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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407318
Report Date: 04/14/2022
Date Signed: 04/14/2022 02:25:10 PM

Document Has Been Signed on 04/14/2022 02:25 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-HR CHILDCARE INC.FACILITY NUMBER:
197407318
ADMINISTRATOR:PEGGY NAIRNFACILITY TYPE:
850
ADDRESS:9213 COLUMBUS AVENUETELEPHONE:
(818) 892-6634
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 11DATE:
04/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:44 AM
MET WITH:Director: TIME COMPLETED:
01:30 PM
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On 4/14/22 at 10:50 a.m., Antonio Almanza, Licensing Program Analysts, conducted an unannounced follow up visit to the visit conducted on 04/11/22. The purpose of the visit on 4/11/22 was to clear Plan of Corrections (POCs) for citations issues on 03/25/2022. During today’s visit, LPA met with the Director Susan Glamuzina, explained the purpose of the visit, and toured that facility. During today’s visit there were 1 adult providing care and supervision to 11 children.

Corrections for 6 violations have been cleared and POC letters were provided for this violation. The facility has not corrected the following 4 violations by the POC due date. The following repeat violations are being cited under Title 22 Regulations, Division 12, Chapter 1, of the California Code of Regulations, and Health & Safety Code (please see LIC 809-Ds for cited deficiencies).

1. 101215.1(d) Child Care Center Directors Qualifications and Duties, The child care center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation. Based on observation and records review, The Licensee does not have a Director assigned to the Facility During all hours of operation. During visit conducted on 04/11/22 when LPA arrived to the Center there was no Director on site, And LPA has not been able to verify who the director is during the early morning and evening programs.

2. 101215.1(c) Child Care Center Directors Qualifications and Duties, The child care center director shall be responsible for the operation of the center, for compliance with regulations, and for communications with the Department... The Licensee does not have an actual Director During the early morning and evening programs. The Assigned Directors during these times, are classroom teachers, and are assigned to classrooms.

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SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE: DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2022
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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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 AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318
VISIT DATE: 04/14/2022
NARRATIVE
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3. Per Stipulation; Waiver and Order, Licensee shall provide 24 hours of quarterly training to staff on mental health assessments, client behaviors, personal rights, care and supervision, and medication and keep a record of staff who attend such training and make records available to Licensing. The records that have been submitted to the RO do not meet the training requirements of the Stipulation.

4. Per Stipulation no employee shall work more than eight (8) hours per day. Director did not provide a Mitigation Plan demonstrating how the facility will ensure to be fully staffed at all times and that no employee shall work more than eight (8) hours per day. Staff are reporting that they are working overtime and sometimes do no have someone to relieve them for breaks.


On 04/11/2022 while LPA conducted a visit at the facility the following violations were observed. The following violations are being cited under Title 22 Regulations, Division 12, Chapter 1, of the California Code of Regulations, and Health & Safety Code (please see LIC 809-Ds for cited deficiencies).

1. While conducting the site visit LPA called the facility phone in the presence of the Director and the Director verified the facility phone and the number being dialed. LPA had phone on speaker and Director was able to hear that the facility phone number was not in service. During today visit LPA has also verified the phone with the Director and called the number while on speaker and the Director is able to hear that the phone number is not in service. In case of an emergency agencies and parents and will not be able to make contact with the facility which poses an immediate Health and Safety, and personal rights risk to persons in care. During todays visit phone is operating

2. At 10:11 am LPA entered the Preschool License (197407318) classroom and observed 16 children and 1 staff. At 10:13 am Staff 1 Tammy Jaquine entered the classroom. LPA informed Staff 1 that the classroom was over ratio and she stated that she was in the classroom assisting. LPA informed Staff 1 the she did not have ECE units and could not be in the classroom supervising children. At 10:15 am LPA observed Staff 2 Yolanda Acevedo in the classroom, who stated she arrived at 9:50 and was in the classroom with staff 3 Mis Gina, staff 1 Mis Tammy and 14 children. Staff 4 Magaly Zuniga is reporting that she was assisting staff 3 because she had 13 children and was called at 9:20 am to the Dearborn facility.



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SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022
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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 AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318
VISIT DATE: 04/14/2022
NARRATIVE
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3. The facility provides meals to children in care and does not have an operating kitchen sink. Per regulations Necessary equipment shall include, but not be limited to the facility having a Sink.

4. During today visit, LPA requested copies of Personnel Roster, Facility Sketch and Plan of Operations. LPA was only provided copies of facility sketch.

*** A copy of this report must be provided to the authorized representatives of all currently enrolled children and any newly enrolled child for the following 12 months. The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided no later than the next business day or the next day the child is in care.

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 (809 & 809Ds), Notice of Site Visit, and Appeal Rights were explained and provided to the Director Susan Glamuzina. This report shall be made available to the public upon request.






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SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022
LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 04/14/2022 02:25 PM - It Cannot Be Edited


Created By: Antonio Almanza On 04/14/2022 at 11:38 AM
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 AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/23/2022
Section Cited
CCR
101215.1(d)

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101215.1 (d) Child Care Center Directors Qualifications and Duties, The child care center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation.
This requirement is not met as evidenced by:
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Licensee will submit an updated Personnel Record Lic500 demonstrating that there is a Director During the hours the Child Care Center is in operation.
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Based on observation and records review, The Licensee does not have a Director assigned to the Facility During all hours of operation, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Type B
04/23/2022
Section Cited
CCR101215.1(c)

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101215.1(c) Child Care Center Directors Qualifications and Duties, The child care center director shall be responsible for the operation of the center, for compliance with regulations, and for communications with the Department...

This requirement is not met as evidenced by:
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Licensee will make sure to have a Director assigned to the Evening and Night programs that is not in the classroom as a teacher. Licensee will provide copy of Personnel Roster with proper staffing for the facility during the programs.
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Based on interviews, The Licensee does not have a Director During the Evening and Night programs, which poses a potential Health or Safety, or personal rights risk to persons in care.
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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:Lisa Rios
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2022


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Document Has Been Signed on 04/14/2022 02:25 PM - It Cannot Be Edited


Created By: Antonio Almanza On 04/14/2022 at 11:46 AM
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 AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/23/2022
Section Cited
CCR
101216(e)

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101216(e) Personnel Requirements, All personnel shall be given on-the-job training... Per Stipulation Licensee shall provide 24 hours of quarterly training and keep a record of staff who attend such training and make records available to Licensing.
This requirement is not met as evidenced by:
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Licensee shall comply with the Stipulation and Waiver; and Order, and provide the 24 hours of training to staff and submit a copy of the records of staff who attended the training on required subjects to LPA by 4/23/22.
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Based on observation and records review, The Licensee does not have records available for the 24 hours of quarterly training, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Type B
04/23/2022
Section Cited
CCR101216(l)

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101216(l) Personnel Requirements (l) All personnel shall be informed of their rights pursuant to Sections 1596.881 and 1596.882 of the Health and Safety Code.

This requirement is not met as evidenced by:
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Per Stipulation no employee shall work more than eight (8) hours per day. The director shall immediately ensure that no staff is working more than 8 hours per day.
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Based on records review staff have been working more than 8 hours, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Director will provide LPA with copy of the Mitigation Plan demonstrating how the facility will ensure to be fully staffed at all times and that no employee shall work more than eight (8) hours per day by end of day 4/23/22
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Lisa Rios
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2022


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Document Has Been Signed on 04/14/2022 02:25 PM - It Cannot Be Edited


Created By: Antonio Almanza On 04/14/2022 at 11:53 AM
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 AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/23/2022
Section Cited
CCR
101200(c)(1)

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101200(c)(1) Inspection Authority of the Department, (c) The Department has the authority to inspect, audit... care center records… (1) The licensee shall ensure... for the examination of all records relating to the operation of the child care center.
This Requirement is not met as evidenced by:
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Licensee will provided copies of Personnel Roster, Plan of Operations, and Facility Sketch to LPA by 04/23/22
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Based on observation, interview and record review, The licensee did not make Plan of Operation, personnel Roster facility Sketch available, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Type B
04/23/2022
Section Cited
CCR101227(a)(22)

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101227(a)(22) Food Services,
(a) In child care centers providing meals..(22) Equipment necessary ... preparation and service of food ... Necessary equipment shall include, but not be limited to: (A) Sink.

This Requirement is not met as evidenced by:
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Licensee will have a sink installed in the kitchen by 04/23/22.
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Based on observation, the facility does not have a sink, which poses a potential Health or Safety, or personal rights risk to persons in care.
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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:Lisa Rios
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2022


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Page: 6 of 7
Document Has Been Signed on 04/14/2022 02:25 PM - It Cannot Be Edited


Created By: Antonio Almanza On 04/14/2022 at 11:59 AM
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 AND PEGGY NAIRN 24-HR CHILDCARE INC.
FACILITY NUMBER: 197407318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/14/2022
Section Cited
CCR
101224(a)

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101224(a) Telephones, All child care centers shall have working telephone service on the premises.

This requirement is not met as evidenced by:
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During todays visit the phones are working.
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Based on LPAs observations and the Director onsite on 04/11/22 LPA and director verified the phone is diconected, which poses an immediate Health and Safety, and personal rights risk to persons in care.
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Type A
04/14/2022
Section Cited
CCR101216.3(a)

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101216.3(a) Teacher-Child Ratio, There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
This Requirement is not met as evidenced by:
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Licensee will adhere to regulations and maintain staf to child reatios by maintaining the facility properly staffed at all times.
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Based on observation, LPA observed 16 children and 1 qualified teacher supervising 16 children, which poses an immediate and Health and Safety, and personal rights risk to persons in care.
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Licensee will create a memo reminding staff of proper ratios and have the staff sign of on it. Licensee will provide copy to LPA by 04/23/22.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Lisa Rios
LICENSING EVALUATOR NAME:Antonio Almanza
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2022


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