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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407320
Report Date: 12/07/2021
Date Signed: 12/07/2021 06:56:07 PM

Document Has Been Signed on 12/07/2021 06:56 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:
197407320
ADMINISTRATOR:PEGGY NAIRNFACILITY TYPE:
830
ADDRESS:9213 COLUMBUS AVENUETELEPHONE:
(818) 892-6634
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 8DATE:
12/07/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Director: Susan GlamuzinaTIME COMPLETED:
07:05 PM
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On 12/07/2021 at 12:17 a.m., Antonio Almanza and Lourdes Castellanos, Licensing Program Analysts, conducted an unannounced Comprehensive Case Management visit. During today’s visit LPA’s met with Susan Glamuzina, Director, and toured that facility indoors and outdoors. Days and hours of operation are 7 days per week 24-hours per day. LPAs verified the facility phone number is (818) 892-6644.

During todays visit LPAs made observations, reviewed files and interviewed staff. Due to time constraints LPAs will return to provide the facility with the Comprehensive site visit report. LPAs provided copy of Report ant notice of site visit.
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Antonio Almanza
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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