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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216253
Report Date: 07/11/2022
Date Signed: 07/11/2022 04:49:21 PM

Document Has Been Signed on 07/11/2022 04:49 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:ARAIZA FCC AKA RAINBOW 24/7FACILITY NUMBER:
426216253
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 3DATE:
07/11/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Cinthia Araiza TIME COMPLETED:
05:05 PM
NARRATIVE
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Due to COVID-19 pandemic, LPA asked the pre-screening questions prior to inspection. Licensee's responses indicate there was no COVID-19 exposure on site.

On 7/11/22, at 3:40 PM, Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced Case Management inspection of the above referenced Family Child Care Home (FCCH) for a change of capacity. LPA met with Rosa Araiza, Licensee of the FCCH and explained the nature/purpose of the inspection. Cinthia Araiza, Licensee arrived to the FCCH at 3:45 PM, from running errands.

During this inspection, LPA and Licensee together toured the an interior and exterior of the FCCH. LPA observed the FCCH's interior and exterior to be free of hazardous materials and/or toxins at the time of the visit, which would pose a danger to the children in care. LPA observed 1 infant asleep in the car seat snapped into the stroller, the 2nd infant was asleep in a pacNplay and 1 child watching television at the time of the inspection.

LPA reviewed the Licensee’s First Aid/ CPR certification which expires on 08/12/2023. LPA observed a regulation fire extinguisher which was purchased on 02/06/2022. LPA reviewed the Licensee’s Mandated Reporter Training certificate, which was completed on 07/28/2020.

On 04/01/22, the Licensee submitted documentation for a FCCH change of capacity. The Licensee is seeking to change the FCCH’s capacity from 8 (Small FCCH) to 14 (Large FCCH). The Santa Maria Fire Department granted a fire clearance following an inspection completed at FCCH on 06/28/2022.

CONTINUES ON LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2022
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: ARAIZA FCC AKA RAINBOW 24/7
FACILITY NUMBER: 426216253
VISIT DATE: 07/11/2022
NARRATIVE
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The home meets Title 22 of CCR requirements for a Large Family Child Care license effective today. Effective date of license is today July 11, 2022. LPA provided the Licensee a Notice of Site Visit (LIC 9213) to be posted.

LPA reviewed the handout "A Child Care Provider's Guide to Safe Sleep" (PIN 20-24), The Effects of Lead Exposure, and What is Carbon Monoxide. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided online at www.ccld.ca.gov.

Today, deficiency cited under Title 22 Division 12, Spanish Appeal rights given.


Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC 809 and LIC 809 D.

The inspection visit was conducted in Spanish by LPA Jimenez. THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS. LPA observed the "Notice of Site Visit" posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/11/2022 04:49 PM - It Cannot Be Edited


Created By: Martina Jimenez On 07/11/2022 at 03:50 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: ARAIZA FCC AKA RAINBOW 24/7
FACILITY NUMBER: 426216253

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/12/2022
Section Cited
CCR
102425(h)

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Car seats shall only be used for transportation purposes and shall not be used for sleeping.

This requirement is not met as evidenced by: Based on LPAs observation , at 3:40 PM, LPA observed C1 stripped in to a car seat/ stroller, in the dining room asleep, which poses an
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Licensee will submit a written plan explaining how licensee will prevent future occurrence of infant's in care from sleeping in a car seat. Plan will be submitted via email to

Martina.Jimenezz@dss.ca.gov by 7/12/22.
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immediate health, safety or personal rights risk to persons in care.
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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:Maria Mueller
LICENSING EVALUATOR NAME:Martina Jimenez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/11/2022


LIC809 (FAS) - (06/04)
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