the playground and S1 brought C1 back to the playground.

During the course of investigation, LPA interviewed five (5) staff members. LPA could not interview children due to the children not being verbal.

S1 stated that S1 was standing by the open gate, Staff #5 (S5) brought S5’s class to the playground and informed S1 that S5 would be by the gate. S1 stated that during that time, S1 went over to the slide on the playground to help one of S1’s students on the slide.

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NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Jessica Carreiro
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2025
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 SPECTRUM-SOUTH CAMPUS
FACILITY NUMBER: 304371213
VISIT DATE: 11/17/2025
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S1 stated that in corner of S1’s eyes, S1 saw a movement and S1 walked quickly to the gate to check and noticed S5 was not at the gate. S1 stated that S1 saw C1, who was from S5’s classroom, was outside of the facility gate. S1 stated S1 grabbed C1’s hand, brought C1 back into the playground, and informed S5 what happened. S5 stated S5 was surprised what happened because S5 counted the children when the children were going to the playground and saw the children play.

Based on the interviews conducted and the self-reported incident, it has been determined there was an absence of supervision that led to C1 being outside of the facility without any staff supervision.

The following violation regarding the responsibility for providing care and supervision was identified during today’s inspection and is being cited pursuant to California Code of Regulations, Title 22, Division 12, Chapter 1, Section 101229(a)(1); please refer to the attached LIC 809D form.

LPA Carreiro informed the Director RIVAS, ANA that this report dated 11/17/2025 document 1 Type A citation. Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Carreiro informed the Director RIVAS, ANA to provide a copy of this licensing report dated 11/17/2025 that documents any 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 RIVAS, ANA. A notice of site visit was given and must remain posted for 30 days.

End of report.

NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Jessica Carreiro
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/17/2025 03:55 PM - It Cannot Be Edited


Created By: Jessica Carreiro On 11/17/2025 at 10:26 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LEPORT-IRVINE SPECTRUM-SOUTH CAMPUS
FACILITY NUMBER: 304371213

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/17/2025
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision (1) No child(ren) shall be left without the supervision of a teacher at any time… Supervision shall include visual observation. This requirement was not met as evidenced by:
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The Director stated that there has been all staff training since the incident regarding supervision procedures/ evacuation procedures/playground safety and already provided the all staff training information to the LPA.
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Based on interviews and record reviews, it has been determined that due to absence of supervision, C1 was found outside of the facility, which poses an immediate risk to the health, safety, and personal rights of the clients 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.
Nguyen K Tran
NAME OF LICENSING PROGRAM MANAGER:
Jessica Carreiro
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/17/2025


LIC809 (FAS) - (06/04)
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