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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566216220
Report Date: 02/20/2025
Date Signed: 02/20/2025 12:10:45 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/18/2024 and conducted by Evaluator Veronica Diaz
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20241018100350
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: 34DATE:
02/20/2025
UNANNOUNCEDTIME BEGAN:
10:57 AM
MET WITH:TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff being neglectful of a child in care.
Packed food not given to child by facility staff.
INVESTIGATION FINDINGS:
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On 2/20/2025 Licensing Program Analyst (LPA) Veronica Diaz conducted an unannounced inspection to deliver the findings of the above-mentioned allegation. LPA met with site director Jason Young and advised them for the purpose for this inspection. Together with the director, LPA toured the facility inside and outside. At the time of inspection there were 34 children in the care of 6 staff.

The Department received a complaint alleging staff being neglectful of a child in care and packed food not given to child by facility staff. LPA conducted interview with complainant, parent interviews, staff interviews, record reviews, and research from prior parents.

Based on LPAs interviews with current and prior parents, complainant, documents gathered and/or record review, the preponderance of evidence standard has been met, therefore the above allegations is found SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 17-CC-20241018100350
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: PEPPERMINT JUNCTION
FACILITY NUMBER: 566216220
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2025
Section Cited
CCR
101223(a)(2)(3)
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101223 (a)(2)(3) Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:...

This requirements is not met as evidence by:

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Center will proved a written statement to LPA by 03/06/25 on how the center will keep the health and saftey with functions on eating and toileting and meeting the childs needs.
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Based on observation, interview, record review, the licensee did not comply with the section cited above out of which poses/posed 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.
SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/18/2024 and conducted by Evaluator Veronica Diaz
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20241018100350

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: 34DATE:
02/20/2025
UNANNOUNCEDTIME BEGAN:
10:57 AM
MET WITH:Jason YoungTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Staff forcefully pulling a child.
INVESTIGATION FINDINGS:
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On 02/20/25 Licensing Program Analysts (LPA) Veronica Diaz conducted an unannounced inspection to deliver the findings of the above-mentioned allegation. LPA met with director Jason Young and advised them of the purpose for the inspection. Together with the director LPA toured the facility inside and outside. At the time of inspection there were 34 children and 6 staff members.

The Department received a complaint alleging Staff forcefully pulling a child. This investigation included 2 unannounced inspections, records reviews, interviews with the complainant, staff, and parents.

LPA did not observe on both unannounced inspections any incidents regarding the allegation stated. Staff present, were qualified in their roles, displayed knowledge of protocols in providing care and supervision. Staff denied the allegation of staff forcefully pulling a child. Parents interviewed shared no concerns with care and supervision or staff mistreating their child. Overall, parents were satisfied with the care and supervision provided at the center.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 17-CC-20241018100350
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PEPPERMINT JUNCTION
FACILITY NUMBER: 566216220
VISIT DATE: 02/20/2025
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were cited for today. Notice of site visit was given and must remain posted for 30 days. Appeal Rights were provided report was reviewed. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with director Jason Young.
SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 17-CC-20241018100350
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PEPPERMINT JUNCTION
FACILITY NUMBER: 566216220
VISIT DATE: 02/20/2025
NARRATIVE
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1 type B deficiencies was cited

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights were given, and report was reviewed with director Jason Young.

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5