401710399-2-13-2020-17-CC-GRES-BLRRWR-20200213122336

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 401710399
Report Date: 02/13/2020
Date Signed: 02/13/2020 12:23:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	RAINBOW BRIGHT CHRISTIAN LEARNING CENTER		FACILITY NUMBER:	401710399
ADMINISTRATOR:	HELEN TOEVS		FACILITY TYPE:	850
ADDRESS:	739 23RD STREET		TELEPHONE:	(805) 238-0551
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY:	40	CENSUS: 25	DATE:	02/13/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Catherine Evenson		TIME COMPLETED:	11:30 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	Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management Inspection and met with Director Helen Toeves and Assistant Director Catherine Evenson. There were 25 children and 5 teachers present during the visit. The purpose of the inspection was to discuss the incident occurred last Fall of 2019. The incident involved 2 day care children, Child # 1 (C1)and Child 2 (C2) engaged in the act of showing the private parts. On 1/20/2020, LPA interview with Director revealed Director and Staff # 1 were aware that 2 children were collecting twigs under the slide. Interview with Staff # 1 on 2/13/2020 revealed Staff # 1 and Director told the 2 children to walk away from the slide to ensure that staff had a direct visual supervision of the children. However, as two (2)children were continuously playing - collecting twigs and wood chips they ended back up again under the slide and it was then the two (2) children were seen acting to show private parts. Child # 3 (C3) saw the the incident and alerted Staff 1 and Director who were attending to other children at that time. Director stated she was aware the children were under the slide and witnessed the incident which she immediately interfered. Assistant Director had talked individually to C1 and C2 with regards to the incident. Continued on 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAINBOW BRIGHT CHRISTIAN LEARNING CENTER	FACILITY NUMBER: 401710399
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/13/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/20/2020 Section Cited	1 2 3 4 5 6 7	(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day.. In addition, a written report... This requirement is not met as evidenced by
	8 9 10 11 12 13 14	Based on the the interview conducted, Assistant director stated, incident was not reported to CCLD within the next day following the incident. UIR was submitted to CCLD on 2/3/2020. This poses a potential Risk to Health and Safety of children in care.	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: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAINBOW BRIGHT CHRISTIAN LEARNING CENTER	FACILITY NUMBER: 401710399
	VISIT DATE: 02/13/2020

NARRATIVE

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Interview with Assistant Director revealed that incident was reported to parents but was not reported to CCLD. Director and Assistant Director and Staff 1 had no recollection of the exact date the incident occurred but it happened around 11:00 AM.
Staff 1 stated at the time of the incident there were total of 20 children and 3 teachers in the play ground.

LPA reviewed the content of the Unusual Incident Report (UIR) with the Assistant Director, aside from reporting the incident to the parents of children involved, the CCLD should be informed following the incident. Further, the written UIR was not received by CCLD until 2/3/2020.

This facility is being cited a type B deficiency according to California Code of Regulations, (101212(d) ) on the attached LIC 809 D.

Appeal Rights Given.

LPA observed Assistant Director posted the Notice of Site Visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

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