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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407811
Report Date: 07/13/2022
Date Signed: 07/13/2022 01:01:46 PM

Document Has Been Signed on 07/13/2022 01:01 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:
197407811
ADMINISTRATOR:PEGGY & PENNY NAIRNFACILITY TYPE:
850
ADDRESS:15300 DEARBORNTELEPHONE:
(818) 892-6635
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 6DATE:
07/13/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:48 AM
MET WITH:Director Magaly ZunigaTIME COMPLETED:
10:00 AM
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On 07/13/2022 at 8:48 A.m., Licensing Program Analyst (LPA) Antonio Almanza conducted an unannounced Case Management Visit for the purpose of following up on the unusual incident that occurred at the facility on 03/21/2022. During today’s visit LPA met with the Director, Magaly Zuniga, explained the purpose of the visit, and toured the facility. During today’s visit there are 1 adults providing care and supervision to 6 children in care.

During this visit, LPA obtained a copy of the child's records.

At this time, further investigation is needed.

A copy of this Report (809), Appeal Rights, and Notice of Site Visit (LIC 9213) were provided and explained to the Director Magaly Zuniga.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2022
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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