198006456-7-10-2025-33-CC-SPEY-DJFUEA-20250710153049

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198006456
Report Date: 07/10/2025
Date Signed: 07/10/2025 03:31:08 PM

Document Has Been Signed on 07/10/2025 03:31 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	MAOF/WMMC-RAINBOW CHILDREN'S CENTER		FACILITY NUMBER:	198006456
ADMINISTRATOR/ DIRECTOR:	PAULA GOMEZ		FACILITY TYPE:	830
ADDRESS:	1803/1807 PENNSYLVANIA AVENUE		TELEPHONE:	(323) 826-5311
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90033
CAPACITY: 36	TOTAL ENROLLED CHILDREN: 28	CENSUS: 21	DATE:	07/10/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:50 PM
MET WITH:	Ramiro Ramirez, Director		TIME VISIT/ INSPECTION COMPLETED:	03:35 PM

NARRATIVE

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Unannounced Case Management inspection conducted by Licensing Program Analyst (LPA) Perry on Thursday, July 10, 2025. This inspection was initiated in response to an unusual incident report submitted by the facility on July 10, 2025, regarding an incident that occurred on July 8, 2025.

According to the report submitted by the facility, on July 8, 2025, at approximately 2:40 PM, a child was walking out to the playground area with their group when the child reached out and touched a buggy that had been sitting in direct sunlight. As a result, the child sustained superficial burns on several fingers. The facility staff immediately provided first aid and contacted the child’s parents. The parents picked up the child and took them to the doctor, where superficial burns were confirmed. The physician prescribed ointment and ibuprofen, and indicated there were no activity restrictions. Out of precautionary measures parents are choosing to keep child home the rest of the week.

During today’s inspection, LPA Perry conducted interview with staff directors, collected and reviewed pertinent documents, including but not limited to personnel reports and the children’s roster. Observed the outdoor play area and the buggy. Discussed facility supervision and outdoor safety protocols with the Director. LPA Perry informed the facility director the importance of outdoor safety and regularly checking equipment temperatures in hot weather was discussed with the Director. Due to insufficient information at this time, further investigation may still be needed.

A Notice of Site Visit was issued and posted at the facility for public viewing today. At this time, no deficiencies are being cited. An exit interview was conducted with the Director Ramiro. A copy of this report and the Notice of Site Visit were provided. The Director was advised that the Notice must remain posted for 30 days.

Brandi VanOosten	TELEPHONE: (323) 854-8930
Staicy Perry	TELEPHONE: (323) 981-3350
	DATE: 07/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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