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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410505727
Report Date: 02/04/2020
Date Signed: 02/04/2020 03:24:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:RAINBOW PRESCHOOL & DAY CAREFACILITY NUMBER:
410505727
ADMINISTRATOR:BAUTISTA, ROSEANNEFACILITY TYPE:
850
ADDRESS:2223 VERA AVENUETELEPHONE:
(650) 365-3510
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY:22CENSUS: 21DATE:
02/04/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Roseanne BautistaTIME COMPLETED:
03:50 PM
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2, Licensing Program Analyst, LPA Yee conducted a required one-year inspection today. There are 21 children, licensee/Site Director Roseanne Bautista, TA, Cesar Abad present today. The purpose of the inspection was explained. The program operates on the campus of Roosevelt Elementary School. The preschool program uses classroom 33 on the upper campus. A fully qualified teacher is on break. The facility is out of staff/child ratio from 1:55 pm to 2:10 pm. LPA reminded the licensee that she needs to be in compliance with the staff/child ratio at all times. She said she understands.

The classroom has two toilets and two sinks available for children. Children's toilets and sinks are appropriate in size and height for children. The center has a variety of age-appropriate toys and materials for children are available in the classroom. Napping equipment is available for children. The outdoor yard is fenced. The facility is equipped with a smoke detector, a carbon monoxide detector. Per Roseanne, both detectors are working.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, Available at http://www.ada.gov/childqanda.htm
Currently, no children are taking medication but when there is a child with medication it is stored inaccessible to the children in the teacher area.

See next page for continuation ............
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: RAINBOW PRESCHOOL & DAY CARE
FACILITY NUMBER: 410505727
VISIT DATE: 02/04/2020
NARRATIVE
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The center provides two snacks, parents bring lunch for their child. First aid supplies are available in the classroom. The isolation area is in the back corner of the classroom until parents arrive for pick up. The facility has posted the License, Menus, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan. Fire drills are conducted with the Elementary School and were last completed on January 17, 2020. An earthquake drill was conducted on October 17, 2019. A lockdown drill was conducted on November 21, 2019.

The facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA discussed the Mandated Reporter Training, AB1207 that was effective on 1/1/2018. All staff must take the training and keep the certificate on file. The training needs to be renewed once every 2 years. Child Abuse Mandated Reporter Training, AB1207. https://www.mandatedreporterca.com/

LPA obtained updated information on LIC500 and current phone number. LPA reminded the licensee that she has an annual fee due next month. A blank copy of the Center checklist was provided during the inspection.

See page next page for deficiencies cited today. This report was discussed and a copy was left with Roseanne. Notice of Site Visit was observed to be posted and shall remain posted for 30 days.
Facility was advised to post and provide copies of this report to parents and guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents shall sign the LIC 9224 as proof of receipt.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: RAINBOW PRESCHOOL & DAY CARE
FACILITY NUMBER: 410505727
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/05/2020
Section Cited

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101170(e)(1) Criminal Record Clearance. All individuals subject to a criminal record review as specified in Section 1596.871 prior to working, residing or volunteering in a licensed home, shall obtain a California clearance or a criminal record exemption as required by the Department.
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LPA observed one staff with no criminal record clearance working at the facility. Licensee said the staff retired and came back. A civil penalty of $100 was issued today.

This requirement is not met as evidenced by records review. This poses an immediate safety risk to children in
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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: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: RAINBOW PRESCHOOL & DAY CARE
FACILITY NUMBER: 410505727
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2020
Section Cited

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H&S Code 1596.8662(b)(5) On and after January 1, 2018, a person who becomes an administrator or employee of a licensed child day care facility shall complete the mandated reporter training. All staff members need to take Mandated Reporter Training.
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S3 does not have the required mandated child abuse training as mandated by AB 1207. This requirement was not met as evidence-based upon records review. This poses a potential health risk to children in care.
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Type B
03/04/2020
Section Cited

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H&S 1596.7995(a)(1): Staff Immunization:
Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles.
Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
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S1, S2 do not have proof of staff immunization's (measles), Flu for review during inspection. S3 does not have MMR, TDAP, TB, FLU for review during the inspection.

This poses a potential health risk to children in care.
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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: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4