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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494792
Report Date: 02/03/2022
Date Signed: 02/03/2022 01:26:38 PM

Document Has Been Signed on 02/03/2022 01:26 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: 17DATE:
02/03/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:54 AM
MET WITH:Peggy NairnTIME COMPLETED:
01:50 PM
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On 02/03/2022 Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced Case Management Visit for the purpose of investigating three unusual incidents that occurred at the facility.

LPA conducted interviews with staff. Based on the information provided there are not deficiencies issued today.

LPA advised Director to have staff to review Community Care Licensing Department video that provides guidance on Supervising Children in Child Care Centers.

https://ccld.childcarevideos.org/child-care-center-operators/supervising-children-in-child-care-centers/
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 02/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2022
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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