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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371584
Report Date: 09/27/2024
Date Signed: 09/29/2024 05:02:39 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
08/23/2024 and conducted by Evaluator Cynthia Sun
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240823083237
FACILITY NAME:RAINBOW RISING-SOLIS PARKFACILITY NUMBER:
304371584
ADMINISTRATOR:BUSHMAN, MARYFACILITY TYPE:
840
ADDRESS:101 ABACUSTELEPHONE:
(949) 485-0161
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY:140CENSUS: 7DATE:
09/27/2024
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Director, Mary BushmanTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff are mismanaging day care child’s medications.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Sun conducted a follow up investigation regarding the above allegation. This is a follow up for the visit conducted on 8/29/24. LPA met with the Director, Mary Bushman. There was a total of 7 preschool children and 2 staff present at the facility.
A review of staff 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 8/23/2024, Orange County Regional Office received a complaint alleging staff are mismanaging day care child’s medication. The Reporting Party (RP) stated the whole facility never checked this year’s paperwork nor the prescription bottle for Child #1 (C1). According to the Parent/ Guardian and Authorization Health Care Provider Request for Medication Form dated 8/8/24, staff member was supposed to give C1 one tablet dosage and C1 was given two tablets instead.

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Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Cynthia SunTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024
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 4
Control Number 06-CC-20240823083237
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 RISING-SOLIS PARK
FACILITY NUMBER: 304371584
VISIT DATE: 09/27/2024
NARRATIVE
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During the investigation, LPA interviewed 4 staff members, the subject child, 8 parents, and reviewed records which include Childcare Roster and Facility Medication paperwork.

During the staff interviews, 2 out of 4 staff interviewed stated they have given C1 medication in the last 3 months. 4 of 4 staff interviewed stated staff #3 (S3) and S4 make sure the medications are current or expired. 4 of 4 staff interviewed stated S3 and S4 are in charge of giving medication to children at facility. S1 disclosed S1 knew there was a complaint/concern about C1 with pill situation. C1’s medication was changed. Original plan was to give C1 two pills and new plan is to give C1 one pill only. S3 stated: About 2 weeks ago, there was miscommunication with C1’s medication dosage. Staff had been administering the wrong dosage for 5 days, by giving C1 two pills instead of one pill. When C1’s medication was low, S3 approached C1’s dad and was advised to give C1 only 1 pill. Staff had updated the records to only give C1 only 1 pill.

LPA reviewed C1’s Parent/Guardian Authorized Health Care Provider Request for Medication dated 8/8/2024 and it instructed to give C1 one tablet by mouth by 1pm. S3 received this form, reviewed it, and signed it on 8/8/2024.

LPA also reviewed C1’s medication bottle dated 8/8/2024 and it instructed to give C1 one table.

LPA reviewed the email from S4 to C1’s representative dated 8/22/2024 stating facility staff failed to catch there was an update on the new Parent/Guardian Authorized Health Care Provider Request for Medication to C1 medication dosage and there was no excuse for this mistake.

During the children interviews, 1 out of 1 children interviewed stated: C1 takes medication at school. S1, S3, and S4 gave C1 medication at school.

LPA contacted 11 parents and LPA was only able to interview 8 parents. 7 parents did not make any disclosure regarding the above allegations and did not have any concern.

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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Cynthia SunTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20240823083237
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 RISING-SOLIS PARK
FACILITY NUMBER: 304371584
VISIT DATE: 09/27/2024
NARRATIVE
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Based on LPA’s observations, record reviews and conducted interviews, the preponderance of evidence standard has been met, therefore the above allegation alleging staff are mismanaging day care child’s medications is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101226 (e)(3)(A) Health Related Services is being cited on the attached LIC9099D.

Exit interview conducted and report was reviewed with Director. Notice of Site Visit was posted and must remain posted for 30 days. Failure to comply with the posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights were explained. The Director was provided with a copy of the appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.

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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Cynthia SunTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20240823083237
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 RISING-SOLIS PARK
FACILITY NUMBER: 304371584
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/11/2024
Section Cited
HSC
101226(e)(3)(A)
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101226 (e)(3)(A) Health Related Services: Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. This requirement is not met as evidence by:
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Director stated they: will purchse medication boxes with keys to lock children individual medication.Only program staff will have access to medication box and keys.
Facility Director will hold a meeting with parents to update medication
paper work annually. Director will ensure
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Based on staff’s interview and record review, staff failed to administer C1’s medication as prescribed by the physician. Staff was giving C1 two tablets instead of one tablet for about 5 days. This poses a potential risk to the health of the children in care.
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children medication and paperwork is completed and reviewed by Director before chidren start the new school year. Director will update Medication Administation Chart to reflect medication dosage and parent signature. Director will email LPA Medication Administration charts by 10/11/24.
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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.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Cynthia SunTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024
LIC9099 (FAS) - (06/04)
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