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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371216
Report Date: 01/26/2024
Date Signed: 01/26/2024 02:48:22 PM

Document Has Been Signed on 01/26/2024 02:48 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LEPORT-IRVINE SPECTRUM -SOUTH CAMPUSFACILITY NUMBER:
304371216
ADMINISTRATOR:RIVAS, ANAFACILITY TYPE:
830
ADDRESS:1 TECHNOLOGY DRIVE BLDG HTELEPHONE:
(949) 525-9922
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY: 36TOTAL ENROLLED CHILDREN: 28CENSUS: 22DATE:
01/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Ana RivasTIME COMPLETED:
03:05 PM
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Licensing Program Analyst (LPA) Dean Thompson conducted a case management investigation to follow up on a self-report unusual incident that was submitted to CCL Regional Licensing Office on 12/5/2023. Upon arrival LPA was met with Director Ana Rivas. There were 22 infant children with 10 staff members during todays visit.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 12/5/2023, a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported on 12/1/2023, child#1 (C1) fell inside the Rosemary classroom. On Sunday, 12/3/2023, the director received an email from the parents stating on Saturday, 12/2/2023 C1 was not barring weight on the left leg. On Saturday 12/2/2023 the parent stated C1 would cry during diaper changes. The parent took C1 to urgent care Saturday, 12/2/2023 and X-rays showed C1 had a fracture on the left leg.

Based on interviews which were conducted, and records reviewed, there is no evidence to support any violation of Title 22 regulations. No Title 22 deficiencies are being cited during today's inspection.

Exit interview conducted and report was reviewed with Director Ana Rivas. 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.

Appeal Rights discussed. Director 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.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2024
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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