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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413697
Report Date: 05/03/2023
Date Signed: 05/03/2023 04:51:08 PM


Document Has Been Signed on 05/03/2023 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:RAINBOW CHILDHOOD DEVELOPMENT CENTERFACILITY NUMBER:
434413697
ADMINISTRATOR:HELEN QIUFACILITY TYPE:
830
ADDRESS:227 SOUTH MAIN STREETTELEPHONE:
(408) 781-8428
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:14CENSUS: 9DATE:
05/03/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Helen QiuTIME COMPLETED:
05:00 PM
NARRATIVE
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On Wednesday, May 3, 2023, at 9:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an Unannounced Required One (1) Year Visit. LPA met with the Director Helen Qiu and explained the nature of the site visit. Present on this visit were 9 infant children and 2 staff members. Facility operates from Monday to Friday, 8:30 AM to 5:00 PM.

The facility is a combination center which has a Preschool with Toddler Option component/program on site. The facility has shared office space, food-preparation space, storage space and any other general-purpose space.

LPA toured the facility to conduct a health and safety inspection with the Director. The Infant Program operates on Infant Room.

Furniture and equipment such as cribs, mats, feeding chairs, and changing tables were in sanitary, safe, and functioning condition, free of sharp, loose, or pointed parts. There were no bodies of water. Director stated that facility does not possess nor store any weapons on the premises. Disinfectants, cleaning solutions, sharps, and other items that are dangerous to infants were stored inaccessible. Infant changing tables were located within arm’s reach of a sink.

The Infant Room One has an indoor activity space that is equipped with a variety of age-appropriate washable toys and equipment were maintained in a safe condition and free of hazards.

See 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
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 05/03/2023 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
At 1 pm, during the facility Record Review, Licensee was not able to provided documentation of Disaster Drills on the year of 2022 and 2023.Based on the record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
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2
3
4
The Director will conduct a Disaster Drill and document the drills on or before 05/10/2023. LPA Estoesta required the Director to watch the CALIFORNIA CHILD CARE LICENSING Resources for Parents and Providers Child Care Center Operators Disaster Planning and Fire Safety online video https://ccld.childcarevideos.org/child-care-center-operators/disaster-planning-and-fire-safety/ and will submit a proof of correction to LPA's Regional Office via mail.
Type B
Section Cited
CCR
101174(d)(2)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
At 1 pm, during the facility Record Review, Licensee was not able to provided documentation of Disaster Drills on the year of 2022 and 2023.Based on the record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
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2
3
4
The Director will conduct a Disaster Drill and document the drills on or before 05/10/2023. LPA Estoesta required the Director to watch the CALIFORNIA CHILD CARE LICENSING Resources for Parents and Providers Child Care Center Operators Disaster Planning and Fire Safety online video https://ccld.childcarevideos.org/child-care-center-operators/disaster-planning-and-fire-safety/ and will submit a proof of correction to LPA's Regional Office via mail.
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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/03/2023 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101439.1(f)
Infant Care Center Sleeping Equipment
(f) Cribs shall be free from all loose articles and objects, including blankets and pillows.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
 At 10 am, LPA observed blankets and pillows placed inside the 6 cribs. Based on the above observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
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The Director immediately removed the blankets and pillows out of the crib. LPA required the Director and the Staff to review of the Safe Sleep in Child Care https://cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep and provide completion documentation Safe Sleep Quiz https://www.nichq.org/resource/how-safe-sleep-savvy-are-you?utm_campaign=Resources&utm_source=hs_email&utm_medium=email&utm_content=64305968&_hsenc=p2ANqtz--jiIiqAH6rJA5gX_WKGMCL0mtWbK1_hFygZpH4QbslTvDqB9qhTiCwqHJszhgeSQEH-GzcnwDHvGfZGNM4p69-7hBROA&_hsmi=64305968
Type B
Section Cited
CCR
101439.1(f)(1)(A)
Infant Care Center Sleeping Equipment
(f) Cribs shall be free from all loose articles and objects, including blankets and pillows. (1) Pacifiers shall be allowed in the crib if the following provisions are in place: (A) There shall not be anything attached to the pacifier.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 11 am, LPA observed the Director provided a pacifier to an infant with a rubber cord attachment. Based on the LPA's observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
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The Director immediately removed the blankets and pillows out of the crib. LPA required the Director and the Staff to review of the Safe Sleep in Child Care https://cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep and provide completion documentation Safe Sleep Quiz https://www.nichq.org/resource/how-safe-sleep-savvy-are-you?utm_campaign=Resources&utm_source=hs_email&utm_medium=email&utm_content=64305968&_hsenc=p2ANqtz--jiIiqAH6rJA5gX_WKGMCL0mtWbK1_hFygZpH4QbslTvDqB9qhTiCwqHJszhgeSQEH-GzcnwDHvGfZGNM4p69-7hBROA&_hsmi=64305968
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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/03/2023 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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 At 10 am, LPA observed flying fly inside the infant room.
Based on LPA's observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
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The Director will conduct a cleaning in the facility and will submit a proof to the Regional Office.
Type B
Section Cited
CCR
101429(a)(2)(B)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 1 pm, during record review, the director and or teacher did not conduct a sleeping log. Based on LPA's observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights riskto persons in care.
POC Due Date: 05/10/2023
Plan of Correction
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The Director and the facility Staff will review and acknowledge reading the PIN 20-24-CCP RECENTLY APPROVED SAFE SLEEP REGULATIONS IN EFFECT.
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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/03/2023 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101430(a)(3)(A)
Infant Care Activities
(A) Staff shall place infants up to 12-months of age on their backs for sleeping.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
At 9:50 am, LPA Estoesta observed one infant sleeping sideways. LPA Estoesta told the Licensee Helen that infants up to 12 months should be sleeping on their backs. Based on LPA's observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
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2
3
4
The Director and the facility Staff will review and acknowledge reading the PIN 20-24-CCP RECENTLY APPROVED SAFE SLEEP REGULATIONS IN EFFECT.
Type B
Section Cited
CCR
101430(a)(3)(D)
Infant Care Activities
(D) An infant's head shall not be covered while sleeping.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
 At 9:50 am, LPA Estoesta observed one 3 infants sleeping on 3 cribs wrapped in blankets covering their heads. LPA Estoesta advised the Licensee to removed the blankets. Licensee removed the infants from the cribs and placed them on the floor to play. Based on LPA's observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
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2
3
4
The Director and the facility Staff will review and acknowledge reading the PIN 20-24-CCP RECENTLY APPROVED SAFE SLEEP REGULATIONS IN EFFECT.
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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/03/2023 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) 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.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
At 1 pm, during record review, staff 1 do not have immunuzation record on file and staff 2 do not have a flu vaccine record or declination statement.
Based on LPA's record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
1
2
3
4
The Director will submit proof of correction to the Regional Office.
Type B
Section Cited
CCR
101416.2(b)
Infant Care Teacher Qualifications and Duties
(b) Prior to employment, an infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development, and three postsecondary semester or equivalent quarter units related to the care of infants, at an accredited or approved college or university.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
At 1 pm, Staff 1 anbd 2 do not have transcripts on file.
Based on LPA's record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
1
2
3
4
The Director will submit proof of correction to the Regional Office.
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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
LIC809 (FAS) - (06/04)
Page: 6 of 14


Document Has Been Signed on 05/03/2023 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101416.2(c)(1)(A)
Infant Care Teacher Qualifications and Duties
(c) To be a fully qualified infant care teacher, a teacher shall have the following: (1) Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university. (A) At least three of the units required in (c)(1) above shall be related to the care of infants or shall contain instruction specific to infants.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
At 1 pm, on record review, Staff 1 and 2 do not have transcript on record.
Based on LPA's record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
1
2
3
4
The Director will submit a proof of correction to the Regional Office
Type B
Section Cited
CCR
101416.2(d)
Infant Care Teacher Qualifications and Duties
(d) A photocopy of each teacher's transcript(s) documenting successful completion of required course work shall be maintained at the center.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
At 1 pm, on record review, Staff 1 and 2 do not have transcript on record.
Based on LPA's record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
1
2
3
4
The Director will submit a proof of correction to the Regional Office
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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/03/2023 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
At 1 pm, Staff 1 do not have a certificate of ab 1207 on file.
Based on LPA's record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
1
2
3
4
The Director will submit a proof of correction to the Regional Office.
Type B
Section Cited
CCR
101416.5(b)
Staff-Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
 At 9:50 am, there are 3 staff (Director, staff 1 and 2) with 9 infants children. Staff 1 and 2 do not have transcript on record.
Based on LPA's record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
1
2
3
4
The Director will submit a proof of correction to the Regional Office.
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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
LIC809 (FAS) - (06/04)
Page: 8 of 14


Document Has Been Signed on 05/03/2023 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101227(a)(19)
Food Services
(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
 At 10 am, LPA Estoesta observed a spoiled or rotting fruit in a plastic bag inside the refridgerator.
Based on LPA's observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
1
2
3
4
The Director will conduct a cleaning in the facility and will submit a proof of correction to the Regional Office
Type B
Section Cited
CCR
101427(j)
Infant Care Food Service
(j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
t 10 am, LPA Estoesta observed bottles labeled with infant names with no current date.
Based on LPA's observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/10/2023
Plan of Correction
1
2
3
4
The Director will conduct a cleaning in the facility and will submit a proof of correction to the Regional Office
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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
LIC809 (FAS) - (06/04)
Page: 9 of 14


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697
VISIT DATE: 05/03/2023
NARRATIVE
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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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

For licensing updates, please email childcareadvocatesprogram@dss.ca.gov and request to be added to the email list. Previous Provider Information Notices (PINs) - Child Care Licensing Program (CCLP) are available at the CCLD website and other helpful information at https://cdss.ca.gov/inforesources/child-care-licensing.


A notice of site visit was given and must remain posted for 30 days.


See 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC809 (FAS) - (06/04)
Page: 13 of 14
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: RAINBOW CHILDHOOD DEVELOPMENT CENTER
FACILITY NUMBER: 434413697
VISIT DATE: 05/03/2023
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA informed the Director Helen Qiu that this report dated 05/03/2023 includes twelve (12) Type B Violation with twelve (12) Citation which poses a potential risk to the health, safety, or personal rights of children in care.



Exit interview conducted and report was reviewed with the Director Helen Qiu.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC809 (FAS) - (06/04)
Page: 14 of 14