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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494793
Report Date: 11/07/2023
Date Signed: 11/07/2023 10:17:20 AM

Document Has Been Signed on 11/07/2023 10:17 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PENNY & PEGGY NAIRN 24 HOUR CHILDCARE, INCFACILITY NUMBER:
197494793
ADMINISTRATOR:NAIRN, PEGGYFACILITY TYPE:
840
ADDRESS:10036 OLD DEPOT PLAZA ROADTELEPHONE:
(818) 652-7618
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 0DATE:
11/07/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Peggy Nairn, DirectorTIME COMPLETED:
10:30 AM
NARRATIVE
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On 11/07/2023, Licensing Program Analyst (LPA) Silva Garibyan conducted an unannounced case management inspection for the purpose of citing deficiencies observed during a complaint investigation for Complaint Control Number 58-CC-20230808131514. LPA met with Licensee Peggy Nairn and explained the purpose of the visit. There were no children present during today’s visit.

During the complaint investigation, LPA conducted interviews with staff and the child. The child did not like it when the dog jumped on them and during a later time when the dog was in a separate area behind a gate and the child noticed the dog, the child was seen by one of the teachers to have tears in their eyes.

The following Type B deficiency is being cited on 11/07/2023 in accordance to Title 22 of the California Code of Regulations: 101223 Personal Rights (a)(1):
The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
A copy of this Report, Notice of Site Visit, and Appeal Rights (LIC 9058), was provided and explained to Peggy Nairn, Director.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2023
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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Document Has Been Signed on 11/07/2023 10:17 AM - It Cannot Be Edited


Created By: Silva Garibyan On 11/07/2023 at 09:17 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 & PEGGY NAIRN 24 HOUR CHILDCARE, INC
FACILITY NUMBER: 197494793

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
11/14/2023
Section Cited
CCR
101429(a)(1)

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The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by:
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The dog is now old enough and currently attending Autism/Psychiatric Service Dog Training with Blue Light Canine Foundation.
The Director will conduct In-Service training with staff with emphasis on Personal Rights and on how to interact with the dogs and
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Based on interviews of the staff and the child, the facility failed to provide safe, healthful, and comfortable accommodations and the child did not like the dog jumping on them and during a later time when the chld noticed the dog behind a gate, became emotional.
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 ensure the safety and well-being of the children. The Director will provide a copy of the training agenda and sign-in sheet to LPA no later than 11/14/2023.

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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:Betty Bell
LICENSING EVALUATOR NAME:Silva Garibyan
LICENSING EVALUATOR SIGNATURE:
DATE: 11/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/07/2023


LIC809 (FAS) - (06/04)
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