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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366426789
Report Date: 12/16/2024
Date Signed: 12/16/2024 12:17:50 PM

Document Has Been Signed on 12/16/2024 12:17 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
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:RAINBOW CAREFACILITY NUMBER:
366426789
ADMINISTRATOR/
DIRECTOR:		RACHEL PADILLAFACILITY TYPE:
735
ADDRESS:2853 W. SUMMERSET DRIVETELEPHONE:
(909) 835-8046
CITY:RIALTOSTATE: CAZIP CODE:
92377
CAPACITY: 6CENSUS: DATE:
12/16/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:42 AM
MET WITH:Rachel Padilla, Administrator TIME VISIT/
INSPECTION COMPLETED:
12:23 PM
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Licensing Program Analysts (LPA) La Vette Farlow arrived to conduct the required annual visit to the facility. LPA met with Administrator Rachel Padilla, and introduced self and stated purpose of the visit. LPA were informed that facility has 4 clients and all 4 clients are currently in the day program.

The facility has 3 resident bedrooms, 2 bathrooms, extra bedroom for staff with full bathroom, office area, kitchen, dining area, family room, living room, laundry area, attached garage, and backyard. The facility is vendorized by Inland Regional Center. LPA completed a walk through of facility, review of records, medication and P&I audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a temperature of 68 degrees Fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected client bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 111.4 and 127.1 degrees Fahrenheit. The staff adjusted the water temperature and the LPA measured the temperatures which tested at 125.6, 60.6 and 110.5 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms and charged fire extinguisher. Posters such as; the personal rights, CCL complaint poster and disaster plans were posted in the office. Cleaning supplies, toxins, sharps, and other dangerous items were kept in secure cabinets inaccessible to clients. There was a designated storage space for client/staff files. Medications and first aid kit were observed in secure cabinets and inaccessible to clients. The facility had emergency kits in the garage for clients in care. Licensee was missing a current annual review of the LIC 610E. One (1) technical violation issued. There are no firearms, ammunition, pool or bodies of water in the facility. Overall, the facility is clean, and operational.
Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a wide variety of food available for clients. Dishes, cups, and utensils were also stored properly. Emergency food and water were also observed.

Yards/Outside: LPA observed, side gates with self-latching handles on the left side and right side of the house.



Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE: DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/16/2024
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
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: RAINBOW CARE
FACILITY NUMBER: 366426789
VISIT DATE: 12/16/2024
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Record Review: LPA reviewed 3 client files for admission agreements, updated physician reports, and needs and services plans. One (1) resident file was missing the current IPP report. LPA advised Administrator to reach call and email Inland Regional Center to request the current report. A technical violation was issued. LPA also reviewed Licensee and staff files for First Aid/CPR certification, criminal record clearances, training, and health screenings. LPA observed the administrator license is incomplete. Licensee spoke to the Administrator verifier department to verify what is needed to complete the application. A technical violation was issued. P & I funds and medications were audited and appeared to be managed appropriately. The facility last conducted a disaster drill on November 2024.

No deficiency were cited during this visit, three (3) technical violation issued. An exit interview was conducted where this report LIC809, LIC809C, 9102TV were discussed and copies were provided to Administrator Rachel Padilla.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Lavette Farlow
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024
LIC809 (FAS) - (06/04)
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