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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 02:05:40 PM

Document Has Been Signed on 12/15/2022 02:05 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: 46CENSUS: DATE:
12/15/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
01:27 PM
MET WITH:Julie TymonTIME COMPLETED:
02:14 PM
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On December 15th 2022 at 1:27PM Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Case Management – COVID-19 inspection and met with director Julie Summer and site supervisor Jenny Tymon. LPA informed the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. Director gave LPA a tour of the facility inside and out. At the time of the inspection there were fifteen (15) children and five (5) teachers present.

This inspection is a follow-up on COVID-19 outbreaks reported by facility staff to Community Care Licensing (CCL) on 12/12/2022. CCL provided a Tele-Rapid Assistance Support Team (RAST) inspection on 6/29/2020, where a CCL LPA provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility. LPA observed multiple hand washing sinks outside and prior to entry for use. LPA observed multiple sinks, and hand washing supplies. Facility has isolated station for a child with symptoms and promptly calls parents. Current protocol is child must wait five days out of school, on day 6 may re-test and if negative may return. If positive must remain out of school for additional 4 days and then may return when symptom free and fever free without the use of fever reducing medication.
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.

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAINBOW SCHOOL
FACILITY NUMBER: 421710344
VISIT DATE: 12/15/2022
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LPA discussed facility’s written plan for when a staff member or child tests positive for COVID-19 and developing a written communication plan with parents/guardians to share information and guidelines in their preferred language. LPA discussed COVID-19 Vaccines, Testing, Face coverings, Essential Protective Equipment and Supplies, Physical Distancing, Ventilation, Isolation for Illness, Cleaning and Disinfection, Hand washing, Food Service and Meal Times, How to Respond to Exposures or Outbreaks, and Resilience Tips during the Pandemic.

LPA reviewed that facility maintains a current Covid-19 Child Care Program Self-Assessment Guide/Mitigation plan. LPA also provided the following resources:
- Official Public Health and Child Care Guidance for COVID-19 – Updated 1/26/2022.
- COVID-19 Child Care Resources:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/child-care-licensing/covid-19-child-care-resources

LPA provided director current Provider Information Notice (PIN) 22-28-CCP

There were no deficiencies cited during today's inspection.

Exit interview conducted and report was reviewed with the director Julie Summer and Jenny Tymon



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
LIC809 (FAS) - (06/04)
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