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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300607156
Report Date: 04/08/2021
Date Signed: 04/08/2021 12:55:12 PM

Document Has Been Signed on 04/08/2021 12:55 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:RAINBOW RISING-NORTHWOODFACILITY NUMBER:
300607156
ADMINISTRATOR:SHUSTED, AMANDAFACILITY TYPE:
840
ADDRESS:28 CARSON STREETTELEPHONE:
(949) 651-0224
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY: 90TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
04/08/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Terry Pineda, DirectorTIME COMPLETED:
11:30 AM
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On 04/08/2021, at 11:00 a.m., Licensing Program Analyst (LPA), Stacy Torrence conducted a virtual inspection with Terry Pineda, Director and Jennifer Willis, Administrator Director of Operation. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. There were 5 children and 2 staff present. Due to COVID-19 state of emergency, a waiver to allow the usage of additional spaces, not licensed by the Department, to accommodate their existing school age children according to the current class size restrictions as a precautionary measure with the COVID-19 outbreak, original waiver was effective 06/29/2020 until 09/29/2020, department has agreed to extend the waiver to 06/16/2021.

The Orange County Fire Authority Permit was granted on 09/01/2020 to add the following rooms: Multipurpose Room (MPR).



Facility check-in procedure: parent walk children to a cart, located outside of classroom, staff conduct a wellness check of the children, children’s temperature is taken, a tablet is located on the cart, in which, parents scan a unique barcode to sign children in, once signed in, children go and wash their hands. If children become ill during the day, they will rest in the isolation area located, in room CC1, in which, there is an area section off, with a couch, children will use the staff bathroom located in CC2. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness.

Children will stay with the same group as assigned and will not be moved from one group to the other. No more than 16 individuals in a cohort and groups must be kept physically separated. Age appropriate furniture including tables and chairs and are present in each of the rooms to meet the needs of children in care. There is a children’s bathroom in each classroom, which is a total of 2 bathrooms, the facility also uses the school’s bathrooms. There are 5 toilets, 7 sinks available. There is a designated outdoor play area with age appropriate equipment and activities. Children bring their own water bottles from home, and each classroom have pitchers filled with filter water for refills or if children forget their bottles, there are disposal cups available. The facility will bring the pitcher of water outside for the children to refill their bottles.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2021
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: RAINBOW RISING-NORTHWOOD
FACILITY NUMBER: 300607156
VISIT DATE: 04/08/2021
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The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies,

A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the Orange County Child Care Office at (714) 703-2800.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021
LIC809 (FAS) - (06/04)
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