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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015219
Report Date: 04/04/2023
Date Signed: 04/04/2023 02:05:22 PM


Document Has Been Signed on 04/04/2023 02:05 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 IN A CLOUD CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198015219
ADMINISTRATOR:ANGELA MCKINNEYFACILITY TYPE:
850
ADDRESS:1800 E. ANAHEIM STREETTELEPHONE:
(562) 256-1350
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:30CENSUS: 13DATE:
04/04/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director- Bria HatleyTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced case management inspection on 04/04/2023. LPA Navarro arrived at the facility at 1:00pm and met with Director Bria Hatley who guided LPA on a tour of the facility. There were 13 napping children and three staff present during the inspection.

The purpose of today's inspection was to go over the water lead test results received on 03/18/2023. Results show that one water source had action level exceedence of lead. The sink faucet located in the classroom had a lead exceedence of 6.2. LPA Navarro observed the sink fountain had signs saying that the water fountain in under construction to make it inaccessible to children. Per Director, children in care do not use the sink faucet. Per Director, the sink faucet is not used as a drinking or food preparation source. Facility provides drinking water from purified water bottles. LPA Navarro took pictures of the water faucet during the inspection. A deficiency was cited to ensure that the sink faucet noted will not be used as a drinking source or food preparation source for the children.

The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

Exit interview conducted and report was reviewed with Director Bria Hatley. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:
DATE: 04/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/04/2023
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 2


Document Has Been Signed on 04/04/2023 02:05 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: RAINBOW IN A CLOUD CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198015219

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/04/2023
Section Cited

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(b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level.

(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedence
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The facility plans to cap off the sink faucet. Facility will provide drinking water from purified water bottles. Facility will provide a copy of the completed work order and pictures of the completed work to LPA by the POC date of 05/04/2023.
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This requirement was not met as evidenced by record review. Lead test results showed that one water source had an action level exceedence. LPA Navarro observed the sink faucet had signs next to it stating that the faucet is out of order. Per Director, the drinking fountain is not used for food
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preparation or for drinking.

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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: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:
DATE: 04/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/04/2023
LIC809 (FAS) - (06/04)
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