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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494792
Report Date: 12/15/2021
Date Signed: 12/15/2021 01:31:39 PM

Document Has Been Signed on 12/15/2021 01:31 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, INCFACILITY NUMBER:
197494792
ADMINISTRATOR:NAIRN, PEGGYFACILITY TYPE:
850
ADDRESS:10036 OLD DEPOT PLAZA ROADTELEPHONE:
(818) 652-7618
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: DATE:
12/15/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:36 AM
MET WITH:TIME COMPLETED:
01:45 PM
NARRATIVE
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On 12/15/21 at 9:30 a.m., Licensing Program Analyst (LPA) Lisa Rios, arrived at the facility to conduct a Case Management inspection. During today’s visit LPA met with Peggy Nairn and toured the facility indoors and outdoors. There are 3 adults providing care and supervision to 14 children. Days and hours of operation are Monday-Sunday 6:00am-8:30pm. LPA verified the facility phone number is 818-882-8016 landline for facility verified by LPA Rios. Per Stipulation and Order the facility has a provisional license effective May 13, 2021 through May 13th, 2022.


Preschool only:
Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept up high and out of reach. No poisons were observed during the inspection.
Furniture and equipment are in good condition. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards.

All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 degrees F or less. Solid waste storage containers have tight-fitting covers and are in good repair.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Lisa Rios
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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 & PEGGY NAIRN 24 HOUR CHILDCARE, INC
FACILITY NUMBER: 197494792
VISIT DATE: 12/15/2021
NARRATIVE
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Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. All materials and surfaces accessible to children are toxic free. The facility has flies inside the school age class, that is open to all of the other classes, that the Director states is probably from the guinea pigs that were just put outside in their cage. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Prior to working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. No individuals excluded by the Department are allowed to be present.

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 offsite activities. The name of the childcare center director or fully qualified teacher(s) 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 700, 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), There are no children with a Restricted Health Condition / There are children with Restricted Health Condition(s) and there is a Restricted Health Condition Plan as part of the Needs and Services Plan for these children.

LPA reviewed a sample of staff files and observed files were not complete. S2 is missing mandated reporter training for child care and only has 6 required units in child development making her a teacher's assistant. She may not be alone with the children at anytime and adds 6 children to the teacher's ratio of 12. S1 is fully qualified and has all required documents. S3 is missing the health and safety training and flu shot waiver. S5 has 2.5 units to qualify as a teacher nor teacher's assistant. There a Director on the premises during the day program, evening program and nighttime program.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Lisa Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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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 & PEGGY NAIRN 24 HOUR CHILDCARE, INC
FACILITY NUMBER: 197494792
VISIT DATE: 12/15/2021
NARRATIVE
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There a clear written statement of the administrative responsibility and authority delegated to the childcare center director and a copy of this written statement given to the childcare center director and has been made available to the Department upon request. There are 2 employees working more than eight (8) hours per day. S2 states that a couple times a month is asked to work over 8 hours and S4 states that she is asked to work 10 hours a couple times a week if out of ratio. 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 Provisional License is posted.

LPA Rios conducted an observation of the preschool playground from 10:00-10:30. There was one teacher with 11 children while another teacher had 3 children inside with 3 children in the bathroom. All children were to stay on the yard with the climbing structure but in two instances a couple of children wondered to a neighboring yard (see attached photos on LIC812). The teacher (S1) tried calling the children back to where she was with the children and asked the teacher (S2) on the Critter yard ton the other side of black fence, o push them back towards her. S2 could not leave her children to do this so S1 started screaming at the children to come back. LPA Rios told her to stop screaming. S4 (Admin) came out to go in another door and S1 asked her for help with the toddler in the highchair on the yard who had finished eating.

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). Licensee was provided a copy of their appeal rights.
Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.
A copy of this report was explained and provided to the 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.
An exit interview was conducted, and a copy of appeal rights was given to the licensee.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Lisa Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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Document Has Been Signed on 12/17/2021 04:35 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 12/17/2021 04:24 PM


Created By: Lisa Rios On 12/15/2021 at 12:01 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PENNY & PEGGY NAIRN 24 HOUR CHILDCARE, INC
FACILITY NUMBER: 197494792

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/15/2021
Section Cited
CCR
101216.1(c)(1)

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101216.1(c) (1)Teacher Qualifications and Duties:... a fully qualified teacher... (1)12 post-secondary semester or equivalent quarter units in ECE or CHDV completed, with passing grades, at an accredited or ... college or university; and at least 6 months of work... in a licensed child care center or .... The units specified in (c)(1) above shall include courses that cover .... child growth and development, or ...; child, family and community, or ...; and program/curriculum.
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There must be 2 fully qualified teachers in the preschool classes at all times. S2 and S5 need to show proof of enrollment in required coursework by Jan3rd, 2021. Director Peggy Nairn will send receipts of enrolled classes to LPA Rios at lisa.rios@dss.ca.gov
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This requirement is not met as evidenced by:
Based on a file reviews of staff, both S2 and S5 do not have the required couses to be fully qualified teachers. S2 is a qualified teaher assistant and S5 is qualified to volunteer.
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Type B
12/15/2021
Section Cited
CCR101223(a)(3)

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101223(a)(3) Personal Rights: To be free from corporal pusishment....., intimidation...., mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; ....
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The Director shall conduct a staff meeting going over what to do in the event a staff member is feeling over whelmed and need assistance, Use of a fence or gates to close off the off limits area when it lacks supervision.
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This requirement is not met as evidenced by:
Based on observations S1 was screaming at 2 children that had wondered into an off limits area of the yard where there was no direct superviosion.
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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:Claudia Escobedo
LICENSING EVALUATOR NAME:Lisa Rios
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/17/2021 10:26 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 12/17/2021 10:17 AM


Created By: Lisa Rios On 12/15/2021 at 12:44 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PENNY & PEGGY NAIRN 24 HOUR CHILDCARE, INC
FACILITY NUMBER: 197494792

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/15/2021
Section Cited
CCR
101216(l)(1)(A)(B)

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101216 (l)(1)(A)(B) All personnel shall be informed of their rights pursuant to Sections 1596.881 & 1596.882 of the H & S Code.(1)The licensee shall provide each employee with a Notice of Employee Rights (LIC 9052 [11/94]). (A) Each employee shall be asked to sign and date the LIC 9052 (11/94) to acknowledge receipt of the form.
(B)A copy of the signed LIC 9052 (11/94) shall be kept in the employee's personnel record.
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Employees must be made aware of their rights and each employee file shall have a signed copy of the LIC9052.

The Director shall email copies of the LIC9052 for each employee to lisa.rios@dss.ca.gov by 1/14/21.
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 This requirement is not met as evidenced by: Based on file reviews of personnel, no employee fies contained signed LIC9052 which poses a potential Health or Safety, or personal rights risk to persons in care.
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Type B
12/15/2021
Section Cited
CCR101238(a)(1)

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(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.
This requirement is not met as evidenced by:
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The director shall have a professional exterminator company come out and spary for bugs and submit a copy of the signed invoice to LPA Rios at lisa.rios@ds.ca.gov no later than 1/3/21.
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Based on observation the insdie facility has a lot of flies. Director states that this might be from gunea pigs that sleep over night in a cage inside the facility.
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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:Claudia Escobedo
LICENSING EVALUATOR NAME:Lisa Rios
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2021


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