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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407810
Report Date: 12/07/2021
Date Signed: 12/07/2021 08:45:19 PM

Document Has Been Signed on 12/07/2021 08:45 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 HOUR CHILD CARE INC.FACILITY NUMBER:
197407810
ADMINISTRATOR:PEGGY & PENNY NAIRNFACILITY TYPE:
830
ADDRESS:15300 DEARBORNTELEPHONE:
(818) 892-6635
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 8DATE:
12/07/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Gloria Avina- DirectorTIME COMPLETED:
06:30 PM
NARRATIVE
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On 12//07/2021 at 12:15 PM, Keyona Scott and Silva Garibyan, Licensing Program Analysts (LPAs), conducted an unannounced Comprehensive Case Management visit. During today’s visit LPAs met with Gloria Avina (Director) and Susan Glamuzina (Director). Susan Glamuzina left the facility to assist at the Columbus location. LPAs toured the facility indoors and outdoors. There are three adults providing care and supervision to eight children. Days and hours of operation are Monday through Friday 7:00 AM 6:30 PM. LPAs verified the facility phone number is (818) 892-6635 (and the phone is transferred to Owner Director Peggy Nairn). Per Stipulation and Waiver; and Order the facility is on Probation for 3 years effective August 29, 2019.

There is no swimming pool or other bodies of water on the premises. Disinfectants cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked storage area. No poisons were observed during the inspection.

The infant program is for ages one to two years old. The facility has enough age appropriate furniture, and equipment including cots or mats, changing tables and feeding chairs. There is indoor and outdoor activity space for infants that is physically separate. Each mat or cot is occupied by only one infant at time. LPAs did not observe cribs in the infant classroom. Infants are not swaddled while in care. Staff are physically present in the sleeping area with the infants during nap time. Individual Infant Sleep Plan is not required for infants over 12 months of age.
(Page 1)
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2021
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PENNY AND PEGGY NAIRN 24 HOUR CHILD CARE INC.
FACILITY NUMBER: 197407810
VISIT DATE: 12/07/2021
NARRATIVE
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Furniture and equipment are in good condition, free of sharp, lose or pointed parts. Playground equipment is in safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Floors in the facility are clean and safe. Kitchen, food preparation and storage areas are clean, free of litter, rubbish, rodents and vermin. Food is protected against contamination and any contaminated food is discarded. Solid waste storage containers have tight-fitting covers and are in good repair. 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. 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.

Capacity and limitations as specified on the license are being maintained. 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 teachers designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. LPA reviewed a sample of children’s files and observed files were complete with: Identification and Emergency Information (LIC700, Child’s Preadmission Health Evaluation (LIC702), Physician Report (LIC 701, if not enrolled in elementary school), Consent for Medical Treatment (LIC627), Immunizations Records (“Blue Cards”, PM286 for non -school-age children), Current Admissions Agreement with signature, Notification of Parents’ Rights (LIC995), Infants Need and Services Plan, Toilet Training Plan (Infant Centers), Infant Feeding Plan, Personal Rights (LIC613A). Children’s files have signed acknowledgement of being provided a copy of Stipulation and is available for review upon request; however, the children's files do not have signed acknowledgement of a copy of attached Accusation. There are no children with a Restricted Health Condition.

(Page 2)
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
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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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PENNY AND PEGGY NAIRN 24 HOUR CHILD CARE INC.
FACILITY NUMBER: 197407810
VISIT DATE: 12/07/2021
NARRATIVE
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LPA Garibyan reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza (current), pertussis, measles and current documentation of completed Mandated Reporter Training, Health Screening Report (TB), Personnel Record (LIC501), Teacher Qualification (LIC9095), Director Qualifications (LIC9096), Appropriate Official Transcripts, Criminal Record Statement (LIC508), Notice of Employee Rights (LIC9052), Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC9108).

Staff are not 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. There is a Director on the premises during the day program and evening program. There is 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 has not been given to the child care center director and has not been made available to the Department upon request. There are no employees working more than eight (8) hours per day. Menus are posted at least one week in advance where an authorized representative can view them. The Stipulation is posted in a conspicuous place at the facility. The updated Facility License reflecting the Probationary License is posted.



During today’s visit the facility is not in substantial compliance and there are deficiencies being cited. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (please see LIC 809-D for cited deficiencies). Director was provided a copy of their appeal rights.

A copy of this report was explained and provided to Gloria Avina (Director). 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.

(Page 3)
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 12/07/2021 08:45 PM - It Cannot Be Edited


Created By: Keyona Scott On 12/07/2021 at 07:19 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 HOUR CHILD CARE INC.
FACILITY NUMBER: 197407810

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/07/2021
Section Cited
HSC
1596.8595

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As a condition of the Stipulation, Waiver and Order dated 08/19/2019, licensee is required to provide all parents with a copy of Stipulation, Waiver and Order with Accusation attached informing them of the Probationary status of the license.

This requirement is not met as evidenced by:
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Licensee shall comply with the Stipulation, Waiver and Order dated 08/19/2019. Licensee is required to provide all parents with a copy of the Stipulation, Waiver and Order with Accusation attached.
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LPAs reviewed eight files. Based on file review, LPAs observed acknowledgement forms (LIC9224) were for Stipulation only and not for Accusation; this poses a potential health, safety, and/or personal rights risks to persons in care.
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Request Denied: Appeal Not Submitted Timely
Type B
12/07/2021
Section Cited
CCR101216

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All personnel shall be given on-the-job training in the areas listed... or shall have related experience that demonstrates knowledge of and skill in those areas... As a condition of the Stipulation Licensee shall within 60 days of this Stipulation, provide 24 hours of training to staff on mental health assessments, client behaviors, personal rights, care and
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Licensee shall comply with the Stipulation, Waiver and Order dated 08/19/2019. Licensee is required to provide 24 hours of training to staff and submit a copy of the records of staff who attended the trainings to CCLD.
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supervision, and medication and keep a record of staff who attend such trainings and make records available to Licensing.
This requirement is not met as evidenced by:
Based on record review no records were available for review which poses a potential health, safety, and/or personal rights risks 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:Keyona Scott
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2021


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 12/07/2021 08:45 PM - It Cannot Be Edited


Created By: Keyona Scott On 12/07/2021 at 08:12 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 HOUR CHILD CARE INC.
FACILITY NUMBER: 197407810

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/07/2021
Section Cited
CCR
101215.1(h)(1)

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(h) Child care center directors shall have completed one of the following prior to employment: (1) High school graduation or GED; completion, with passing grades, of 15 semester or equivalent quarter units...
This requirement is not met as evidenced by:
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Licensee shall submit official transcripts to verify Director's qualifications.
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Based on record review LPAs did not find the Director met the qualifications for director based on transcripts which poses a potential health, safety, and/or personal rights risks 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:Keyona Scott
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2021


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