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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371214
Report Date: 10/18/2024
Date Signed: 10/18/2024 10:48:20 AM

Document Has Been Signed on 10/18/2024 10:48 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LEPORT-IRVINE SPECTRUM-NORTH CAMPUSFACILITY NUMBER:
304371214
ADMINISTRATOR/
DIRECTOR:
BARTOLOME, KRISTAFACILITY TYPE:
850
ADDRESS:1 TECHNOLOGY DRIVE BLDG. ATELEPHONE:
(949) 427-3968
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY: 119TOTAL ENROLLED CHILDREN: 119CENSUS: 0DATE:
10/18/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Krista Bartolome.TIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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An informal office meeting was conducted on this date, 10/18/2024, in the Orange County Regional Office. In attendance was Licensing Program Manager (LPM) Judy Hanson and Licensing Program Analysts (LPA) Dean Thompson along with Director Krista Bartolome, Associate General Counsel Jean Chung, and Regional Director Peter Mali.

The purpose of the informal meeting was to discuss the following.



101212(d)(1)(C) Reporting Requirements (d) Upon the occurrence (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.

101227(7)(B) Food Services (B) A child shall not be served any food to which the child's record indicates he/she has an allergy.

101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.

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.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LEPORT-IRVINE SPECTRUM-NORTH CAMPUS
FACILITY NUMBER: 304371214
VISIT DATE: 10/18/2024
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On 4/22/2024, a complaint was received. On 6/11/2024, the facility received one Type A citation pertaining to Food Services. A child was served a pastry with nuts and once staff realized the child had an allergy to nuts, the pastry was removed before ingesting the pastry. There was no need for staff to utilize epinephrine auto injector. On 7/10/2024, the facility received one Type B citation pertaining to Reporting Requirements. The facility neglected to notify the Licensing office of an unusual incident involving food service in the Camellia classroom.


On 3/12/2024, a complaint was received. On 7/10/2024, the facility received one Type A citation pertaining to Personal Rights. Staff had child lower their pants to show a bruise that was received at home.

On 9/27/2023, an unannounced case management incident inspection was made in response to a self-report Unusual Incident dated 9/25/2023. The facility reported a child being left alone inside the Birch classroom. On 9/27/2023, The facility received one Type A citation pertaining to Responsibility for Providing Care and Supervision.

On 7/20/2022, a complaint was received. On 7/26/2022, the facility received one Type A citation pertaining to Responsibility for Providing Care and Supervision. During the transition from playground to Elm classroom staff did not conduct headcount until entering the classroom and counted 11 children present not 12.

During the informal conference, Director discussed using Tadpoles application for children's name to face, conducting audits, and staff training to help with Responsibility for Providing Care and Supervision. Training regarding Personal rights, Director stated staff go through training at the beginning of the year and they have met Jane Cong-Nguyen from Child Advocate who has also helped with the facility.


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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LEPORT-IRVINE SPECTRUM-NORTH CAMPUS
FACILITY NUMBER: 304371214
VISIT DATE: 10/18/2024
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Upon receipt of this report pertaining to a conference conducted by a local Licensing Agency in which issues of non-compliance are discussed, the Licensee must: 1) Provide a copy of this report to the parent/guardian of children currently enrolled by the next business day or immediately upon return. 2) A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). 3) Obtain signature and date from the child's parent/guardian on the Acknowledgement of Receipt of Licensing Reports LIC 9224. 4) Keep a record immediately upon receipt of the completed and signed LIC 9224 acknowledging receipt of this report in the child's file.

Director was informed to provide a copy of this report and LIC 9224 (Acknowledgement form).

Increased unannounced visits to the facility will be conducted by Community Care Licensing for the next 2 years to monitor compliance. The purpose of these increased inspections to ensure we as the Department are working with the licensees to ensure a return to compliance of regulation and code.

The following was discussed with the Director:
1. The facility must be in compliance at all times.
2. The licensee's will be placed on required visits for the next two years.
3. The facility will be placed on increased inspections for two years.
4. The Director was advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates, forms, and regulations.
5. The Director was advised that subsequent citations within the next 12 months may result in civil penalties.

Exit interview conducted with Krista Bartolome, who is in agreement with the above. A copy of this report was provided to Krista Bartolome.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
LIC809 (FAS) - (06/04)
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