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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421710344
Report Date: 12/15/2022
Date Signed: 12/15/2022 01:23:17 PM

Document Has Been Signed on 12/15/2022 01:23 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:RAINBOW SCHOOLFACILITY NUMBER:
421710344
ADMINISTRATOR:JULIE SUMMERFACILITY TYPE:
830
ADDRESS:5689 HOLLISTER AVE. SUITE C-15TELEPHONE:
(805) 964-4511
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: 46TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
12/15/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:22 AM
MET WITH:Jenny Tymons & Julie SummerTIME COMPLETED:
01:27 PM
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On December 15th, 2022 at 8:22AM Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Annual/Random inspection. LPA met with site supervisor Jenny Tymon and explained the purpose of the inspection. LPA asked pre-screening questions related to COVID-19 and site supervisor stated no exposure on site. Site supervisor provided LPA a tour of the facility inside and out. This infant license has a toddler component attached, and at the time of the inspection there were eleven (11) children and two (2) staff supervising the component classroom and four (4) children and three (3) staff supervising the infant classroom. The center operates from 7:30AM – 5:30PM Monday through Friday. This is a combined center with a preschool and school age children. During the conclusion of the tour, Julie Summer, the center director arrived and identified herself.

Center uses the electronic application Brightwheel and a written log for sign in and out purposes. Licensing required notices were posted prominently on the wall at the entrance of the facility, along with monthly menu. This center utilizes one (1) classroom for the infants and (1) one classroom for toddler component. LPA observed age appropriate toys and furnishings and classrooms had ample ventilation. Located in the toddler component classroom, LPA observed a teacher’s purse, coffee, two cans of Febreze, one can of spray sunscreen within reach of children. This is in violation of Title 22 Division 12 101238(g) and a Type A citation will be issued. The classroom also had a stationary diaper changing table without a sink within arm’s reach of sink. This is a violation of Title 22 Division 12 101439(h)(a) and Type B citation will be issued.

CONTINUED ON LIC809C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAINBOW SCHOOL
FACILITY NUMBER: 421710344
VISIT DATE: 12/15/2022
NARRATIVE
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LPAs observed cots for napping that are disinfected daily. Food and milk are stored in functioning refrigerators with children’s names clearly label. Incidental Medical Services are currently not being provided. Outdoor play area has ample shade for children, sinks, and age appropriate toys. LPA observed majority of structures and toys to be unclean with unwashed. A small basin of water (over two inches) with dirty water was present and accessible to children. Sharp objects (a large star with metal points, a metal stick, and sand box of over two inches of water that had not been emptied). LPA observed two infants standing awake in their crib. This is a violation of Title 22 Division 12 1430(a)(3)(4)(a) and a Type B citation will be issued. LPA reviewed a sampling of Individual needs & services plans and feeding plans and LPA reviewed the required current sleep logs and found center to comply. There are no bodies of water present, director states no firearms or ammunition are present. Last fire drill was conducted 12/8/2022.

A sampling of children and staff records were reviewed. Teacher present has Pediatric First Aid/CPR certificate expires 4/26/2023 and AB 1207 all Mandated Reporter Training certificates have not expired. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements.

CONTINUED ON LIC809C

Deficiencies cited on attached LIC809D

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
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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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAINBOW SCHOOL
FACILITY NUMBER: 421710344
VISIT DATE: 12/15/2022
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

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/inspection-process.

Director was reminded that all adults 18 and over, 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.

CONTINUED ON LIC809C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
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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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAINBOW SCHOOL
FACILITY NUMBER: 421710344
VISIT DATE: 12/15/2022
NARRATIVE
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LPA discussed the safe sleep regulations with licensee [or facility representative] and 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 licensee [facility representative] 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.

Exit interview conducted and report was reviewed with the Director, appeal rights provided and LIC9224 provided with instructions. LIC9224 parents signatures may be delayed due to holiday closure 12/19/2022- 1/2/2023; licensee will comply by 1/11/2023.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
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Document Has Been Signed on 12/15/2022 01:23 PM - It Cannot Be Edited


Created By: Maryrose Breault On 12/15/2022 at 12:13 PM
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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAINBOW SCHOOL
FACILITY NUMBER: 421710344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Disinfectants, cleaning solutions, poisons...shall be stored where inaccessible to children.

This requirement is not met as evidenced by: LPA observed two cans of Febreze spray and one can of spay sunblock accessible to children.
Deficient Practice Statement
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Based on LPA observation, the licensee did not comply with the section cited above in one count which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/11/2023
Plan of Correction
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Licensee shall place all toxic hazards in a locked cabinet, or render inaccessible to children in all classroom and provide a photo of complaince to LPA via email: maryrose.breault@dss.ca.gov by Dec. 21st, 2022
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Ana Tolentino
LICENSING EVALUATOR NAME:Maryrose Breault
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2022


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Document Has Been Signed on 12/15/2022 01:23 PM - It Cannot Be Edited


Created By: Maryrose Breault On 12/15/2022 at 12:16 PM
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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAINBOW SCHOOL
FACILITY NUMBER: 421710344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)
Child care center shall be clean, safe and sanitary...to ensure the safety and well-being of children.

This requirement is not met as evidenced by: LPA observed staff purses, coffee, unclean outdoors, sharp objects, hot water, unsanitary water present.
Deficient Practice Statement
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Based on LPA observation, the licensee did not comply with the section cited above in 6 counts which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/21/2022
Plan of Correction
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Licensee shall clean the facility play yard removing excess sand, dirt, and water and provide photographic evidence to LPA. Licensee shall provide photographic evidence of where staff's personal belongings are being stored.
Type B
Section Cited
CCR
101439(h)(4)
The diaper changing area while in use... be placed within arms reach of sink

This requirement is not met as evidenced by: LPA observed two changing tables that were stationary with no access to sinks.
Deficient Practice Statement
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Based on LPA observation the licensee did not comply with the section cited above one counts which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/06/2023
Plan of Correction
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Licensee to place changing tables within arms reach of sink and provide photographic evidence to LPA at maryrose.breault@dss.ca.gov
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:Ana Tolentino
LICENSING EVALUATOR NAME:Maryrose Breault
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2022


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Document Has Been Signed on 12/15/2022 01:23 PM - It Cannot Be Edited


Created By: Maryrose Breault On 12/15/2022 at 12:32 PM
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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAINBOW SCHOOL
FACILITY NUMBER: 421710344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
1430(a)(3)(4)(a)
No infant shall be....forced to stay in the designated sleeping area.

This requirement is not met as evidenced by: LPA viewed two children standing in crib awake.
Deficient Practice Statement
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Based on LPA observation the licensee did not comply with the section cited above in two counts which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/11/2023
Plan of Correction
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Licensee to have all staff view Children's Personal Rights in Child Care video at ccld.childcarevideos.org and submit completed staff roster to LPA via email at maryrose.breault@dss.ca.gov by January 3rd 2023.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Ana Tolentino
LICENSING EVALUATOR NAME:Maryrose Breault
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2022


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