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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407811
Report Date: 12/07/2021
Date Signed: 12/07/2021 08:28:05 PM


Document Has Been Signed on 12/07/2021 08:28 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 HOUR CHILD CARE INC.FACILITY NUMBER:
197407811
ADMINISTRATOR:PEGGY & PENNY NAIRNFACILITY TYPE:
850
ADDRESS:15300 DEARBORNTELEPHONE:
8188926635
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:25CENSUS: 15DATE:
12/07/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Gloria Avina/DirectorTIME COMPLETED:
03:00 PM
NARRATIVE
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On 12/07/2021 at 12:15 p.m., Silva Garibyan and Keyona Scott, Licensing Program Analysts, conducted an unannounced Comprehensive Case Management visit. During today’s visit LPAs met with Gloria Avina, Director, and toured that facility indoors and outdoors. There are 2 adults (Staff #1 and Staff #2) providing care and supervision to 15 children. Days and hours of operation are Monday-Friday 7:00 a.m. - 6:30 p.m. The phone number provided transferred the call to Owner Director Peggy Nairn. Per Stipulation and Waiver; and Order the facility is on Probation for 3 years effective August 29, 2019.

There is no swimming pool or other bodies of water on the premises. Disinfectants cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked storage area. LPAs observed Rinse Free Floor Cleaner accessible to the children in the preschool classroom behind the laundry basket when the children were asleep.

Furniture and equipment are in good condition, free of sharp, lose or pointed parts. Playground equipment is in safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Toilets and hand-washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2021
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 HOUR CHILD CARE INC.
FACILITY NUMBER: 197407811
VISIT DATE: 12/07/2021
NARRATIVE
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 Food is protected against contamination and any contaminated food is discarded. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption.

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 off-site activities. The name of the child care center director or fully qualified teachers designated to act in the director’s absence has been reported to the Department. LPAs reviewed the sign in/out sheet and observed one child, Child #1 not signed in today. LPA reviewed a sample of children’s files and observed files were complete with: Identification and Emergency Information (LIC7000), Child’s Preadmission Health Evaluation (LIC702), Physician Report (LIC 701), Consent for medical Treatment (LIC627), Immunizations Records (“Blue Cards”, PM286) , Personal Rights (LIC613A). Children’s files have signed acknowledgement of being provided a copy of Stipulation and is available for review upon request, however the children's files do not have signed acknowledgement of a copy of attached Accusation. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for, influenza (current), pertussis and measles and current documentation of completed Mandated Reporter Training, Health Screening Report (TB), Personnel Record (LIC501), Teacher Qualification (LIC9095), Director Qualifications (LIC9096, offical transcripts are missing), Appropriate Official Transcripts, Criminal Record Statement (LIC508), Notice of Employee Rights (LIC9052),
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
LIC809 (FAS) - (06/04)
Page: 2 of 6
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 HOUR CHILD CARE INC.
FACILITY NUMBER: 197407811
VISIT DATE: 12/07/2021
NARRATIVE
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Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC9108). Staff are not provided 24 hours of quarterly training on applicable Tittle 22 Regulations, including Mental Health Assessment, Client Behaviors, Personal Rights, Care and Supervision, and Medication; records of staff receiving training are available for review. There is a Director on the premises during the day program. There is not a clear written statement of the administrative responsibility and authority delegated to the child care center director and a copy of this written statement has not been given to the child care center director and has not been made available to the Department upon request. There are no employees working more than eight (8) hours per day. 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 Probationary License / Provisional License is posted.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (please see LIC 809-Ds 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 this report was explained and provided to Gloria Avina. 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.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/07/2021 08:28 PM - It Cannot Be Edited

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 HOUR CHILD CARE INC.
FACILITY NUMBER: 197407811

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/07/2021
Section Cited

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As a condition of the Stipulation and Waiverand Order dated 08/19/2019 licensee is required nto provide all parents with a copy of Stipuation and Waiver and Order with Accusation attached iforming them of the Probetionaty status of the license.
This requirement is not met as evidenced by:
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LPAs reviewed 6 files. Based on file review LPAs observed acknowledgement forms (LIC9224) were for Stipulation only and not for the Accusation which poses a potential health, safety or personal rights risk to persons in care.
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Request Denied: Appeal Not Submitted Timely
Type B
12/07/2021
Section Cited

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Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.
This requirement is not met as evidenced by:
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Based on observations Rinse Free Floor Cleaner was accessible to the children in the preschool classroom behind the laundry basket near the safety gate entrance to the storage/laundry room when the children were asleep which poses a potential health, 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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2021
LIC809 (FAS) - (06/04)
Page: 4 of 6


Document Has Been Signed on 12/07/2021 08:28 PM - It Cannot Be Edited

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 HOUR CHILD CARE INC.
FACILITY NUMBER: 197407811

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/07/2021
Section Cited

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The person who brings the child to, and removes the child from, the center shall sign the child in/out.
This requirement is not met as evidenced by:
Based on record review one child was not signed in by an Authorized Representative
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which poses a potential health, safety or personal rights risk to persons in care.
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Request Denied: Appeal Not Submitted Timely
Type B
12/07/2021
Section Cited

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(h) Child care center directors shall have completed one of the following prior to employment:
(1) High school graduation or GED; completion, with passing grades, of 15 semester or equivalent quarter units as specified in (h)(1)(A) and (h)(1)(B) below at an accredited or approved college or university; and
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 at least four years of teaching experience in a licensed child care center or comparable group child care program.
This requirement is not met as evidenced by:
Based on record review LPAs did not find the Director met the qualifications for director based on transcripts which poses a potential health, 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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2021
LIC809 (FAS) - (06/04)
Page: 5 of 6


Document Has Been Signed on 12/07/2021 08:28 PM - It Cannot Be Edited

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 HOUR CHILD CARE INC.
FACILITY NUMBER: 197407811

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely
Type B
12/07/2021
Section Cited

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All personnel shall be given on-the-job training in the areas listed below, or shall have related experience that demonstrates knowledge of and skill in those areas. As a condition of the Stipulation Licensee shall within 60 days of the adoption of this Stipulation, provide 24 hours of training to staff on mental
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health assessments, client behaviors, personal rights, care and supervision, and medication and keep a record of staff who attend such trainings and make records available to Licensing
This requirement is not met as evidenced by:
Based on record reviews no records were available to review which poses a potential health, safety or personal rights risk to persons in care.
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Request Denied: Appeal Not Submitted Timely
Type B
12/07/2021
Section Cited

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There shall be a clear written statement of the administrative responsibility and authority delegated to the child care center director.

This requirement is not met as evidenced by:

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Based on record reviews there is no a clear written statement of the administrative responsibity and authority delegated to the child care center director which poses a potential health, 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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2021
LIC809 (FAS) - (06/04)
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