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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340312651
Report Date: 09/01/2022
Date Signed: 09/01/2022 03:16:36 PM


Document Has Been Signed on 09/01/2022 03:16 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, 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: 15DATE:
09/01/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Maribelle WongTIME COMPLETED:
03:30 PM
NARRATIVE
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On September 1, 2022, at approximately 12:30 PM, Licensing Program Analyst (LPA) Alize Tillery, arrived at the facility to conduct a case management inspection. Director Maribelle Wong assisted LPA throughout today's visit. Upong arrival, there were 7 children in the yellow room, supervised by 2 staff, and 8 children in the green room, supervised by 3 staff.

LPA asked Director the age groups of both the Yellow and Green classroom, Director stated that the green room is ages 6 weeks to 18 months, and the Yellow room is ages 18 months to 27 months. Director continued to say that the Yellow classroom was an extension of the infant Green classroom. Director stated that the Yellow classroom is used for the "Toddlers". LPA Tillery explained to Director that the facility is not licensed for a "Toddler Option" and that the license can only care for children up to 24 months. Director was mistaken and did not realize they had been operating out of their licensed conditions. LPA explained the process of adding a Toddler Option component.

During today's inspection, LPA reviewed 4 infant staff member personnel files. All files were observed to be incomplete. LPA provided and reviewed with Director the LIC 125 Entrance Checklist and all documents that are too be maintained in staff personnel files. Director stated that she will work on ensuring all required documents are in staff files.

Deficiencies are cited on the following 809D page. LPA provided appeal rights and reviewed the report with Director. LPA provided a notice of site visit which is to be posted for 30 days
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
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 3


Document Has Been Signed on 09/01/2022 03:16 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, 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: 09/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/09/2022
Section Cited

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(a) Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information.

Based on observation and record review, this requirement was not met evidenced by:
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LPA reviewed 4 staff personnel files and all files were observed to be complete.
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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: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3


Document Has Been Signed on 09/01/2022 03:16 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, 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: 09/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
09/02/2022
Section Cited

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(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:
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Director stated that children ages 18 months to 27 months are in the yellow room. Director stated that the yellow room was an extension to the infant room. Director was mistaken and thought her license allowed her to operate as if she had a toddler option.
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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: Alize TilleryTELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3