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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494791
Report Date: 03/30/2022
Date Signed: 03/30/2022 03:09:15 PM

Document Has Been Signed on 03/30/2022 03:09 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 & PEGGY NAIRN 24 HOUR CHILDCARE, INC/INFANTFACILITY NUMBER:
197494791
ADMINISTRATOR:NAIRN, PEGGYFACILITY TYPE:
830
ADDRESS:10036 OLD DEPOT PLAZA ROADTELEPHONE:
(818) 652-7618
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY: 19TOTAL ENROLLED CHILDREN: 19CENSUS: 10DATE:
03/30/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Peggy Narin, LicenseeTIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Veronica Wheatley and Laticia Thompson conducted an unannounced Case Management inspection. LPAs toured the facility and observed infants supervised by staff members.

During the inspection, LPAs observed food on a self with two chemicals in the kitchen. This is a deficiency according to Title 22 Regulations. LPA Wheatley showed the items to the licensee Ms. Narin and the items were removed during the inspection.

In addition, LPAs observed two blankets inside of a crib along with a bottle. LPAs did not observe any children inside of the crib however based on the Safe Sleep law blankets are not allowed in the cribs. A technical violation is being provided for this action.

Exit interview. The report will be emailed to licensee.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2022
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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Document Has Been Signed on 03/30/2022 03:09 PM - It Cannot Be Edited


Created By: Veronica Wheatley On 03/30/2022 at 02:15 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 & PEGGY NAIRN 24 HOUR CHILDCARE, INC/INFANT
FACILITY NUMBER: 197494791

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/30/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/31/2022
Section Cited
CCR
101238I

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Buildings and Grounds-The items specified in Section 101238(g) above shall not be stored in food-storage areas or in storage areas used by or for children.
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Licensee Narin removed the items durring the inspection. Licensee will submit a plan of correction to the department on 3/30/22.
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LPAs Wheatley & Thompson toured the facility and observed food on the same shelf with chemicals. LPAs observed two spray chemicals on the shelf with food. This is a Type A violation.
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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:Maureen Neal
LICENSING EVALUATOR NAME:Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE: 03/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2022


LIC809 (FAS) - (06/04)
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