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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340309465
Report Date: 06/30/2023
Date Signed: 06/30/2023 11:24:58 AM


Document Has Been Signed on 06/30/2023 11:24 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:RAINBOW DAY CAREFACILITY NUMBER:
340309465
ADMINISTRATOR:ANTHONY, MIAFACILITY TYPE:
850
ADDRESS:901 P STREET, SUITE 155BTELEPHONE:
(916) 448-5231
CITY:SACRAMENTOSTATE: CAZIP CODE:
95814
CAPACITY:48CENSUS: 16DATE:
06/30/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Martha GarciaTIME COMPLETED:
11:40 AM
NARRATIVE
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At 9:40 a.m. on Friday, June 30th, 2023, Licensing Program Analysts (LPAs) Karyn Guerra and Pa Dao Vang met with Representative, Martha Garcia, for the purpose of an unannounced case management - incident inspection regarding a self reported incident that occurred on 6/13/2023. LPAs observed a census of 10 preschool children supervised by 1 staff, and 6 toddler children supervised by 2 staff. An unusual incident report form was received by the department on Wednesday, June 28th, 2023. It was learned that a child (C1) from the toddler classroom was left alone unsupervised on the outdoor play yard for a period of 5-10 minutes while the rest of the classroom had transitioned inside. It was stated in interviews that no staff or children were in the infant classroom, whose windows face the outdoor play yard. It was stated that the child was later found near the outside door by a staff who was conducting closing duties for the day, and taking out the garbage. The child was stated to be in the main preschool play yard portion of the outdoor space. This poses an immediate risk to the health and safety of children in care. Civil penalties were assessed. The facility provided a name to face sheet that is now used to document ratios of children during transition.

Title 22 deficiencies are cited on the subsequent pages of this report. Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 809D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Head Teacher's signature on this report acknowledges receipt of these rights. This report was reviewed with the Representative, Martha Garcia. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:
DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/30/2023
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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Document Has Been Signed on 06/30/2023 11:24 AM - 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827


FACILITY NAME: RAINBOW DAY CARE
FACILITY NUMBER: 340309465

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/03/2023
Section Cited
CCR
101229(a)(1)

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement was not met, as evidenced by:
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The department received documentation of name to face sheets to aide in ratio/supervision tracking. LPA Guerra will also follow up with email containing supervision training video. Director or representative will provide evidence of training completion for all staff by POC due date.
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Based on record review and interview, the above regulation was not met, as a toddler child was left outside, alone and unsupervised for a period of 5-10 minutes. This poses an immediate risk to the health and safety of children in care. Civil penalties were assessed.
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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: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:
DATE: 06/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/30/2023
LIC809 (FAS) - (06/04)
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