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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370942
Report Date: 03/26/2021
Date Signed: 03/26/2021 03:40:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:RAINBOW RISING - CYPRESS VILLAGEFACILITY NUMBER:
304370942
ADMINISTRATOR:GRIFFIN, CAYLEIGHFACILITY TYPE:
840
ADDRESS:355 RUSH LILYTELEPHONE:
(949) 333-1488
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY:130CENSUS: 36DATE:
03/26/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Cayleigh Griffin and Jennifer WillisTIME COMPLETED:
02:50 PM
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On 03/26/2021, at 10:00 a.m., Licensing Program Analyst (LPA), Stacy Torrence conducted a virtual inspection with Cayleigh Griffin, Director and Jennifer Willis, Administrator Director of Operation. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. There were 36 children and 7 staff present. Due to COVID-19 state of emergency, a waiver to allow the usage of additional spaces, not licensed by the Department, to accommodate their existing school age children according to the current class size restrictions as a precautionary measure with the COVID-19 outbreak, waiver granted on 06/29/2020 until 09/29/2020, department has agreed to extend the waiver to 06/16/2021.

The Orange County Fire Authority Permit was granted on 09/22/2020 to add the following rooms: Vocal Room, Music Strings, Music Winds (all in MPR), Ilab, Kinder Colab, and Room #2.



Facility check-in procedure: parent walk children to a cart, located outside of classroom, staff conduct a wellness check of the children, children’s temperature is taken, a tablet is located on the cart, in which, parents scan a unique barcode to sign children in, once signed in, children go and wash their hands. If children become ill during the day, they will rest in the isolation area located, in room CC1, in which, there is an area section off, with a couch, there is also a bathroom for the children in this room. All staff bathrooms are located in room CC1. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness.

Children will stay with the same group as assigned and will not be moved from one group to the other. No more than 16 individuals in a cohort and groups must be kept physically separated. Age appropriate furniture including tables and chairs and are present in each of the rooms to meet the needs of children in care. There is a children’s bathroom in the classrooms, which is a total of 3 bathrooms. There is also a bathroom located on the school campus, which is available for children. There are 3 toilets, 8 sinks available. There is a designated outdoor play area with age appropriate equipment and activities. Children bring their own water bottles from home, there are water pitchers and water fountains available for refills. The school have water stations outside, ensuring water is available for the children. The facility also provides disposal cups for children who forget their water bottles.

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: RAINBOW RISING - CYPRESS VILLAGE
FACILITY NUMBER: 304370942
VISIT DATE: 03/26/2021
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The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies.

A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the Orange County Child Care Office at (714) 703-2800.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
LIC809 (FAS) - (06/04)
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