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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400569
Report Date: 01/15/2025
Date Signed: 01/16/2025 02:38:41 PM

Document Has Been Signed on 01/16/2025 02:38 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:DREW CDC - RAINBOWFACILITY NUMBER:
198400569
ADMINISTRATOR/
DIRECTOR:		HERNANDEZ, RAYMONDFACILITY TYPE:
850
ADDRESS:11817 WILMINGTON AVE.TELEPHONE:
(323) 249-2950
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY: 88TOTAL ENROLLED CHILDREN: 88CENSUS: 18DATE:
01/15/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Jessica Osorio, Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Case Management visit to the above facility to obtain signature on an amended report.
There were 18 children supervised by 7 staff.

No deficiencies were observed nor cited during this inspection.

Exit interview was conducted with Site Supervisor, Jessica Osorio.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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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