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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216220
Report Date: 10/06/2023
Date Signed: 10/06/2023 03:22:15 PM

Document Has Been Signed on 10/06/2023 03:22 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, 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: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 36DATE:
10/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Gloria Burciaga-DirectorTIME COMPLETED:
03:10 PM
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On October 06, 2023 at 11:30 AM Licensing Program Analysts (LPAs) Laura Villanueva and Veronica Diaz made an unannounced inspection to conduct an annual required-1 year visit. LPAs met with Director, Gloria Burciaga and Teacher, Melanie Sherman and explained the purpose of the visit. LPAs conducted a tour of the facility inside and outside with director and teacher. LPA observed a total of 36 children under the care and supervision of 7 staff.

The center operates Monday through Friday from 7:00AM to 6:00 PM. The center has 5 classroomsfor preschool. LPA observed the classrooms to be clean and orderly with ample learning materials available. No bodies of water were observed on site. No toxins nor hazards are accessible to children in care. .

Pediatric First Aid/CPR certificates are current for staff. AB 1207 Mandated Reporter Training certificates are valid. Last completed fire drill was 08/09/2023 All required forms including Notification of Parent's Rights are prominently posted for parent's or authorized representatives to view. A roster of children in care was observed current and complete. All children records were reviewed, and LPAs observed Identification and Emergency Notification forms (LIC 700) and a copy of immunization records on file.

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.

Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

CONTINUED LIC9099C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023
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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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: 10/06/2023
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Licensee was informed of the MyChildCarePlan.org website; 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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication


and equipment/supplies, and reviewed children’s, personnel, and
administrative records.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was
provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301
(voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about
Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the director, Gloria Burciaga and teacher, Melanie Sherman.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
LIC809 (FAS) - (06/04)
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