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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400569
Report Date: 01/03/2025
Date Signed: 01/15/2025 04:34:17 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
09/20/2024 and conducted by Evaluator Alicia Mooberry
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240920102343
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: 2DATE:
01/03/2025
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Jessica Osorio, Site SupervisorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Day care child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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This Report was amended to include additonal interviews conducted - The finding remains the same
Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced complaint inspection to deliver findings for the above allegation. LPA met with Jessica Osorio, Site Supervisor. LPA observed, 2 children, and 2 staff members present during the inspection.

During this investigation, LPA Mooberry conducted interviews with complainant, school staff, and witnesses. LPA reviewed school records and recorded observations. Parent #1 reported they observed child #1 with a bite on left forearm which they believe occured at the faciltity. Child #1 was unavailable to interview. Three out of Three facility staff present during incident reported they did not witness child being bitten and were not aware of how child received injury. Children present were too young to be interviewed.
4 out of 4 parents interviewed reported no injury to children while in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated. -----P 1 - Report Continues
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 54-CC-20240920102343
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DREW CDC - RAINBOW
FACILITY NUMBER: 198400569
VISIT DATE: 01/03/2025
NARRATIVE
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No deficiencies were observed nor issued during this inspection.

Exit interview was conducted with Jessica Osorio, Site Supervisor A Notice of Site Visit (LIC 9213) was provided and must remain posted for 30 days during the hours of operation. Appeal Rights were discussed and a copy provided.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2