304371213-3-3-2022-06-CC-AGOK-CC6UK8-20220303143842

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371213
Report Date: 03/03/2022
Date Signed: 03/03/2022 02:38:50 PM

Document Has Been Signed on 03/03/2022 02:38 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 CAMPUS		FACILITY NUMBER:	304371213
ADMINISTRATOR:	RATNAYAKE, AYANTHI		FACILITY TYPE:	850
ADDRESS:	1 TECHNOLOGY DRIVE, BLDG H		TELEPHONE:	(408) 973-7337
CITY:	IRVINE	STATE: CA	ZIP CODE:	92618
CAPACITY: 156	TOTAL ENROLLED CHILDREN: 123	CENSUS: 85	DATE:	03/03/2022
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Ayanthi Ratnayake, Director		TIME COMPLETED:	02:45 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	An unannounced Case Management-Incident Inspection was conducted on this day by Licensing Program Analyst (LPA) Alanna Gontarek to follow-up on information received by the Department on an incident dated 12/7/2021. At 8:55 a.m., LPA met with Head of School, Ayanthi Ratnayake, who guided LPA on a tour of the facility. Census was taken. LPA observed (3) Toddler Rooms and (4) Primary Rooms. There were 85 children and 14 staff present upon arrival. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility hours are 7a.m.- 6p.m., Monday through Friday. Head of School was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. On 12/17/2021, LPAs Alanna Gontarek and Ryan Chan conducted Initial Complaint Inspection. LPAs went over Incident report with Head of School, Ayanthi Ratnayake. According to the Unusual Incident reported on 12/8/2021, it was reported that the mother 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. LPAs toured facility and interviewed one staff member. LPAs toured inside the classroom where the incident occurred. LPAs observed the door to the children’s bathroom to be removed, allowing for staff supervision while children are using the restroom. During today’s visit (3/3/22), LPA interviewed 2 staff and 4 children. During interviews conducted with staff, S1 and S2 stated that they were inside the classroom helping children go down to sleep, and could not see into the restroom from where they were positioned during nap time. S1 and S2 stated C1, C2, and C3 did not ask, or tell, a teacher to use the restroom. S2 stated that during nap time, S2 observed C3 walking to the restroom. S2 went to inspect the restroom and Page 1 of 2

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

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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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 SPECTRUM-SOUTH CAMPUS	FACILITY NUMBER: 304371213
	VISIT DATE: 03/03/2022

NARRATIVE

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stated observed C1 using the restroom and C2 standing near C1. S2 stated did not observe C1 or C2 touching each other inside the bathroom. Per 3 staff interviewed, children need to ask to use the restroom, and staff supervise the children when children are using the restroom. Per children interviewed, 4 children out of 4 children stated there are rules to use the bathroom and each child must ask to use the bathroom, but sometimes children do not ask to use the bathroom. All 4 children interviewed stated there were 2 teachers in the room during nap time, and will sit on the floor with the napping children.

Documents obtained are as follows: facility roster, employee time cards, children’s attendance times report, Sign In and Sign Out sheets for children and staff present on 12/7/2021, staff training on 1/14/22, and current Personnel Report (LIC 500).

Based on interviews conducted with staff and children, staff present on 12/7/21 were providing care and supervision inside the classroom when the incident occurred.

There were no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1 in regards to the above mentioned Unusual Incident Report.

A Confidential Names list (LIC 811) was provided during this visit.

Exit interview conducted with Head of School, Ayanthi Ratnayake. A copy of the Appeal Rights (LIC 9058) were given and explained. Facility representative's signature on this form 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.

-End of Report-

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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