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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419073
Report Date: 06/14/2022
Date Signed: 06/14/2022 10:02:10 AM


Document Has Been Signed on 06/14/2022 10:02 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:RAINBOW CHILDREN'S ACADEMY, CORP.FACILITY NUMBER:
197419073
ADMINISTRATOR:KELLY COLEMANFACILITY TYPE:
850
ADDRESS:1213 CENTINELA AVENUETELEPHONE:
(310) 672-2400
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY:144CENSUS: 27DATE:
06/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:52 AM
MET WITH:Kelly Coleman, DirectorTIME COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced case management inspection to the above facility on 06/14/2022. LPA arrived at the facility at 08:00 a.m. The purpose of the inspection was for observation, obtain documentation and to interview parents and staff. Census were taken. LPA observed 27 children in care.

During inspection Director Coleman arrived at the facility. LPA discussed the reason for the inspection and interviewed Director during inspection.


LPA observed the following required posted documentation in the main entry way of the facility, Notice of Site Visit LIC9213 dated 05/31/2022 and 06/01/2022 for both licenses.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted with Director Coleman, report reviewed with Director a copy of report and appeal rights given to Director.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:
DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/14/2022
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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