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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371213
Report Date: 08/24/2023
Date Signed: 08/24/2023 09:31:46 AM

Document Has Been Signed on 08/24/2023 09:31 AM - 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:RIVAS, ANAFACILITY TYPE:
850
ADDRESS:1 TECHNOLOGY DRIVE, BLDG HTELEPHONE:
(949) 525-9922
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY: 156TOTAL ENROLLED CHILDREN: 156CENSUS: DATE:
08/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Ana Rivas, DirectorTIME COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Mila Quinto conducted an unannounced case management incident inspection to follow up on the self-report Unusual Incident dated 6/19/2023. LPA met with Director Ana Rivas. LPA observed 77 preschool children and 15 staff members.

A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 6/19/2023 a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported that Child 1 (C1) had seizure in the classroom and was taken to the hospital.

On 6/28/23 and 7/20/23, LPA interviewed 4 staff members including the director.

According to the Director, was not aware of C1’s history of seizure until the incident on 6/19/23 as parents did not disclose C1’s history of seizures. The director stated followed the protocol and called 911 and called C1’s parents. Director also stated a plan in place was implemented soon after the incident. The other 3 staff interviewed were consistent with Director’s statement.

On 7/18/23, LPA interviewed parent (P1) of C1. According to P1, C1 has a history of febrile seizure however this was the first time C1 had an episode in the school campus. P1 stated did not inform the facility regarding C1’s history of febrile seizure as all the prior episodes happened at home.

Based on the interviews conducted with staff members and P1, the facility was within compliance and no deficiency found.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
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: 08/24/2023
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Exit interview conducted and report was reviewed with the assistant director, Ana Rivas. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC809 (FAS) - (06/04)
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