140907226-6-9-2022-12-CC-SMOA-CF8M3G-20220609091508

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 140907226
Report Date: 06/08/2022
Date Signed: 06/09/2022 09:15:17 AM

COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/09/2022 09:15 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	RAINBOW CONNECTION		FACILITY NUMBER:	140907226
ADMINISTRATOR:	PETERSON,KATHERINE		FACILITY TYPE:	850
ADDRESS:	730 NORTH HOME STREET		TELEPHONE:	(760) 872-1272
CITY:	BISHOP	STATE: CA	ZIP CODE:	93514
CAPACITY:	30	CENSUS: 18	DATE:	06/08/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:05 AM
MET WITH:	Katherine Peterson Director		TIME COMPLETED:	10:50 AM

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	On June 8, 2022 at approximately 8:05 am. Licensing Program Analyst (LPA) Steven Montoya cnducted a Random Annual inspection at the Rainbow Connection preschool center. LPA met with Director Katherine Peterson and staff. Due to LPA computer malfunction, LPA was unable to complete digital inspection report, however inspection was conducted and written inspection report was completed. Teacher/child ratios were observed. LPA observed 18 children and 4 teachers present during this inspection. The preschool consists of 1 classrooms. The facility hours of operations are Monday through Friday: 7:30 am to 5:30 pm. During this inspection LPA was given tour the facility by the director. LPA observed equipment/supplies, and reviewed a sample of children and staff files. Furniture and equipment were inspected for age appropriateness and good repair. All rooms observed to be clean and safe. Telephone service was verified (760) 872-1272 and Cell (760) 937-3623. Heating, lighting, and ventilation are adequate. There are cubbies with children's names on them for their belongings in each classroom. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of water pitchers and disposable cups. LPA observed a sufficient quantity of mats available for napping children. The bedding is stored separately. Mats are cleaned regularly. LPA observed a Fire extinguisher, smoke detectors and carbon monoxide detector were observed to be operable condition. LPA observed outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. LPA observed small and large (anchored) play structures with grass underneath and a grass area for active play. The area was observed to be free of debris. There is an area for shade and rest. There are no open bodies of water on the premises.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven Montoya	TELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: RAINBOW CONNECTION	FACILITY NUMBER: 140907226
	VISIT DATE: 06/08/2022

NARRATIVE

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LPA inspected and observed the 1 bathrooms to be clean, functioning properly and age appropriate. Pre-K class bathroom has 1 toilet and 1 sink. LPA observed them all to be clean with soap, toilet paper and paper towels readily available in each. There is a kitchen with refrigerator, microwave, and sink. Director reports the parents provide sack lunches however, the facility provides morning and afternoon snack.

Upon arrival, children are inspected for illnesses as they arrive. There is a separate area for isolation and care of ill children either in the director's office or in a separate area of the classroom.

The following information was discussed with the licensee:

ü Mandatory Forms for the children’s files and provider’s files.
ü Requirements for fire drills, earthquake drills, and documentation for both.
ü The role and responsibilities of being a mandated reporter were discussed.
ü The licensee is reminded that 100% supervision is required for children at all
times.

ü Director was advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B

ü Director was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-540-4000. Also call the Palmdale CCL office and follow up with a written Unusual Incident/Injury Report (LIC 624B).

Fire/earthquake drills are current. Staff was reminded to review the Licensing website at ccld.ca.gov to obtain information about the most recent regulatory changes and the Quarterly Updates.

Continued

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven Montoya	TELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: RAINBOW CONNECTION	FACILITY NUMBER: 140907226
	VISIT DATE: 06/08/2022

NARRATIVE

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CPR/First Aid: LPA observed staff has current Pediatric CPR and First Aid Training with expiration dates; 1 hour of nutrition training, (8) hours of Preventive Health and Safety Training.

· Immunization: Director has the required immunization. The licensee provided a written statement declining the influenza vaccination.

· Mandated Reporter Training: Director was reminded to maintain completed the online mandated reporter training at www.mandatedreporterca.com for all staff.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

No deficiencies cited.

Exit interview conducted, written report was read and a copy provided to the Director Katherine. Director provided email address: Rainbowconnection4u@gmail.com for digital report, appeal rights and notice of site visit to be send via email.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven Montoya	TELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022

LIC809 (FAS) - (06/04)

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