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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370933
Report Date: 03/07/2025
Date Signed: 03/07/2025 02:25:04 PM

Document Has Been Signed on 03/07/2025 02:25 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:RAINBOW KIDS ACADEMYFACILITY NUMBER:
304370933
ADMINISTRATOR/
DIRECTOR:
CYRANO ANTONYFACILITY TYPE:
850
ADDRESS:12914 HAZEL AVENUETELEPHONE:
(714) 638-8210
CITY:GARDEN GROVESTATE: CAZIP CODE:
92841
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: 19DATE:
03/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Director, Evelyn RodriguezTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Dianna Valdez Santana conducted an on-site inspection for the purpose of a Case Management Incident Inspection on 03/07/2025. LPA toured the facility. Census was taken in individual classrooms, there were 4 children in the toddler class with one staff and 15 preschool age-children being cared for by two staff in the preschool class. There was a total of 19 preschool-age children present at the time of inspection. Today's Case Management inspection is being conducted in response to a self-reported incident, reported to the OC CCL office on 02/28/25, detailing child #1 (C1) and child #2 (C2) authorized representatives informed the facility that C1 told them that C1’s teacher pulled C1 by the shirt. Additionally, C2 told them that someone had “pow powed” (hit) C1 on the hand. It was reported that the facility staff may have violated C1 and C2’s personal rights.

A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During today's visit, LPA interviewed the children involved in the incidents and 5 staff members. At this time further investigation is needed. Exit interview conducted with facility representative and notice of site visit posted at entrance of facility. Notice of site visit is to remain posted for no less than 30 days.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2025
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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