<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701241
Report Date: 08/19/2024
Date Signed: 08/19/2024 03:06:34 PM

Document Has Been Signed on 08/19/2024 03:06 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CHILDREN OF THE RAINBOW, INCFACILITY NUMBER:
376701241
ADMINISTRATOR/
DIRECTOR:		PATTY SALAZARFACILITY TYPE:
850
ADDRESS:690 BEARDSLEY STREET, STE. 101TELEPHONE:
(619) 578-2974
CITY:SAN DIEGOSTATE: CAZIP CODE:
92113
CAPACITY: 62TOTAL ENROLLED CHILDREN: 62CENSUS: DATE:
08/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:53 AM
MET WITH:Patty SalazarTIME VISIT/
INSPECTION COMPLETED:
10:10 AM
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
On 08/19/2024, at 9:53 a.m. Licensing Program Analyst (LPA) Cindy Meier conducted a case management inspection at the facility. Upon arrival, LPA met with Site Supervisor, Patty Salazar and advised the Site Supervisor of the purpose of the inspection and was led on a tour of the facility. There were thirty (30) children present with twelve (12) staff members at the time of the inspection.

Based on staff interviews and records reviewed, LPA determined that on 06/07/2024 an unexplained incident occurred which resulted in injuries to daycare child #1 (C1). C1 sustained a bruise to each side of their mouth and on the neck, which resulted in an assessment by C1’s primary medical physician. Three (3) facility staff interviewed stated they observed the markings on C1’s face during afternoon playground time, but did not inform the Site Supervisor, communicate to C1’s parent representative, or document the injuries on an Ouch Report.

Per California Code of Regulations, (Title 22, division 12 & Chapter 1) one (1) Type B citation is being cited on the attached LIC 809-D.



Exit interview conducted and report was reviewed with Site Supervisor, Patty Salazar. A copy of this report, along with Appeal Rights (LIC9058 03/22), were provided. A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 08/19/2024 03:06 PM - It Cannot Be Edited


Created By: Cindy Meier On 08/19/2024 at 07:57 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHILDREN OF THE RAINBOW, INC
FACILITY NUMBER: 376701241

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/09/2024
Section Cited
CCR
101226.3(b)

1
2
3
4
5
6
7
101226.3 Observation of the Child
(b) Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Site Supervisor stated she will conduct an in-service training with facility staff that includes the topics of observations of children, documentation of incidents/observations involving children, and notifying a parental representative if injuries/observations occur. Site Supervisor will send the in-service training agenda and sign in sheets to SDRO by 9/9/2024.
8
9
10
11
12
13
14
Based on interview, and record review, the licensee did not comply with the section cited above in that neither a verbal or written notification of the child's injury was given to the parent representative which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Jason Garay
LICENSING EVALUATOR NAME:Cindy Meier
LICENSING EVALUATOR SIGNATURE:
DATE: 08/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/19/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2