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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410505727
Report Date: 06/20/2024
Date Signed: 06/20/2024 05:10:16 PM

Document Has Been Signed on 06/20/2024 05:10 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:RAINBOW PRESCHOOL & DAY CAREFACILITY NUMBER:
410505727
ADMINISTRATOR/
DIRECTOR:		BAUTISTA, ROSEANNEFACILITY TYPE:
850
ADDRESS:2223 VERA AVENUETELEPHONE:
(650) 367-4025
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 22TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
06/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Roseanne Bautista-AbadTIME VISIT/
INSPECTION COMPLETED:
05:25 PM
NARRATIVE
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On June 20, 2024, at approximately 1:30pm, Licensing Program Analysts(LPAs) Maria Olguin-Leon and Diana Alvarado visited the facility to conduct an unannounced Case Management visit. LPAs met with Director Roseanne Bautista-Abad and explained the purpose of visit. Visit was to discuss incident LPAs observed earlier in the day. Present during today's visit was Director, assistant and 6 children. Facility is within capacity and ratio requirements.

At approx. 9:40am LPAs were conducting a visit at another site and overheard a person speaking using a loud firm tone to a child. LPAs observed/overheard a person using a loud firm tone and telling the child she was scary and kids don’t want to play with you. LPAs overheard a child crying. LPA’s became aware incident was coming from a licensed facility located at the same location in a different classroom.

LPA's toured the facility for health and safe hazards. LPAs interviewed Director regarding incident. LPAs requested child’s file and Director was unable to locate. Children’s roster was also unavailable for review. LPAs collected admission agreement and children’s name and phone numbers. LPAs discussed health and safety concerns with Director.

Type B violations are being cited on this day in accordance with the California Health & Safety Code, see LIC 809D.

A Notice of Site Visit shall be posted for 30 days.

Exit interview conducted and report was reviewed with Director Roseanne Bautista-Abad.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 06/20/2024 05:10 PM - It Cannot Be Edited


Created By: Maria Olguin-Leon On 06/20/2024 at 02:24 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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: RAINBOW PRESCHOOL & DAY CARE
FACILITY NUMBER: 410505727

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/19/2024
Section Cited
CCR
101223(a)(3)

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101223(a)(3)Personal Rights
(a) (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...
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Office meeting will be scheduled with LPM and LPA and facility Director to discuss incident and other compliance concerns.
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This requirement is not met as evidenced by:
LPAs overheard Director using a loud firm voice and scolding a child in care. LPAs interviewed Director regarding incident.
This posed a potential health, safety, or personal rights risk to the persons in care.
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Type B
06/27/2024
Section Cited
CCR10122(a)

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101221 Child's Records
(a) A separate, complete and current record for each child is maintained in the child care center.

This requirement is not met as evidenced by:

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Director will complete children's records and bring records to office meeting for review.
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Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
This posed a potential health, safety, or personal rights risk to the 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:Marie Rodriguez
LICENSING EVALUATOR NAME:Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/20/2024 05:10 PM - It Cannot Be Edited


Created By: Maria Olguin-Leon On 06/20/2024 at 03:23 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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: RAINBOW PRESCHOOL & DAY CARE
FACILITY NUMBER: 410505727

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/27/2024
Section Cited
HSC
1596.841

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1596.841 Current roster of children provided care in facility required
Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.

This requirement is not met as evidenced by:
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Director will submit current updated facility roster to LPA by POC date and in office meeting.
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Facility did not have a facility roster available for review.

This posed a potential health, safety, or personal rights risk to the persons in care.
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Type B
07/19/2024
Section Cited
CCR101238

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101238 Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

This requirement is not met as evidenced by:
This posed a potential health, safety, or personal rights risk to the persons in care.
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Director agrees to submit a work order to Redwood City School District maintenance department to eliminate ant problem. Director will submit work order to LPA and completion of work order. Will be discussed during office meeting.

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Based on tour of facility, LPAs observed ants on the kitchen counter of the facility.

This posed a potential health, safety, or personal rights risk to the 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:Marie Rodriguez
LICENSING EVALUATOR NAME:Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2024


LIC809 (FAS) - (06/04)
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