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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407811
Report Date: 07/13/2022
Date Signed: 07/13/2022 02:25:31 PM


Document Has Been Signed on 07/13/2022 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 HOUR CHILD CARE INC.FACILITY NUMBER:
197407811
ADMINISTRATOR:PEGGY & PENNY NAIRNFACILITY TYPE:
850
ADDRESS:15300 DEARBORNTELEPHONE:
(818) 892-6635
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:25CENSUS: 6DATE:
07/13/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Director TIME COMPLETED:
02:30 PM
NARRATIVE
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On 07/13/22, at 8:48 p.m., Antonio Almanza, Licensing Program Analysts Conducted an unannounced visit. The purpose of the visit is to clear Plan of Corrections (POCs). LPA met with Director Magaly Zuniga, explained the purpose of the visit. During today’s visit there were 6 children and 1 adults providing care and supervision.

LPA cleared 5 Plan of Corrections (POC) for violations issued and POC letters were generated and provided to the Director.

During todays visit LPA observed that 1 of 6 children in care was not signed in. Upon arrival LPA was standing outside the facility and observed a parent dropping of their child. The classroom teacher came to the door to received the child. The teacher stood at the threshold with the teachers back to the children in the classroom. The children in the classroom were left unattended while the teacher conducted a wellnes check and briefly talked to the parent. When LPA entered the classroom, LPA observed children in all areas of the classroom engaged in different activities. LPA discussed the importance of having proper supervision for children at all times and the need for a second staff in the classroom to assist with receiving children during drop of.

LPA observed clutter in the area in front of the gate that leads to the playground. There are 5 bins with wood and miscellaneous items full of cobwebs, 3 large metal grid boxes with wheels, 3 ladders standing up right against the shed next to the walkway and what appears to be a drain hole in front of the gate that does not have a cover. This items pose a hazard to children that are walking to the playground.

A clear written statement of the administrative responsibility and authority delegated to the child care center director was not observed by LPA or Director inside of the Directors file.

SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4


Document Has Been Signed on 07/13/2022 02:25 PM - It Cannot Be Edited


Citations on this Visit Report are Under Appeal!

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: 07/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
07/29/2022
Section Cited

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Sign In and Sign Out (b) 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:
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Based on observation and record review, LPA observed 1 of 6 children were not signed in, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Type B
07/29/2022
Section Cited

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01229(a)(1) Responsibility for Providing Care and Supervision - No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This Requirement is not met as evidenced by:
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Based on observation, LPA observed 5 children unsupervised while the teacher conducted wellness check of a child at he door, 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 RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4


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: 07/13/2022
NARRATIVE
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During todays visit there are four (4) Type B violations being cited under California code of Regulations, Title 22, Division 12, Chapter 1 (see LIC809D for details).

1. 101229.1(b) Sign In and Sign Out - The person who brings the child to, and removes the child from, the center shall sign the child in/out.



2. 101229(a)(1) Responsibility for Providing Care and Supervision - No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

3. 101238(a) Buildings and Grounds - 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.

4. 101215.1(c)(1) Child Care Center Directors Qualifications and Duties - There shall be a clear written statement of the administrative responsibility and authority delegated to the child care center director. LPA and Director observed a signed document by Director Magaly Zuniga for Teacher/Teacher Assistant qualifications and Duties. Director does not recall receiving or signing a written statement of the administrative responsibility and authority delegated to the child care center director (Repeat Violation).

During today visit 2 Civil Penalties were assessed for repeat violations LIC 421FC were provided to Director Magaly Zuniga.

A copy of this Report (809 & 809D), Appeal Rights, and Notice of Site Visit (LIC 9213) were provided and explained to the Director Magaly Zuniga.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 07/13/2022 02:25 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!

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: 07/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
07/29/2022
Section Cited

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101238(a) Buildings and Grounds - 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.
This Requirement is not met as evidenced by:
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Based on observation, LPA observed 5 bins with miscellaneous items full of cobwebs, 3 large metal grid boxes, 3 ladders standing up right and a drain hole that does not have a cover, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Under Appeal
Type B
07/29/2022
Section Cited

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101215.1(c)(1) Child Care Center Directors Qualifications and Duties - There shall be a clear written statement of the administrative responsibility and authority delegated to the child care center director. LPA and Director did observe a signed document by Director Magaly Zuniga for Teacher/Teacher Assistant qualifications and Duties.
This requirement is not met as evidenced by:
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Based on record reviews and interviews, there is no 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: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4