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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418469
Report Date: 05/18/2022
Date Signed: 05/18/2022 02:55:30 PM


Document Has Been Signed on 05/18/2022 02:55 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:RAINBOW DREW CHILD DEVELOPMENT CORPORATIONFACILITY NUMBER:
197418469
ADMINISTRATOR:CHARITY MARTINFACILITY TYPE:
850
ADDRESS:12611 S. WILLOWBROOK AVETELEPHONE:
(310) 608-3481
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY:72CENSUS: 16DATE:
05/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Verline Rollins, Teacher TIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced case management inspection on 05/18/22 at 2:00PM to the above facility. LPA met with Verline Rollins, Teacher, who guided analyst on a tour of the facility. There were 16 children present with 5 staff.

During the inspection LPA took pictures.

The purpose of the visit was to ensure that the health, safety, and personal rights of children in care are being met.

There were no deficiencies cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Verline Rollins, Teacher, including appeal rights and procedures.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 05/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/18/2022
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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