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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371214
Report Date: 07/26/2022
Date Signed: 08/04/2022 01:00:53 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/20/2022 and conducted by Evaluator Stella Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220720141722
FACILITY NAME:LEPORT-IRVINE SPECTRUM-NORTH CAMPUSFACILITY NUMBER:
304371214
ADMINISTRATOR:KOONTZ, DONNAFACILITY TYPE:
850
ADDRESS:1 TECHNOLOGY DRIVE BLDG. ATELEPHONE:
(949) 427-3968
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY:119CENSUS: 60DATE:
07/26/2022
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Donna Koontz, director TIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Lack of Supervision - Child left unattended in classroom
INVESTIGATION FINDINGS:
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This report was amended on 08/04/2022. LPA, Gutierrez met with Karyn Gharib, Business Manager.
On 07/26/2022 at 08:20 AM Licensing Program Analyst, Stella Gutierrez arrived at LePort-Irvine Spectrum-North Campus for the purpose of a complaint that was received for the above alleged allegation. LPA, Gutierrez met with Director, Donna Koontz and Business Manager, Karyn Gharib who was explained the purpose of today’s visit and provided a tour inside and out of the facility. LPA observed 60 preschool children (16 in the toddler classrooms and 44 in the ages 3-5 classrooms) and 12 preschool staff providing care.
A review of the Facility Personnel Report Summary conducted on 07/25/2022 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During today’s visit LPA interviewed the director, 04 staff (02 toddler elm classroom staff and 2 toddler juniper classroom staff) documents obtained today are copy of the Children’s Roster (LIC 9140) and Personnel Report (LIC 500).
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 06-CC-20220720141722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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-NORTH CAMPUS
FACILITY NUMBER: 304371214
VISIT DATE: 07/26/2022
NARRATIVE
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On 08/04/2022, This report has been amended.
On 07/20/2022 a complaint was received with the allegation of Lack of supervision, alleging that Child#1 was left unattended for a duration of 10-15 minutes while in care on 07/18/2022. During today's interviews with five staff, including the director; it was revealed that during the transition on or about 9:30am-9:40ish, from playground to toddler Elm classroom (Elm classroom census was 11 children and 2 staff on the day 07/18/2022) , Child#1 wandered into the Juniper classroom though an open door where no staff were present. Staff # 1 stated being in front of line with children and Staff #2 was at the end of the line. Staff #2 turned around and walked away to attend a different child who was walking to another classroom. It is believed/appears that Child#1 then walked an open door in to an empty dark classroom (Juniper classroom), while Staff #1 and Staff #2 backs were turned as they were assisting other children. LPA interviewed Staff#3 who stated upon returning from the playground at about 9:40am, staff noticed Child#1 standing alone in the dark classroom. Staff#3 stated that Staff#4 requested to immediately notify the Director. The Director went to Child#1’s classroom to ask if they knew where Child#1, this is when staff noticed that Child#1 was not in the classroom. The Director informed Staff #1 and Staff #2 that Child#1 was discovered alone in the Juniper classroom.

Director stated that Staff are reminded every week that upon entering the classroom from the playgrounds, a headcount needs to be conducted to ensure the safety of the children in care. Staff #1 and Staff #2 admitted that they did not conduct a headcount on 07/18/2022 upon entering the classroom, therefore it resulted in Child#1 wandering into an empty classroom. Director further stated that the facility representatives have implemented the importance of keeping the doors closed of empty classrooms at the facility and to make inaccessible to the children in care or where staff are not present. It was stated by all staff interviewed today that the Child#1 was left unattended in the Juniper toddler classroom for at least 10 minutes on 07/18/2022 without supervision of a staff member. It was further revealed that the Director reported the incident to Child#1 authorized representative and to their local licensing office.

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20220720141722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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-NORTH CAMPUS
FACILITY NUMBER: 304371214
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/05/2022
Section Cited
CCR
101229(a)(1)
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101229(a)(1) 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 is not met as evidenced by:
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Director stated that the staff are reminded every Monday on how to conduct head counts at 3 different points. Director will provide a training with the toddler classroom teachers on effective supervision and headcounts on 08/02/2022. Director stated that she will forward the agenda and what staff attended the
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During the transition from playground to classroom (elm classroom) Staff #1 and Staff #2 did not condcut the headcount upon entering the classroom with 11 children present. It as observed by staff #3 and #4 that a child was left unattended in a dark classroom for the duration of 10 minutes. This poses an immediate risk to the children in care.
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training with - role sheet and signatures to LPA, Gutierrez via email to stella.gutierrez@dss.ca.gov by 08/03/2022.
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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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20220720141722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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-NORTH CAMPUS
FACILITY NUMBER: 304371214
VISIT DATE: 07/26/2022
NARRATIVE
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On 08/04/2022, This report has been amended.

Based on interviews and records reviewed the allegation referenced on this report is substantiated. A substantiated finding means that the complaint is substantiated, and the allegation is valid because the preponderance of the evidence standard has been met. The following violation was revealed and is being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1, article 6, 101229(a)(1), please refer to attached 9099 (D).

LPA Stella Gutierrez informed the director, Donna Koontz that this report dated 07/26/2022 document one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk to the health, safety, or personal rights of children in care. Also, LPA Stella Gutierrez informed the director to provide a copy of this licensing report dated 07/26/2022 that documents any Type A citations 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, Donna Koontz. 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.


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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
LIC9099 (FAS) - (06/04)
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