<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400569
Report Date: 06/05/2024
Date Signed: 06/06/2024 09:19:22 AM


Document Has Been Signed on 06/06/2024 09:19 AM - 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:DREW CDC - RAINBOWFACILITY NUMBER:
198400569
ADMINISTRATOR:HERNANDEZ, RAYMONDFACILITY TYPE:
850
ADDRESS:11817 WILMINGTON AVE.TELEPHONE:
(323) 249-2950
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:88CENSUS: 33DATE:
06/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Jessica Osoria, Site SupervisorTIME COMPLETED:
04:00 PM
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
On 6/5/24 Licensing Program Analysts (LPAs) Alicia Mooberry and Portia Bowden conducted a Case Management Inspection to follow up on incident that was reported to the department on 5/23/24.

LPAs met with Site Supervisor Jessica Osoria who provided a tour of the facility, there were 33 children supervised by 11 staff.

On 5/23/24 the facility reported that there was no running water in the entire facility. The facility closed on 5/23 and 5/24 will repairs were made. The facility reopened on 5/28/24. During this inspection, LPA's inspected the facility and checked the water faucets, sinks, toilets and observed to be functional. LPA's observed the washer functional.

The facility observed the reporting requirements by reporting to licensing and authorized representatives within 24 hours.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted with Jessica Osorio, Site Supervisor.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2024
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 1