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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216220
Report Date: 01/05/2022
Date Signed: 01/05/2022 03:23:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:PEPPERMINT JUNCTIONFACILITY NUMBER:
566216220
ADMINISTRATOR:JASON YOUNGFACILITY TYPE:
850
ADDRESS:2150 E. GONZALES RD.TELEPHONE:
(805) 988-6065
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:120CENSUS: 32DATE:
01/05/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Jason YoungTIME COMPLETED:
03:38 PM
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This is a change in ownership for the previous facility number 561712050 effective 1/5/2022.

On January 5, 2022 at 2:00 PM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted an unannounced pre-licensing change of ownership inspection. LPAs met with Owner Jason Young and advised him the purpose of the inspection. Oweder provided LPAs a tour of the facility inside and out. The center hours are Monday – Friday 7:00 am – 6:00 PM. There were 32 children in care at the time of the inspection.

Facility submitted their application for a new license on November 05, 2021. LPAs observed required licensing notices posted prominently on the wall. The facility will be using seven (7) classrooms for children in care. LPAs observed the facility had enough restrooms for the children in care. LPA did not observe hazardous/toxin items accessible to children in care. LPAs observed age appropriate toys, activities, and furnishings readily available for children in care. The facility provides a mat for children to use during quiet time if they choose to sleep. Children that do not sleep are provided a quiet activity to keep them engaged during that time. LPAs observed age appropriate structures and play equipment readily accessible to children in the outdoor recreation area. The facility has ample amount of shade. Children are provided water inside and out.

LPAs spoke with Owner regarding the current Covid-19 guidelines and Lead Exposure requirements. Currently the facility is following Covid-19 guidelines.

Continued on 809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022
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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PEPPERMINT JUNCTION
FACILITY NUMBER: 566216220
VISIT DATE: 01/05/2022
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Facility Measurements:
Indoor – 4,901.12 square footage meets the requirement for 120 children.
Outdoor – 14.719.61 square footage meets the requirement for 120 children.

The center meets Title 22 Division 12 requirements.

License will be effective today, January 05, 2022 for 120 preschool children.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022
LIC809 (FAS) - (06/04)
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