198400569-3-10-2023-54-CC-VCOK-CQ52M2-20230320173025

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198400569
Report Date: 03/10/2023
Date Signed: 03/10/2023 05:21:43 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/14/2022 and conducted by Evaluator Alicia Mooberry

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20221214103156

FACILITY NAME:	DREW CDC - RAINBOW		FACILITY NUMBER:	198400569
ADMINISTRATOR:	HERNANDEZ, RAYMOND		FACILITY TYPE:	850
ADDRESS:	11817 WILMINGTON AVE.		TELEPHONE:	(323) 249-2950
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90059
CAPACITY:	88	CENSUS: 10	DATE:	03/10/2023
		UNANNOUNCED	TIME BEGAN:	01:53 PM
MET WITH:	Edwina Shivers, Site Director		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Day-care children are not adequately supervised.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced complaint inspection on 3/10/23 to investigate the above allegation(s). LPA met with Edwina Shivers, Site Supervisor. LPA toured the facility. LPA observed seven (7) children napping in preshool classroom R-10j supervised by Staff #1, #2, #3, #4, #5. LPA observed three (3) children napping in toddler classroom R-9i supervised by Staff #6, #7, #8. All staff has provided proof of background clearance.

During the course of this investigation, LPA observed classrooms, conducted interviews with staff and witnesses, and reviewed facility files. Interviews revealed that at times the facility is short staffed at the director is required to provide supervision, there were no reports of the facility being out of ratio. Althought, the investigation revealed that the facility is short staffed at times the investigation revealed that qualified staffing is obtained providing supervision. LPA observed that children were appropriately supervised, and the facility operating within capacity limitations of the license. ---Page 1 - Report Continues

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20221214103156

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: DREW CDC - RAINBOW	FACILITY NUMBER: 198400569
	VISIT DATE: 03/10/2023

NARRATIVE

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Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur, therefore this allegation is unsubstantiated.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview conducted with Edwina Shivers, Site Supervisor

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2023

LIC9099 (FAS) - (06/04)

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