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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415601
Report Date: 11/05/2024
Date Signed: 11/05/2024 12:21:23 PM

Document Has Been Signed on 11/05/2024 12:21 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:PEPPERTREE SCHOOLS RANCH HOUSEFACILITY NUMBER:
434415601
ADMINISTRATOR/
DIRECTOR:
DANNA D MATTHEW OSBORNFACILITY TYPE:
850
ADDRESS:14969 LOS GATOS ALMADEN ROADTELEPHONE:
(408) 626-9200
CITY:LOS GATOSSTATE: CAZIP CODE:
95032
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 14DATE:
11/05/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Danna Osborn, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 11/05/24 Licensing Program Analysts (LPA) Jennifer "Jen" Beehler met with Danna Osborn, Director. The purpose of the visit was an unannounced case management inspection. Licensee requested for the program to return to preschool only, 24 children ages 2-5 years. The child care center operates Monday– Friday 7:00AM - 5:00 PM. The fire clearance will be submitted after this inspection and change will be pending the results. Facility is operating under existing preschool program #434415601. There was 14 children in care with one teacher and two aides which is compliant with licensing ratio regulations.

LPA toured and measured the on-limits areas and classrooms located at the facility. The preschool license has a total of 2 classrooms (Room 2 & Room 5) with play areas labeled as front playground and backyard.

Preschool Classroom measurements are:

Classroom 2: 17.25 x 26.42 = 455.75 minus 47.41 encumbered space = 408.34

Classroom 5: 28.17 x 17.17 = 483.68 minus 18.08 encumbered space = 465.60

The Indoor total measurements contain a total of {873.94} square feet, which will accommodate Licensee's request for 24 preschool children.

Outdoor Play measurements are:

(Measurements provided from Pre-Licensing Inspection dated 12/30/2020)

Front Playground: 72.000 x 59.833 = 4,307.976 minus 47.917 encumbered space = 4,260.059



Back Playground: 96.417 x 24.333 = 2,346.114

Outdoor total measurements contain a total of {6,606.173} square feet, which will accommodate Licensee's request for 24 preschool children.

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Joel SeguraTELEPHONE: (408) 334-8550
Jennifer BeehlerTELEPHONE: (408) 324-2148
DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2024
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: PEPPERTREE SCHOOLS RANCH HOUSE
FACILITY NUMBER: 434415601
VISIT DATE: 11/05/2024
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LPAs observed all preschool classrooms to be clean, safe, sanitary and in good repair. A comfortable temperature for children shall be maintained at all times. Applicants were advised that temperature in rooms that children occupy are required to be between a minimum of 68 degrees F and a maximum of 85 degrees F. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. All materials and surfaces accessible to children, including toys, shall be free of toxic substances.. There are 28 chairs, 7 tables, 35 cubbies, 31 mats, 2 toilets and 2 sinks available for preschool children. Staff have one separate bathroom. Sick children will be isolated in the office area of the facility until parents can pick them up. LPA observed age appropriate materials in the classrooms like blocks, arts and craft materials, books and play structures.

LPA observed a trash can with tight-fitting lids in each Room. LPA observed the cleaning supplies are kept on high shelves inaccessible to children. LPA observed smoke/carbon monoxide detectors in each Room, one Fire Extinguisher located in classroom #5 was last serviced 04/22/2024. First aid supplies, are stored in each Room inaccessible to children.

Licensee stated the facility provides AM/PM snacks that consist of fruits, vegetables, proteins, grains and dairy. Children in care bring their lunch from home and are stored in classroom. Parents know to put an ice pack in the lunch if items need to be kept cool.

LPA observed the playground is safe, secure, and surrounded by appropriate fencing. No bodies of water were observed. LPA observed the outdoor activity space is equipped with age-appropriate toys and equipment. Shade is provided by canopies, trees, and building overhangs. The areas around and under the play structures (Little Tykes) are cushioned with material (artificial grass with padding) that absorbs falls. Drinking water is available outdoors via water bottles, & water jugs/individual water cups.



Director states that the Facility offers IMS services (inhaler & EpiPen) and an IMS plan is on file. Director stated medication that needs to be refrigerated is kept in the common refrigerator located in room #4 which is the infant/crib room. All other medication is stored in the classroom up high, inaccessible to children next to the first aid kit.

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SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Jennifer BeehlerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: PEPPERTREE SCHOOLS RANCH HOUSE
FACILITY NUMBER: 434415601
VISIT DATE: 11/05/2024
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Incidental Medical Services (IMS) policy was discussed. Danna was provided the information regarding ADA: toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: http://www.ada.gov/childqanda.htm.

Licensee was informed of the www.MyChildCarePlan.org, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.


The following documentation is required before licensure will be changed:

1. Fire Clearance provide by Fire Marshall

An exit interview was conducted and copy of appeal rights and this report was provided to the Director, Danna Osborn. Final license determination will be made upon review by the Licensing Program Manager and receipt of fire clearance.

No deficiencies were cited due to today's inspection. A NOTICE OF SITE VISIT WAS PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Jennifer BeehlerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024
LIC809 (FAS) - (06/04)
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