304371297-8-30-2019-06-CC-DVAA-BFJPHR-20190830112021

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371297
Report Date: 08/30/2019
Date Signed: 08/30/2019 11:20:29 AM

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 LOMA RIDGE		FACILITY NUMBER:	304371297
ADMINISTRATOR:	SIMONCINI WINN, JESSICA		FACILITY TYPE:	840
ADDRESS:	500 TOMATO SPRINGS		TELEPHONE:	(949) 677-1177
CITY:	IRVINE	STATE: CA	ZIP CODE:	92618
CAPACITY:	135	CENSUS: 0	DATE:	08/30/2019
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Jessica Simoncini Winn, Director, Tejal Patel, Administrator		TIME COMPLETED:	12:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	A Pre-Licensing inspection was conducted today by LPA Dean Valencia. LPA met with Director Jessica Simoncini. The pending facility is located on the Loma Ridge Elementary School campus in rooms CC1, CC2, and CC3 and will operate from 7am to 6pm, Monday through Thursday, and 7am to 10pm on Friday. Applicant is seeking to provide care for 135 school age children. LPA toured the entire facility indoors & outdoors and the following measurements were taken: Indoor: Documentation from the State Architect shows that the rooms measure for the requested capacity of 135, per clearance code E3. Toilets and sinks: Toilets 12 x 15 = 180 children Sinks 13 x 15 = 195 children Outdoor: Available outdoor space is sufficient for the requested capacity, and will be shared with the elementary school campus. A waiver has been requested. Fire clearance from the Fire Authority has been received on 8/29/19, and approved for requested capacity. The following was observed: · Classrooms are adequately equipped with age and size appropriate furniture and equipment · Drinking fountains are available for inside and outside water. · Playground is safe and had age appropriate equipment. · Outdoor activity area is supplied with age and size appropriate equipment. · Adequate shade is provided by EZ Ups and awnings. · AM and PM snacks are provided by the facility, and lunch will be brought from home. · The school office will serve as the isolation area for ill children until parents arrive. · A separate staff restroom is available for adults. · Medication will be stored in a locked cabinet and is inaccessible to children. (continued on LIC809C)

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019

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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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 LOMA RIDGE	FACILITY NUMBER: 304371297
	VISIT DATE: 08/30/2019

NARRATIVE

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- First Aid kit is complete.
- Sign in/Sign out record was reviewed and meets regulation requirements.
- There is at least one working fire extinguisher, smoke detector, and carbon monoxide detector.
- The facility will be sharing the elementary school play grounds, and a waiver to do so has been requested.
- The facility will be sharing elementary school restrooms, and a waiver to do so has been requested.

Applicant was notified about emergency/disaster drills, posting requirements, children records, mandated child abuse and injury/ death reporting, and fingerprint clearance requirements. Applicant was also advised, once licensed, the Notice of Site Visit must be posted for 30 days and if A violations are cited then the Licensing Report (LIC809 or 9099) must be posted by the Notice of Site Visit for a period of 30 days or $100 civil penalties will be assessed.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Exit interview was conducted and a copy of this report was provided to the facility on this date, 8/30/2019.

A copy of this report must be made available to the public for 3 years.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019

LIC809 (FAS) - (06/04)

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