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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371213
Report Date: 12/17/2021
Date Signed: 12/17/2021 05:26:58 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/17/2021 05:26 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LEPORT - IRVINE SPECTRUM - SOUTH CAMPUSFACILITY NUMBER:
304371213
ADMINISTRATOR:RATNAYAKE, AYANTHIFACILITY TYPE:
850
ADDRESS:1 TECHNOLOGY DRIVE, BLDG HTELEPHONE:
(408) 973-7337
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY: 156TOTAL ENROLLED CHILDREN: 156CENSUS: 45DATE:
12/17/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:23 PM
MET WITH:Ayanthi Ratnayaki, Head of SchoolTIME COMPLETED:
05:45 PM
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An unannounced Case Management-Incident Inspection was conducted on this day by Licensing Program Analysts (LPAs) Alanna Gontarek and Ryan Chan to follow-up on information received by the Department on an incident dated 12/7/2021. LPAs met with Head of School, Ayanthi Ratnayake, who guided LPAs on a tour of the facility.

LPAs observed 45 preschool children with 9 Staff upon arrival. LPAs went over Incident report with Ayanthi Ratnayake. According to the Unusual Incident reported on 12/8/2021, it was reported that the authorized representative of Child #1 emailed Ayanthi stating Child #2 told Child #1 to show Child #1’s penis to Child #2, and then Child #2 showed Child #1 Child #2’s vagina, stating Child #1 could touch Child #2’s vagina if Child #1 let Child #2 touch Child #2’s penis. Child #1’s authorized representative also stated in the email that two other children were present in the bathroom at this time.

During today’s visit, LPAs interviewed staff, obtained Facility Roster, Sign In and Out Sheets for children and staff present on 12/7/2021, current Personnel Report (LIC 500), and Unusual Incident Report dated 12/9/2021. Incident was reported via telephone on 12/8/2021. Facility reported the incident timely.

Based on insufficient information available at this time, the above mentioned Unusual Incident needs further Follow-up.
There were no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22.

Exit interview conducted with Head of School, Ayanthi Ratnayake. A copy of the Appeal Rights (LIC 9058) were given and explained. Licensee’s signature on the LIC 809 report acknowledges receipt of these rights.

Notice of Site Visit (LIC 9213) was provided to the Director. The notice shall be posted for 30 consecutive days, and posted in a visible location for children’s authorized representatives. Failure to maintain posting, as required, will result in a $100.00 civil penalty.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2021
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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