304371584-8-16-2022-06-CC-KDEI-CHCUET-20220816153141

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371584
Report Date: 08/16/2022
Date Signed: 08/16/2022 03:31:51 PM

Document Has Been Signed on 08/16/2022 03:31 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	RAINBOW RISING SOLIS PARK		FACILITY NUMBER:	304371584
ADMINISTRATOR:	BUSHMAN, MARY		FACILITY TYPE:	840
ADDRESS:	101 ABACUS		TELEPHONE:	(949) 485-0161
CITY:	IRVINE	STATE: CA	ZIP CODE:	92618
CAPACITY: 140	TOTAL ENROLLED CHILDREN: 140	CENSUS: 0	DATE:	08/16/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Administrator Ms. Bushman Mary		TIME COMPLETED:	03:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Desai, Ketki conducted an announced Pre-Licensing inspection at the above facility. The facility is requesting care and supervision to be provided for 140 School age children Before and after School care on the premises of Solis Park Elementary school under Irvine Unified school district. Site Administrator Ms. Bushman, Mary gave a tour of the facility. The applicant has requested to provide care and supervision for 140-School age children 4.9 to 12 years of age, Monday through Friday 7:00 AM. to 6.00 PM (Before and After School and 8 times a year the facility shall operate from 7.00 am to 10.00 pm as per the school activities. This program is for School age children in the assigned three classrooms (Child Care Room # 1, 2 and 3). The assigned classrooms are on a functioning school site, they will house school age children before and after school hours only. All the three classrooms are certified as Classrooms and owned by the school district. LPA observed staff following CDC and Dept of Public Health Guidelines. Due to COVID Pandemic parents shall be encouraged to follow the CDC and COVID requirements. A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Parents shall enter through the fenced gate in front of the Culture street and the building name is Food service/ Child Care building. The three classrooms are adjoining each other and each classroom has their own entrance door. A sign in table has been set up, inside the classroom at the entrance. Parents sign in Electronically upon entering the classroom. Upon arrival each child has an health evaluation along with hand washing before they participate in the activities. (1)

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 RISING SOLIS PARK	FACILITY NUMBER: 304371584
	VISIT DATE: 08/16/2022

NARRATIVE

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Isolation area is the office area in classroom # 1 which is off limits and Administrator has been set up an area to isolate the child. Separate mat and linens are available for the sick child. The nurse office on school campus has additional cots with linens and shall attend the sick child.

LPA discussed the posting requirements including, but limited to, the following:
· Facility License in public area (101160)
· Emergency Disaster Plan (LIC 610)
· Earthquake Preparedness Check List (LIC 9148)
· Parents’ Rights Poster (PUB 393)
· Personal Rights (LIC 613A)
· Menus / Activity Schedule
· Notice of Site Visit (LIC 9213) and Type A deficiencies / Plan of Corrections of Type A deficiencies
· Granted Waivers (available for review)
· Child Car Seat Law (PUB 269) & · COVID Posters.
Posters are posted at the entrance, in front of the classroom door

The following were inspected in the indoor activity space: Room # Child Care Room # 1,2 and 3.
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Drinking water is available inside through personalized water bottles and water fountain in the classroom
· Sign in/Sign out procedure was reviewed and meets regulation requirements (Electronic sign in and out)
· Facility has in-built smoke detectors & carbon monoxide detectors are plugged in the wall with Fire Alarms and one fire extinguisher mounted inside each classroom that meet statutory requirements.
· Cubbies available for storage of individual child’s personal belongings
· Facility shall provide Breakfast /AM snack upon arrival and PM snacks upon returning from school.
Staff shall walk the children to the school area and pick them up from the school classrooms.
Rooms are well lighted with proper ventilation
Each room has age appropriate furniture and equipment's for the ages to be served.
There are sinks and toilets inside each classroom with additional toilets and sinks on the school premises.
Medications are stored in the locked cabinets. First Aid kit and Emergency kit is present in the classroom.
(2)

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 RISING SOLIS PARK	FACILITY NUMBER: 304371584
	VISIT DATE: 08/16/2022

NARRATIVE

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As per Health and Safety regulation (1596.806) facility is exempt from the required Square footage requirement. Documentation from the State Architect shows that the rooms measure for the requested capacity of 49 in Child Care Room # 1 and 3 & Child Care Room # 2 has a capacity of 42, per clearance code "E"

Facility has sufficient indoor activity space to accommodate the requested capacity of 140 children in the assigned rooms Child Care room # 1, 2 and 3
Total sinks : 18 X 15= 270 children / Total Toilets: 12 X 15= 180 children

Facility has age appropriate sinks and toilets inside and outside the classroom to meet the needs of the children.

School age play yard : Facility has sufficient play yards on the school premises :

· Playground is fully enclosed by an appropriate fencing
· Drinking water is available outdoors by personal water bottles and a water fountain
· Outdoor activity space is supplied with age and size appropriate equipment, including climbing play structures and outdoor activity toys.
There is an exit door with a dead lock and the keys remain with the School maintenance department and Administrator. This is not the Egress gate.
· An adequate amount of cushioning material: soft cushion
· Adequate shade is provided by shaded structure and roof line shade.
· Children shall access the play yard from exit door of the classrooms
The play structure is safe for the age group to be served (5-12 years old)
Younger Pre-K and Kinder children shall use the elementary kinder play yard on the school premises
There is a shaded lunch area set up for outdoor lunch activity.
Play yard is on Elementary school premises and School age children shall share the yard and the yards shall be used when the elementary school children are not present and facility have submitted a waiver request

Outdoor measurements: Yard is approx: 54,521 divided by 75= 727'22

Based on the indoor /outdoor measurements, sink and toilet availability, facility has sufficient space to accommodate the requested capacity of 140 School age children (4.9 -12 years old) in the assigned (3)

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 RISING SOLIS PARK	FACILITY NUMBER: 304371584
	VISIT DATE: 08/16/2022

NARRATIVE

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three rooms (Child care room # 1, 2 and 3) on the premises of Solis Park Elementary school under Irvine Unified School district.

Fire clearance received from Orange county Fire Authority approving the requested capacity of 140 School age children in assigned rooms

Administrator on site Ms. Bushman Mary is current on the required Immunization/ Pediatric CPR/ First training valid through 10/9/2022, and have provided the completion certificate for the Preventive Health training (Nutrition and Lead component and Mandated Child abuse reporting training.

Following items were discussed at the time of Exit interview.
Criminal Record Statement : Administrator on site Ms. Bushman Mary was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Safe Sleep : LPA discussed the safe sleep regulations with Administrator on site Ms. Bushman Mary discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) APPLICANT KNOWS FACILITY PLANS TO PROVIDE IMS: This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm (4)

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 RISING SOLIS PARK	FACILITY NUMBER: 304371584
	VISIT DATE: 08/16/2022

NARRATIVE

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Review of records to be maintained

Child Care Centers :LPA reviewed with Administrator on site Ms Bushman, Mary the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Subscribe to CCLD important information

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important license-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A license for 140 School age children (4.9 -12 years) in Child Care Room # 1, 2 and 3

Monday to Friday : 7am to 6.00 pm
Before and After School care
Waiver for Shared yards and bathrooms with Elementary school children

Report read and appeal rights presented to the Administrator on site Ms. Bushman, Mary

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022

LIC809 (FAS) - (06/04)

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