<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340312651
Report Date: 11/08/2022
Date Signed: 11/08/2022 10:00:57 AM


Document Has Been Signed on 11/08/2022 10:00 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:RAINBOW DAY CARE - INFANTSFACILITY NUMBER:
340312651
ADMINISTRATOR:WONG, MARIBELLEFACILITY TYPE:
830
ADDRESS:901 P STREET, SUITE 155BTELEPHONE:
(916) 448-5231
CITY:SACRAMENTOSTATE: CAZIP CODE:
95814
CAPACITY:12CENSUS: 14DATE:
11/08/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Maribelle WongTIME COMPLETED:
10:30 AM
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
On November 8, 2022, Licensing Program Analysts (LPAs) Alize Tillery and Matt Gallo, made an unannounced visit to the facility to conduct a case management inspection.

Upon arrival, LPAs observed 5 infant children in the "yellow room", ages 18 months to 22 months. Director has provided birth dates of the children, LPAs were able to confirm they were all infants. The "yellow room" is not licensed to be used for infant children, as it was originally licensed and intended to be used for the preschool component.

Director has stated that they were using the yellow classroom as an extension to the infant "green room".

LPAs informed Director that she is operating beyond the conditions and limitations specified on the license. LPAs discussed with Director, the process of adding on a toddler component to either the infant or preschool license. Director stated she is working with her board members on submitting an application.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2022
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 11/08/2022 10:00 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833


FACILITY NAME: RAINBOW DAY CARE - INFANTS
FACILITY NUMBER: 340312651

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/09/2022
Section Cited

1
2
3
4
5
6
7
(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

Based on observation and interview, this requirement was not met, evidenced by:
8
9
10
11
12
13
14
LPAs observed 5 infant children in the "yellow classroom" that was licensed and intended to be used for the preschool component.
The only room licensed for the infant component, is the green room.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
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: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2