Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 123006679
Report Date: 11/09/2017
Date Signed: 11/09/2017 11:43:16 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:RAINBOW JUNCTION CHILDREN'S CENTER-P/SFACILITY NUMBER:
123006679
ADMINISTRATOR:MAKAKOA, JACKIEFACILITY TYPE:
850
ADDRESS:1660 NEWBURY RD SUITE ETELEPHONE:
(707) 725-5755
CITY:FORTUNASTATE: CAZIP CODE:
95540
CAPACITY:49CENSUS: 34DATE:
11/09/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Jackie MakakoaTIME COMPLETED:
12:00 PM
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A visit was made to the facility by LPA Snow. The facility file was reviewed prior to this visit. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The facility serves the 2-5 year olds with a school age approval for up to 12 siblings. This facility was toured inside and outside and the floor and yard plan submitted prior to licensure were verified; the facility appeared clean and orderly. The items which could pose a danger to children (detergents, cleaning compounds, and medications) were stored out of the reach of children. The toys, floors, desks and other equipment appeared clean. There was a working smoke detector and fire extinguisher and carbon monoxide detector in the facility. There is drinking water available to children both indoors and outdoors. The children's bathrooms appeared in safe and sanitary operating condition. The playground is accessed by a fenced pathway with staff escort and was completely fenced. The playground equipment appeared in safe condition. There was wood chip cushioning underneath climbing structures and/or play equipment to absorb falls. Children and staff records were reviewed. The Staff did not have record of immunization. At least one staff member present possessed current CPR and First Aid certifications.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2017
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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: RAINBOW JUNCTION CHILDREN'S CENTER-P/S
FACILITY NUMBER: 123006679
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/15/2017
Section Cited
HSC
1597.622 (a)(1)
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Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles.
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Send proof of staff Immunizations
MMR & Tdap (influenza optional)
DUE by 12/15/17
jaime.snow@dss.ca.gov or
520 Cohasset Rd. Suite 170 Chico CA
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Staff did not have record of Immunizations.
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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: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2017
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2017
LIC809 (FAS) - (06/04)
Page: 3 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: RAINBOW JUNCTION CHILDREN'S CENTER-P/S
FACILITY NUMBER: 123006679
VISIT DATE: 11/09/2017
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The fire drill has been conducted within 6 months. This report along with the SIDS Prevention and Safe Sleep Policy were provided, discussed and reviewed with the Director.

All licensing reports are public information and must be made available upon request. Incidental Medical Services (IMS) policy was discussed and medication is not being given at this time. 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. This report was reviewed and discussed with the director.
Notice of Site Visit shall be posted for 30 days from today's visit.
The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D.


The following is being requested within 30 days to update the facility file:
LIC 308 Designation of responsibility
LIC 610A Emergency Disaster Plan
LIC 500 Personnel Report
Daily Activity Schedule
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2017
LIC809 (FAS) - (06/04)
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