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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198006456
Report Date: 04/03/2024
Date Signed: 04/03/2024 04:33:03 PM


Document Has Been Signed on 04/03/2024 04:33 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 CENTERFACILITY NUMBER:
198006456
ADMINISTRATOR:PAULA GOMEZFACILITY TYPE:
830
ADDRESS:1803/1807 PENNSYLVANIA AVENUETELEPHONE:
(323) 826-5311
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY:36CENSUS: DATE:
04/03/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Paula Gomez, Site SupervisorTIME COMPLETED:
04:50 PM
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On 04/3/24 licensing Program Analyst (LPA) Staicy Perry conducted an unannounced annual inspection. Upon arrival LPA met with Site Supervisor, Paula Gomez. LPA was led on a tour of the facility. This is an infant program with a toddler component which is licensed for 36 children: 20 infants and 16 toddlers. The facility operates Monday – Friday from 6:30 AM – 5:00 PM. Per the Site Supervisor there are 28 children enrolled. There is a preschool license on site, # 198006455. Preschool, toddler, and infant licenses are conducted in physically separate areas both indoors and outdoors. Infant Center with toddler component is located on White Memorial Adventist Hospital property. LPA observed the children to be eating their snack. Parents can park in a designated white parking area for drop offs and pickups. Parents enter through the gated entrance and ring the bell to gain access into the facility.

Licensing staff observed all required forms/publications to be posted by the front entrance. Facility License, Snack Menus, LIC 613A Personal Rights, PUB 269 Child Car Seat Poster, PUB 369 Notification of Parent's Rights, and LIC 610 Emergency Disaster Plan. LIC 9148 Earthquake Preparedness and Verification of Disaster and Fire Drills were reviewed. Last Fire drill was conducted on 3/29/24. LEAD results were observed to be posted. LPA advised Paula that it must remain posted until next retest is completed. Food Menus were reviewed to ensure that they are being posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. Facility provides breakfast, lunch and snack. Facility uses CACFP food program.

PHYSICAL PLANT: All areas were identified on the Facility Sketch were inspected. LPA observed 4 infants with 2 staff in Infant 1, 5 infants with 2 staff in Infant 2, 6 toddlers with 2 staff in Toddler 1 and 5 toddlers with 2 staff in Toddlers 2.

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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Staicy PerryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 7


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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
VISIT DATE: 04/03/2024
NARRATIVE
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Teacher-child ratios were observed to be in accordance with Title 22 regulations. The Licensee is within the conditions, limitations, and capacity specified on the license. LPA reminded site supervisor that all children need to be observed to be under visual supervision of a teacher at all times. Napping equipment was observed to be in the form of cots and cribs for the infants. Bedding were inspected for good condition, appropriate storage, and cleanliness. Children's napping sheets and blanket are kept in child’s cubbies as well and is washed on a weekly basis by the facility and as needed. Washer and dryer are located in between the infant classrooms inside the staff restroom. Children are allowed to bring in their own blankets if they choose. Storage for children's belongings were inspected. Each classroom was observed to have cubbies labeled with each child’s name which stores each child’s belongings. Toddler classrooms share the bathroom.

Infant Care: LPA observed age-appropriate furniture and equipment, but not limited to cribs, cots, mats; changing tables, and feeding chairs. LPA observed and inspected sleeping equipment to ensure there is a sufficient amount. LPA observed that cribs and/or play yards are free from loose articles and objects. There are no objects hanging above or attached to the side of the crib. Site supervisor was advised that infants shall not be swaddled while in care and all infants up to 12 months should be placed on their back for sleeping. LPA did not observe documentation of 15 minute sleep logs. LPA did not observe 15-minute checks being conducted nor documented in Infant classrooms #1 and #2. LPA observed C#1 to be sleeping in a crib and no 15-minute documentation was available for review. Which is a potential risk to the childrens health and safety. Site supervisor provided LPA with child’s Daily Log that documents the child’s napping times but not the 15-minute sleep checks were not available. Per Site supervisor, the Daily Logs are given to parents at pick up time. Site Supervisor was not able to provide 15-minute checks for classrooms Toddler #1 and Toddler #2. Site Supervisor was advised to keep records for 3 years before discarding.

LPA observed the facility classrooms to be clean, safe, sanitary and in good repair. Furniture and equipment was inspected for good repair, free of sharp, loose, or pointed parts. All surfaces and materials accessible to children, including toys, are toxic free. All toilets and hand washing facilities are in safe and sanitary operating conditions. At this time, the teachers office located near Site Supervisors office is used as an isolation area. LPA observed designated area with cot and a nearby staff restroom. Parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted

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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Staicy PerryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 2 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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
VISIT DATE: 04/03/2024
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Licensing staff observed disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Medication will be placed in the first aid backpack that is placed out of reach for the children. If medication needs to be refrigerated we will use the small fridge located in the kitchen area. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects, and rodents.

Licensing staff observed the valve on the required 2A10BC fire extinguisher indicates fully charged and was serviced on March 12,2024, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Facility has a functioning carbon monoxide and smoke detector that meets statutory requirements. Director states there are no weapons, firearms, or bodies of water on the premises.

OUTDOORS: Licensing staff reviewed the outdoor play area. LPA observed 2 outdoor play yards, one for infants and one for toddlers. Outdoor playground equipment in both yards is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in both of the play yards. The toddler play yard was observed to have an age appropriate apparatus with cushion. Both play yards are enclosed by a small blue gate. LPA observed restrooms that were clean and orderly with 2 operating toilets and 2 sinks in the toddler play yard. Site Supervisor Paula states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this inspection. Paula states there are no weapons or firearms on the premises.

FACILITY RECORDS: Sign in and out sheets were reviewed and are placed at the entrance of each classroom for parents to sign in and out daily to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day.

There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Licensing staff also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present had proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present had proof against TB, measles, pertussis, and influenza. Facility Personnel Roaster were obtained during inspection.



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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Staicy PerryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 3 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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
VISIT DATE: 04/03/2024
NARRATIVE
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Children’s Records were reviewed for completeness; Inspection of required forms was made and documented on the LIC 857. Facility Roasters were obtained during inspection.

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Licensing staff discussed the safe sleep regulations with Lead Teacher and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Lead Teacher of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).


Licensing staff referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Facility has tested for lead October 27, 2022, and had an no exceedances. LPA advised Site Supervisor that all faucets utilized by the children must be tested. Per Paula a retest will be conducted for all faucets accessible to the children. Paula will provide LPA with all updates.


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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Staicy PerryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 4 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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
VISIT DATE: 04/03/2024
NARRATIVE
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Site Supervisor Paula was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Paula was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.



The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Site Supervisor Paula Gomez, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role and their signature on this form acknowledges receipt of these forms.

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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Staicy PerryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 5 of 7
Document Has Been Signed on 04/03/2024 04:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101429(a)(2)(B)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above, LPA did not observe 15 minute checks being conducted nor docmented. Site Supervisor was not able to provide 15 minute checks for Toddler 1 and Toddler 2 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/12/2024
Plan of Correction
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Per Site Supervisor, they will conduct a staff meeting to review Infant Safe Sleep regulations and discussing how Infant Safe Sleep can be maintained during nap times. Staff will watch video titled Infant Safe Sleep www.childcarevideos.org and provide summaries of their understanding. Site Supervio\sor wil provide sign in and out sheet of teachers who attended. Site Supervisor will also submit 1 weeks worth of 15 minute checks for all infants and toddlers aged 0-2 years old to LPA via email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Staicy PerryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 6 of 7