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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494791
Report Date: 10/25/2022
Date Signed: 10/25/2022 12:52:24 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/11/2022 and conducted by Evaluator Antonio Almanza
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20220811123729
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:19CENSUS: 13DATE:
10/25/2022
UNANNOUNCEDTIME BEGAN:
11:22 AM
MET WITH:Director/Owner Peggy NairnTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Personal Rights: Trash is accessible to day care children.
INVESTIGATION FINDINGS:
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On 10/25/2022 at 11:22 AM, Antonio Almanza, Licensing Program Analyst (LPA), conducted an unannounced site visit for the purpose of delivering finding for complaint received on 08/11/2022. LPA met with Peggy Nairn, Director/Owner, and explained the purpose of the visit. During today’s visit there are 5 Adults and 13 Children in care. Risk Assessment was completed prior to conducting visit.

During the course of the investigation, LPA Almanza conducted interviews, and made observations regarding the aforementioned allegations.

Facility staff are reporting trash bags are placed outside, in front of the classroom door or next to the door that leads to the dumpster. When trash bags are placed outside there are no children in the playground. The trash bags are removed by a member of administration and placed into the dumpster that is located through the door in the corner of the playground.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 58-CC-20220811123729
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 & PEGGY NAIRN 24 HOUR CHILDCARE, INC/INFANT
FACILITY NUMBER: 197494791
VISIT DATE: 10/25/2022
NARRATIVE
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Parents are not reporting to have observed trash accessible to children in the playground. Parents are reporting that they have observed trash bags in the playground but not when children are outside.

Based on the information obtained over the course of the investigation, LPA is unable to corroborate the allegation, trash is accessible to day care children. Therefore, the allegation is determined Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred.

A copy of this report, Notice of Site Visit, and Appeal Rights were explained and provided to Director/Owner Peggy Nairn.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/11/2022 and conducted by Evaluator Antonio Almanza
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20220811123729

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:19CENSUS: 13DATE:
10/25/2022
UNANNOUNCEDTIME BEGAN:
11:22 AM
MET WITH:Director/Owner Peggy NairnTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
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9
Personal Rights: Staff are not disinfecting changing table after diaper changes.
Personal Rights: Staff are not washing hands after diaper changes.
INVESTIGATION FINDINGS:
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On 10/25/2022 at 11:22 AM, Antonio Almanza, Licensing Program Analyst (LPA), conducted an unannounced site visit for the purpose of delivering finding for complaint received on 08/11/2022. LPA met with Peggy Nairn, Director/Owner, and explained the purpose of the visit. During today’s visit there are 5 Adults and 13 Children in care. Risk Assessment was completed prior to conducting visit.

During the course of the investigation, LPA Almanza conducted interviews, made observations and reviewed records regarding the aforementioned allegations.

On 08/16/22, LPA Almanza interviewed 5 staff and 3 Staff (S1, S2, & S3) of 5 Staff interviewed are not reporting disinfecting changing table as a procedure for diaper changes. Three Staff (S1, S2, & S5) of 5 Staff interviewed are not reporting washing hands after diaper changes, as a procedure for diaper changes.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 58-CC-20220811123729
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 & PEGGY NAIRN 24 HOUR CHILDCARE, INC/INFANT
FACILITY NUMBER: 197494791
VISIT DATE: 10/25/2022
NARRATIVE
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On 08/16/22, LPA Almanza observed 3 Staff (S1, S2, & S4) Change diapers for children in care. LPA did not observe Staff 1 and 2 disinfect changing table or wash hands after diaper change.

LPA Almanza received a copy of the Facilities Diapering and Hand Washing Procedures.

Diapering Procedures: “1. Preparing for diapering as indicated above”; “9. Place child at sink and wash hands following the “hand washing procedures””; “10. Spray diapering surface with bleach-water solution…” ; “11. Adult washes hands using the “handwashing procedure,” without contaminating any other surfaces.”

Hand Washing Procedures: “All Adults In Penny & Peggy Nairn 24 hour Childcare, Inc. classrooms need to follow ALL the following steps identified below to prevent the spread of diseases to children and staff members.” “After diapering/toileting a child.

After considering available information, Staff are not disinfecting changing table after diaper changes and Staff are not washing hands after diaper changes. Based on LPAs observation and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC9099D.

During today’s visit TWO Type B violation are being issued:


1. 101428(d)(7) Infant Care Personal Services - The changing table and changing pads shall be disinfected after each use even when disposal covers are used.
2. 101438.1(b) Infant Care General Sanitation - Each caregiver shall wash his/her hands with soap and water before each feeding and after each diaper change.

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 (LIC9099 & LIC9099d), Appeal Rights (LIC9058) and Notice of Site Visit were reviewed and provided to the Director/Owner Peggy Nairn.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 58-CC-20220811123729
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 & PEGGY NAIRN 24 HOUR CHILDCARE, INC/INFANT
FACILITY NUMBER: 197494791
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2022
Section Cited
CCR
1. 101428(d)(7)
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101428(d)(7) Infant Care Personal Services - The changing table and changing pads shall be disinfected after each use even when disposal covers are used.
This Requirement is not met as evidenced by:
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Director will provide staff with an updated memo on diaper change procedures (identify procedures) and have staff sign off on understanding procedures.
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Based on observation, Staff 1 and 2 did not disinfect changing table after diaper change, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Director will provide LPA copy of memo with signatures by 10/31/22.
Type B
10/31/2022
Section Cited
CCR
101438.1(b)
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101438.1(b) Infant Care General Sanitation - Each caregiver shall wash his/her hands with soap and water before each feeding and after each diaper change.
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Director will provide staff with an updated memo on diaper change procedures (identify procedures) and have staff sign off on understanding procedures.
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Based on observation, Staff 1 and 2 did not wash hands after diaper change, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Director will provide LPA copy of memo with signatures by 10/31/22.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5