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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407318
Report Date: 12/09/2021
Date Signed: 12/09/2021 12:29:16 PM

Document Has Been Signed on 12/09/2021 12:29 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.FACILITY NUMBER:
197407318
ADMINISTRATOR:PEGGY NAIRNFACILITY TYPE:
850
ADDRESS:9213 COLUMBUS AVENUETELEPHONE:
(818) 892-6634
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 6DATE:
12/09/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:23 AM
MET WITH:Director: Susan GlamuzinaTIME COMPLETED:
12:30 PM
NARRATIVE
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On 12/09/2021 at 08:23 a.m., Antonio Almanza, Licensing Program Analysts, conducted an unannounced visit for the purpose of completing Comprehensive Case Management Report. During todays visit LPA met with Susan Glamuzina, Director, and toured that facility. During today’s visit there are 1 adults providing care and supervision to 6 children in care.

On 12/07/2021 at 12:17 a.m., Antonio Almanza and Lourdes Castellanos, Licensing Program Analysts, conducted an unannounced Comprehensive Case Management visit. LPA’s met with Susan Glamuzina, Director, and toured that facility indoors and outdoors. There were 3 adults providing care and supervision to 11 children. Days and hours of operation are 7 days per week 24-hours per day. LPAs verified the facility phone number is (818) 892-6644. Per Stipulation and Waiver; and Order the facility is on Probation for 3 years effective August 29, 2019.

There is an in-ground swimming pool that is fenced with wrought iron gate. At 1:14 pm LPA observed the gate is not self-latching and has a padlock on the latch. There are three different locations on the fence surrounding the swimming were the welding’s have eroded due to corrosion and have come loose and as a result the fence is not secure. Please see facility # 197407320 for citation.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Toilets and hand washing facilities are in safe and sanitary operating condition. Solid waste storage container in the kitchen has a broken lid. LPAs observed the kitchen child safety gate tied to a string keeping it open. LPAs observed two broken kitchen drawers next to the gate, one of the drawers had knifes and sharp items inside. LPAs observed a drawer next to the kitchen sink without a safety latch and knifes inside. Pg 1.
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2021
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 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318
VISIT DATE: 12/09/2021
NARRATIVE
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LPAs observed the kitchen cabinet underneath the sink to be broken and in disrepair. The classroom next to the kitchen did not have children present. LPAs observed cleaning supplies and poisons underneath the kitchen sink that were not being made inaccessible by lock or safety latch. There is a hamster next to the kitchen besides food storage area and food preparation area. Drinking water is available both indoors and outdoors. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. The door that leads to the Directors office does not have a lock or child safety nob that can make it inaccessible to children. LPAs observed cleaning and disinfecting supplies in this area. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption.

There is at least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off site activities. The name of the child care center director or fully qualified teacher(s) designated to act in the director’s absence has been reported to the Department. During the visit on 12/08/21 LPAs observed that 1 of 14 children signed in and 2 children gone but one did not sign out, Director stated the child was taken to school from the center and the staff did not sign him out. LPA Castellanos reviewed a sample of children’s files and observed files ( were / were not ) complete with: Identification and Emergency Information (LIC700, Child’s Preadmission Health Evaluation (LIC702), Physician Report (LIC 70, if not enrolled in elementary school), Consent for medical Treatment (LIC627), Immunization Records (“Blue Cards”, PM286 for non -school-age children), Current Admissions Agreement with signature, Notification of Parents’ Rights (LIC995), Personal Rights (LIC613A). Per Stipulation and Waiver; And Order children’s files have signed acknowledgement of being provided a copy of Stipulation but do not have signed acknowledgement of being provided a copy Accusation. There are no children with a Restricted Health Condition. LPA Castellanos reviewed a sample of staff files and observed files were complete with health screening, immunization records for, influenza (current), pertussis and measles and current documentation of completed Mandated Reporter Training, Health Screening Report (TB), Personnel Record (LIC501), Teacher Qualification (LIC9095), Director Qualifications (LIC9096), Transcripts, Criminal Record Statement (LIC508), Notice of Employee Rights (LIC9052), Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC9108).

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SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021
LIC809 (FAS) - (06/04)
Page: 10 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318
VISIT DATE: 12/09/2021
NARRATIVE
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Director reports that staff have received training. Per Stipulation, LPA is unable to verify that Staff are provided 24 hours of quarterly training on applicable Tittle 22 Regulations, including Mental Health Assessment, Client Behaviors, Personal Rights, Care and Supervision, and Medication; records of staff receiving training are not available for review. On 12/07/21 there was not a clear written statement of the administrative responsibility and authority delegated to the child care center director and a copy of this written statement was given to the child care center director and has not been made available to the Department upon request. At this time LPA is unable to determine if facility staff are working more than eight (8) hours per day, due to facility not providing work schedule or staff time cards Per Director the owner Peggy Nairn only has access to this information (LAP is requesting this information by 12/09/21). LPAs did not observe the following items posted in a location were parent in the Infant Center can see them: Personal Rights Form LIC-613A, Child Care Center Notification of Parents' Rights Poster PUB 393, and Notice of Site Visit for 12/08/21. The Stipulation is posted in a conspicuous place at the facility for parents to view.

Capacity and limitations of the Licensed facility are not being maintained. The facility is currently operating an exempt school age program that was taken away by the department in an in-office None Compliance Conference meeting held on 07/08/2011. Per Stipulation Waiver; and Order the Waiver to allow care for 12 school age children was revoked. Director was provided an updated facility License that no longer shows 12 children ages 5 years through 12 years.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: three (3) Type As and ten (10) Type Bs (please see LIC 809-D for cited deficiencies). Director was provided a copy of their appeal rights.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of LIC 9224 was given to Susan Glamuzina.

A copy of this report was explained and provided to Director Susan Glamuzina and Administrator Tammy Jacquin. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
Pg 3.
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021
LIC809 (FAS) - (06/04)
Page: 9 of 10
Document Has Been Signed on 12/09/2021 12:29 PM - It Cannot Be Edited


Created By: Antonio Almanza On 12/08/2021 at 01:47 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type A
12/10/2021
Section Cited
CCR
101238(e)(1)

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101238 Buildings and Grounds (e)(1) Fences shall... gates shall swing away from the pool, self-close and have a self-latching device located no more than six inches from the top of the gate...

This Requirement is not met as evidenced by:
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Licensee will make the pool area inaccessible and have the gate fixed to be in compliance with Title 22 regualtions, by 12/10/21.
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Based on observation The Licensee did not make sure the gate to the swimming pool is self-closing, which poses an immediate Health and Safety, and personal rights risk to persons in care.
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Request Denied: Appeal Not Submitted Timely
Type A
12/10/2021
Section Cited
CCR101238(e)

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101238 Buildings and Grounds (e) All licensees shall ensure the inaccessibility of pools... bodies of water, through a pool cover or by surrounding the pool with a fence.

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Licensee will make athe area around the pool inaccessible and will have the iron bars fixed/welded back on to the gate in order for the gate to be secure, by 12/10/21.
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Based on observation, The Licensee did not make sure the fencing around the pool is secure, LPAs observed the welding on 3 different location of the fence with rust and eroded making the rods loose, which poses an immediate Health and Safety, and 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:Mary Ruiz
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2021


LIC809 (FAS) - (06/04)
Page: 7 of 10
Document Has Been Signed on 12/09/2021 12:29 PM - It Cannot Be Edited


Created By: Antonio Almanza On 12/08/2021 at 02:07 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type A
12/09/2021
Section Cited
CCR
101161(a)

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101161 Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This Requirement is not met as evidenced by:
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Director has been advised that Owner Peggy Nairn had an in office meeting at the RO on 7/08/2011 where the school age program was taken away from the facility and per stipulation waiver for 12 school age children was revoked.
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Based on observation, interview and record review, The Licensee continues to operate a school age waiver that was revoked per stipulation dated 08/29/2019, which poses an immediate Health and Safety, and personal rights risk to persons in care.
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Director has been advised that the school age program has to cease operation immediately and the parents of the school age children need to be notified that the facility can no longer care for their children.

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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:Mary Ruiz
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2021


LIC809 (FAS) - (06/04)
Page: 2 of 10
Document Has Been Signed on 12/09/2021 12:29 PM - It Cannot Be Edited


Created By: Antonio Almanza On 12/08/2021 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/11/2021
Section Cited
CCR
101239(f)(1)

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101239 Fixtures, Furniture, Equipment and Supplies (f)(1) - Standard (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof.
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Director will have a purchase a new trash can or will replace the lid to the current trash can by 12/11/21.
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Based on observation, The Licensee did not make sure to have a lid on trash can in kitchen, LPAs observed trashcan lid broken and not covering the trash can, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Request Denied: Appeal Not Submitted Timely
Type B
12/24/2021
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.
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Director will have drawers and cabintets under kitchen sink repaired by 12/24/2021.
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Based on observation, The Licensee did not make sure to have kitchen cabinets in good repair, LPAs observed drawers and cabinet under sink broken, which poses a potential Health or 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:Mary Ruiz
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2021


LIC809 (FAS) - (06/04)
Page: 5 of 10
Document Has Been Signed on 12/09/2021 12:29 PM - It Cannot Be Edited


Created By: Antonio Almanza On 12/08/2021 at 02:37 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/10/2021
Section Cited
CCR
101238(g)(1)

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101238 Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked.
This Requirement is not met as evidenced by:
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Director has removed all cleaning and poisons form underneath kitchen sink and will have a lock or child safety latch installed in the door that leads to the directors office by 12/10/21.
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Based on observation, The Licensee did not make sure to keep cleaning supplies and poisons inaccessible, LPAs observed cleaning supplies and poisons underneath kitchen sink in the hallway in front of the Directors office, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Request Denied: Appeal Not Submitted Timely
Type B
12/09/2021
Section Cited
CCR101227(19)

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101227 Food Services (19) All food shall be protected against contamination.


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Director will remove hamster from kitchen area and relocate it.
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Based on observation, The Licensee did not make sure to protect food fromcontamination, LPAs observed a hamster inside of a glass cage with screened top located right next to the food prepping and storage area, which poses a potential Health or 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:Mary Ruiz
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2021


LIC809 (FAS) - (06/04)
Page: 6 of 10
Document Has Been Signed on 12/09/2021 12:29 PM - It Cannot Be Edited


Created By: Antonio Almanza On 12/08/2021 at 02:52 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/10/2021
Section Cited
CCR
101229.1(b)

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101229.1 Sign In and Sign Out (b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

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Director will provide Staff with reminder that person who brings the child, and removes the child from the center shall sign the child in and out. Licensee will have staff sing off that they have been given instructions on procedures for sign in/sign out, by 12/10/2021.
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Based on observation and records review, The Licensee did not make sure to have person dropping of child sign the log, LPAs observed 14 children signed in and 1 of 2 children that were gone were not signed out, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Request Denied: Appeal Not Submitted Timely
Type B
12/13/2021
Section Cited
HSC1596.8595

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Health and Safety Code 1596.8595 Posting ... reports to be provided to parents orguardian ... Per Stipulation and Waiver; and Order, licensee is required to provide all parents with a copy of Stipulation and Accusation and signed acknowledgement of being provided a copy.
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Director has been advised that per stipulation parents are to provide both Stipulation and accusation. Director will provide Accusation and get signed acknowledgement by 12/13/2021.
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Based on observation and records review, The Licensee did not provide parents accusation and signed acknowledgement is not on file. LPAs observed children's files with parents signing off on receiving Stipulation but not the accusation, which poses a potential Health or 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:Mary Ruiz
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2021


LIC809 (FAS) - (06/04)
Page: 8 of 10
Document Has Been Signed on 12/09/2021 12:29 PM - It Cannot Be Edited


Created By: Antonio Almanza On 12/08/2021 at 06:08 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/13/2021
Section Cited
CCR
101216(e)

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101216 Personnel Requirements (e) All personnel shall be given on-the-job training... Per Stipulation Licensee shall provide 24 hours of quarterly training and keep a record of staff who attend such training and make records available to Licensing.
This requirement is not met as evidenced by:
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Licensee shall comply with the Stipulation and Waiver; and Order, and provide the 24 hours of training to staff and submit a copy of the records of staff who attended the training on required subjects, to LPA by 12/13/2021.
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Based on observation and records review, The Licensee does not have records available for the 24 hours of quarterly training, which poses a potential Health or Safety, or personal rights risk to persons in care.
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 Per Stipulation Licensee shall provide 24 hours of quarterly training to staff on mental health assessments, client behaviors, personal rights, care and supervision, and medication and keep a record of staff who attend such training and make records available to Licensing.
Request Denied: Appeal Not Submitted Timely
Type B
12/13/2021
Section Cited
CCR101215.1(c)(1)

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101215.1 Child Care Center Directors Qualifications and Duties (c)(1) There shall be a clear written statement of the administrative responsibility and authority delegated to the child care center director.
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Licensee shall provide a clear written statement of the adminstrative responsibility and authority delgated to the child care center director and provide a copy to LPA by 12/13/2021
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Based on record reviews there is no a clear written statement of the administrative responsibity and authority delegated to the child care center director which poses a potential 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:Mary Ruiz
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/09/2021 12:29 PM - It Cannot Be Edited


Created By: Antonio Almanza On 12/08/2021 at 06:27 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PENNY AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/09/2021
Section Cited
CCR
101223(b)(2)

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101223 Personal Rights (b)(2) The center shall post a copy of the LIC 613A (9/96) in a prominent, publicly accessible area in the center.

This requirement is not met as evidenced by:
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Director will post Personal Rights Form LIC-613A where parents can have access to it during pick up and dropp off.
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Based on Observation a copy of the LIC 613A is not posted in a prominent, publicly accessible area of the center, which poses a potential health, safety or personal rights risk to persons in care.
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Request Denied: Appeal Not Submitted Timely
Type B
12/09/2021
Section Cited
CCR101218.1(c)

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101218.1 Admission Procedures and Parental and Authorized Representative's Rights
(c) The licensee shall post the PUB 393 (8/02), Child Care Center Notification of Parents' Rights Poster in a prominent, publicly accessible area in the child care center at all times.
his requirement is not met as evidenced by:
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Director will post PUB 393 (8/02), Child Care Center Notification of Parents' Rights Poster where parents access to it during pick up and drop off.
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Based on Observation a copy of thePUB 393 (8/02), Child Care Center Notification of Parents' Rights Poster is not posted in a prominent, publicly accessible area of the center, which poses a potential 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:Mary Ruiz
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2021


LIC809 (FAS) - (06/04)
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