Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419073
Report Date: 11/02/2017
Date Signed 11/02/2017 06:18:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:RAINBOW CHILDREN'S ACADEMY, CORP.FACILITY NUMBER:
197419073
ADMINISTRATOR:KELLY COLEMANFACILITY TYPE:
850
ADDRESS:1213 CENTINELA AVENUETELEPHONE:
(310) 672-2400
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY:168CENSUS: 74DATE:
11/02/2017
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Kelly ColemanTIME COMPLETED:
06:30 PM
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Licensing Program Analyst (LPA) Chandler made an unannounced inspection to the above facility for the purpose of follow up to an unusual incident reported to the regional office on 10/11/17 where a child states that a staff member pinched them.

During todays inspection LPA reviewed footage of the day that was indicated in the report.

Children and staff were interviewed.

Licensee has recording of the incident on a cell phone application, however at the time of the inspection licensee was not able to forward a copy to LPAs email or cell phone.

Based on todays interviews and observations no citations were issued, LPA will discuss report with management and any further action will be addressed accordingly.

This report was discussed with director Kelly Coleman who states that she understands that this was a fact finding inspection and does not negate a conclusion or dismissal of any violations. Any violations discovered during review shall be cited and civil penalties assessed if necessary.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (310) 337-4332
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (310) 337-4343
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2017
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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