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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407810
Report Date: 08/17/2022
Date Signed: 08/17/2022 03:13:34 PM

Document Has Been Signed on 08/17/2022 03:13 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
EL SEGUNDO CC NORTH, 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: 10CENSUS: 0DATE:
08/17/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Director Jacqueline Rodriguez (Quiroa) & Administrator Gabrielle HoveyTIME COMPLETED:
12:49 PM
NARRATIVE
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On 08/17/2022 at 9:00 a.m., Deborah Lowe and Antonio Almanza, Licensing Program Analysts (LPAs), were at the licensed facility conducting an alternate inspection when the deficiency listed below was observed.

Deficiency observed:

At 9:12 a.m., LPAs observed the facility sketch did not match the facility lay out. According to the facility sketch the Infant Sleeping room is the room located on the left-hand side of the main entrance to the building. According to the Administrator, the Infant sleeping room has been used as a storage room since the beginning of Covid-19 (March 2020), but does not know the specific date. The Administrator is reporting that they are not aware of CCLD being notified of the change. The facility is using four portable cribs with wheels during the evening and night programs. The facility places the cribs in front of the exit door, blocking the exit to the playground.

Measurements were conducted of the infant classroom and the following measurements were taken.

The overall measurements of the infant room are 659.74 square feet, incombered space is 35.20 square feet, which equals to 624.54 feet of indoor activity space. Currently the facility is licensed for 18 infants.

The area used for the cribs in the infant room measure 108.70 square feet. When removing the designated crib area from the indoor activity space, the activity space in the room only allows for 14 infants. These measurements were based on the area that the Administrator is reporting as the space used for the cribs.

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2022
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
EL SEGUNDO CC NORTH, 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: 08/17/2022
NARRATIVE
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During today’s visit One Type A violation is being issued under Title 22 Regulations, Division 12, Chapter 1, of the California Code of Regulations: 101438.3 Indoor Activity Space for Infants (c) The calculation of indoor activity space for infants shall not include space designated and used for cribs. (1) The sleeping area for infants shall be physically separate from the indoor activity space. This separation shall be accomplished as specified in (b) above.

*** A copy of this report must be provided to the authorized representatives of all currently enrolled children and any newly enrolled child for the following 12 months. The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided no later than the next business day or the next day the child is in care.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.



A copy of this Report (809 & 809Ds), Notice of Site Visit, and Appeal Rights were explained and provided to the Assistant Director Jacqueline Rodriguez (Quiroa) and Administrator Gabrielle Hovey.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/17/2022 03:13 PM - It Cannot Be Edited


Created By: Antonio Almanza On 08/17/2022 at 02:18 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: 08/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/22/2022
Section Cited
CCR
101438.3(1)

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101438.3 (1) Indoor Activity Space for Infants, The sleeping area for infants shall be physically separate from the indoor activity space. This separation shall be accomplished as specified in (b) above.
This Requirement is not met as evidenced by:
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Licensee will clear out the stored items from the infant sleeping room or submit an application for decrease in capacity by 08/22/22.
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Based on observation, interview and record review, LPAs observed the infant room used a storage and space used for cribs blocks an exit, which poses an immediate or 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:Rita Ramos
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2022


LIC809 (FAS) - (06/04)
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