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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 140907226
Report Date: 09/10/2024
Date Signed: 09/10/2024 06:29:35 PM

Document Has Been Signed on 09/10/2024 06:29 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:RAINBOW CONNECTIONFACILITY NUMBER:
140907226
ADMINISTRATOR/
DIRECTOR:		PETERSON,KATHERINEFACILITY TYPE:
850
ADDRESS:730 NORTH HOME STREETTELEPHONE:
(760) 872-1272
CITY:BISHOPSTATE: CAZIP CODE:
93514
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 18DATE:
09/10/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Carol Ramirez, Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
06:40 PM
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On 9/10/2024 at 12:50pm, Licensing Program Analysts (LPAs) Crystal Ali and Carol Heath arrived at the facility to conduct an Annual Random Inspection. LPAs was met with Site Supervisor, Carol Ramirez and permitted to enter the facility. Site supervisor guided the LPAs on a tour of the facility in accordance with the facility sketch. Facility Sketch is not current. Site supervisor received LIC 999 from LPAs via email. During the inspection, LPAs observed 18 pre-school children and 5 staff providing care and supervision. Facility operates Monday through Thursday from 7:30am to 5pm. On Fridays the facility is open form 7:30am-12:30pm. There are no IMS children enrolled.
Plant Space: Facility consists of two pre-school classrooms, one staff office (kitchenette inside staff office), one staff bathroom, one children’s bathroom, sanctuary, two additional rooms (one used for napping) and one large outdoor play area.

Indoor Activity Space: Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. LPAs observed sign-in sheets completed by each parent/guardian per requirements. LPAs observed individual storage for children's belongings. Lead water inspection is not completed. Site Supervisor stated the agency will get a professional agency to come out to complete lead testing. LPAs provided site supervisor with state regulations on lead testing requirements. The children have access to filtered bottled water via bought by agency until lead testing is completed. An isolation area is the napping area with a staff supervising until parent arrives.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE: DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: RAINBOW CONNECTION
FACILITY NUMBER: 140907226
VISIT DATE: 09/10/2024
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Napping: Children are provided napping Monday-Thursday. Facility provides napping materials. Children bring their own blankets and wash them at home once a week.
Restroom: Pre-school bathroom is a shared bathroom for boys and girls. Age-appropriate sinks (2) and toilets (2) were inspected for availability and good repair. Toilets flushed properly; toilet and sinks are reachable by the children. There is a staff bathroom is next door. It has one toilet, one urinal, and one sink. Toilets flushed properly; toilet and sinks are reachable by the children. Each restroom has adequate toilet paper, hand soap, and paper towels available. Restrooms are cleaned, restocked with toiletries, and sanitized by on-site staff.
Fire Safety: One first aid kit is store in the staff office top cabinet next to refrigerator. Emergency Drills are conducted at least every six months and the last drills were conducted and documented for earthquake drill on 4/17/24 at 10:30am for the Fire and Earthquake Drills. The three fire extinguishers are not up to the Fire Marshal Codes and Standards. One fire extinguisher last serviced 4/14/23, the second fire extinguisher is in the red, third fire extinguisher in the napping are last serviced 4/14/23. Site supervisor stated she will get both fire extinguishers serviced.
Menus: Menus are posted. Site supervisor stated that they only provide morning and afternoon snacks (9am and 4pm) for the children. The children bring their own lunches and are storage in their own lunch boxes in their cubbies and have child name on lunch pail. Food allergies are noted in child file and are posted in the classroom and refrigerator. There are two children with food allergies.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
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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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: RAINBOW CONNECTION
FACILITY NUMBER: 140907226
VISIT DATE: 09/10/2024
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Medication: Facility does provide medication when needed for two children, EpiPen and albuterol that is locked up in staff office. Site Supervisor was informed by LPAs on medication procedures. Site Supervisor stated she will train her employees this week on medication procedures. LIC 9221 was discussed with site supervisor and sent via email.
Transportation: School does not provide transportation for the preschool children.
Outdoor Activity Space:
The outdoor play area was inspected and observed to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness. Climbing structures and other play equipment were found to be securely anchored with adequate, resilient cushioning material underneath and around the perimeter. There is a locked shed in play yard for storage. Children are provided filtered water in their individual drinking bottles during outdoor play. There is adequate shaded area for rest. The sand areas of the playground are cleaned every morning by staff before children arrive to the school. The playground is well-fenced, all around and no bodies of water were observed in the outdoor play area.

Parent Board: Facility maintains an adequate teacher-child ratio. Care and supervision were evaluated and determined basic needs of children are appropriate and are being met. The parent board was reviewed and has all the required forms posted accessible to parents.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
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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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: RAINBOW CONNECTION
FACILITY NUMBER: 140907226
VISIT DATE: 09/10/2024
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Records/Documentation:
Children's records were reviewed and observed to be in compliance. Health History, Emergency contact, ID and consent, and Medical Exams; Immunization Records are all in the children's file. Personnel records were reviewed for completeness. Teacher assistant is currently certified in Pediatric CPR/First Aid, expires until 5/17/26. Employees are missing: LIC 503, LIC 508, LIC 9108, LIC 9052, TB (4 employees), mandated reporter training (3 employees), Immunizations (4 employees), and staff qualifications (5 employees). LIC 9095 was provided to site supervisor via email. New director packet not submitted to LPA Ali. LPA Ali sent director packet information via email to Site supervisor.

Criminal Record Clearance - Child Care Centers

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.


SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
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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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: RAINBOW CONNECTION
FACILITY NUMBER: 140907226
VISIT DATE: 09/10/2024
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Lead Testing – Child Care Centers (CCC)
CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
Safe Sleep - Child Care Centers
LPA discussed the safe sleep regulations with facility representative and
discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/ safe-sleep as an additional resource. LPA also informed facility
representative 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
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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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: RAINBOW CONNECTION
FACILITY NUMBER: 140907226
VISIT DATE: 09/10/2024
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Incidental Medical Services (IMS) - Child Care Centers
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
PIN 22-05-CCP.
MyChildCarePlan.org – Child Care Centers
Facility representative was informed of the MyChildCarePlan.org website; a
consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
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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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: RAINBOW CONNECTION
FACILITY NUMBER: 140907226
VISIT DATE: 09/10/2024
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There are deficiencies cited today. Type A and Type B were cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes.

An exit interview was conducted with Site Supervisor Carol Ramirez and a copy of this Report, a Notice of Site Visit, and Appeal Rights were provided on this day via email.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/10/2024 06:29 PM - It Cannot Be Edited


Created By: Crystal Ali On 09/10/2024 at 05:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: RAINBOW CONNECTION
FACILITY NUMBER: 140907226

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/10/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101171(a)
Fire Clearance
(a) All child care centers shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in ensuring three fire extinguishers have been serviced. One fire extinguisher in the red and two fire extinguishers were serviced last in 4/2023 which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 09/11/2024
Plan of Correction
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Site supervisor states that she will purchase three new fire extinguishers (2A10BC) and send proof to LPA Ali.
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in completing fingerprint clearances and association in guardian for four employees (DOJ, CAI, FBI) which poses an immediate health, safety or personal rights risk to persons in care. For facility to continue operations, all four employees must complete live scan.
POC Due Date: 09/11/2024
Plan of Correction
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Site supervisor will have all four employees complete live scan and send proof of completing to LPA Ali.
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:Claretta Yates
LICENSING EVALUATOR NAME:Crystal Ali
LICENSING EVALUATOR SIGNATURE:
DATE: 09/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/10/2024


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Document Has Been Signed on 09/10/2024 06:29 PM - It Cannot Be Edited


Created By: Crystal Ali On 09/10/2024 at 05:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: RAINBOW CONNECTION
FACILITY NUMBER: 140907226

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/10/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in completing lead testing which poses/posed a potential health, safety or personal rights risk to persons in care. Facility will provide filter water purchased from store to ensure children have drinking water until lead testing results are completed and approved by LPA Ali.
POC Due Date: 09/23/2024
Plan of Correction
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Site Supervisor to submit appointment date and lead testing results to LPA Ali.
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
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Based on observation, interview, record review, the licensee did not comply with the section cited above in employee files, written medication procedure, and director packet which poses/posed a potential health, safety or personal rights risk to persons in care. The following documenation is required: full complete director packet, written medication procedure policy for your agency, and for employee files (LIC 503, LIC 508, LIC 9108, LIC 9052, mandated reporter training, TB test, and staff qualifications).
POC Due Date: 09/23/2024
Plan of Correction
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Site supervisor will submit proof of completion to LPA Ali.
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:Claretta Yates
LICENSING EVALUATOR NAME:Crystal Ali
LICENSING EVALUATOR SIGNATURE:
DATE: 09/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/10/2024


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