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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370933
Report Date: 01/21/2022
Date Signed: 01/21/2022 10:33:45 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/26/2021 and conducted by Evaluator Nguyen K Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20211026100556
FACILITY NAME:RAINBOW KIDS ACADEMYFACILITY NUMBER:
304370933
ADMINISTRATOR:CYRANO ANTONYFACILITY TYPE:
850
ADDRESS:12914 HAZEL AVENUETELEPHONE:
(714) 638-8210
CITY:GARDEN GROVESTATE: CAZIP CODE:
92841
CAPACITY:53CENSUS: 20DATE:
01/21/2022
UNANNOUNCEDTIME BEGAN:
09:13 AM
MET WITH:Evelyn Rodriguez, Assistnant DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff did not pick up the daycare child from school.
INVESTIGATION FINDINGS:
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On 01/21/2022, Licensing Program Analyst (LPA) Tran conducted an in-person inspection to deliver the finding regarding the above complaint allegation. LPA Tran met with Assistant Director Evelyn Rodriguez. The Covid-19 Emergency Response questionnaires were asked. A tour around the facility was conducted, and a census was taken. Observed at the time of the visit was a total of 20 preschool children and 6 staff members. A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 10/26/2021, the Department received a complaint alleging Staff did not pick up the daycare child from school. Reporting Party (RP) states that on Monday 10/25/2021, at 12:45pm, RP received a call from the elementary school at stating the daycare had not picked up the children and it’s 15 minutes late. The RP called the daycare staff and was told that they forgot to pick up the children.

(Continue pext page)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022
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 3
Control Number 06-CC-20211026100556
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: RAINBOW KIDS ACADEMY
FACILITY NUMBER: 304370933
VISIT DATE: 01/21/2022
NARRATIVE
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(Page 2 of Report)

During the staff interview, staff #1 (S1) and S2 confirmed that on Monday 10/18/2021 S2 forgot to pick up Child #1 (C1) & 2 due to schedules changed during the Parent Teacher Conference (PTC) week. The PTC started on 10/18/2021 and the children left the elementary at 12:30pm instead of 2:15pm. On Monday 10/18/2021, the elementary school called the facility at 12:45pm asking facility to come picking up C1 and C2 up since it was 15 minutes late. S2 came immediately to pick the children up.
S1 disclosed that picking up and helping the children with homework are extra services the facility offers to the parents without additional cost and are not listed in the contract.

LPA Nguyen reviewed the children’s files and facility admission policies. The admission policies did not include the transportation provided.

Based on the interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation Staff did not pick up the daycare child from school is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, 101218(a)(6) Admission Policies is being cited on the attached LIC9099D.

Exit interview was conducted. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. “The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.” This report LIC 9099 was provided to the director. First level appeal is to Regional Manager, address is above on the report.


(End of Report)
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20211026100556
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: RAINBOW KIDS ACADEMY
FACILITY NUMBER: 304370933
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/28/2022
Section Cited
CCR
101218(a)(6)
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101218(a)(6) Admission Policies: Every childcare center shall have all admission policies in writing and available to the public. The policies shall coincide with the limitations stated on the license, and shall include, but not be limited to, the following: Transportation arrangements, if any. This requirement is not met as evidenced by:
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Director stated an updated Parent Handbook including Transportation Provided (picking up children from elementary school) will be sent to LPA by 01/28/2022.
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Base on staff interview, S1 and S2 admitted facility forgot to pick up C1&2 up from elementary school at 12:30pm on 10/18/2021. This poses a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3