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Inspection visit

Routine inspection

PEPPERTREE SCHOOLS COTTAGE HOUSELicense 4344156032 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA), Jennifer “Jen” Beehler, met with Director Jo-Ann Pangan, for an unannounced Annual/Random inspection. LPA was granted access to the facility by the Director and toured both indoors and outdoors during the inspection. Upon arrival, there were 20 children (preschool) and # 5 staff (2 Teachers/ 2 Aides/ 1 Director) present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility. Hours of operation for the facility are Monday – Friday, 07:00AM-05:00PM . There are no active waivers or exceptions. Director 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. All staff persons present had a criminal record clearance or exception. LPA reviewed sign-in/out sheets, facility roster (LIC9040), and fire/disaster drill log during today’s inspection. Sign-in/out was observed to be completed with full legal signature and time of day. The last fire/disaster drill was conducted on 01/23/2025, which is compliant with the six month requirement for facilities. LPA observed a fully charged 3A40BC fire extinguisher last serviced 04/24/2024, which is compliant with state fire marshal regulations. LPA observed a fully functioning smoke detector system and a working carbon monoxide detector. Director states that she does have children in care who require Incidental Medical Services. LPA observed the medication is properly stored out of reach of children, in a locked box. LPA observed one EPI pen not in original packaging but had the child's name written in black marker and was in a separate bag with instructions from Kaiser Permanente along with Parent's permission and instructions. Continued on Page 2 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-care-centers/ . Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for the day care children. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility. Furniture, such as tables, chairs, and shelves, are in good condition and safe for children. The floors were clean and free of tripping hazards. Staff and children’s bathrooms are clean, sanitary, and operable. There is a separate staff bathroom, not utilized by the children, which can be used to isolate a sick child, if necessary. The Facility has a working telephone which is a land line. Cleaning and maintenance for the facility is conducted by an outside service and is completed in the evenings after all day care children have left the premises. The Director states that there are no weapons or firearms on the premises. The outdoor area of the facility was inspected and observed to be fenced in. LPA observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials (astro-turf) to absorb falls. No outdoor bodies of water were observed during today’s inspection. LPA observed a hole larger than a foot wide that was not visible as it was under the astro-turf. This was located near the large tree at the back of the play yard near the off-limits areas. Shaded rest area is provided by large trees. This facility offers transportation from the local school for their TK clients. LPA inspected the van used for transportation. All safety lights were working, seat belts were visible and car seats were in place. Director has a valid driver's license on file. Food is provided by the facility and is stored, prepared, and served in a safe and healthful manner to the children. Facility offers an AM/PM snack to children. Water is filtered and bottles come from home with child's name. If they forget their bottles a cup would be provided. Continued on Page 3 10 children’s files (preschoolers) were reviewed during today’s inspection for the following records: Physician’s Report (LIC701), Notification of Parents Rights (LIC995A), Consent for Emergency Medical Treatment (LIC627), Identification and Emergency Information (LIC700) , Signed Admission Agreement, and Immunization Records (PM286). LPA observed records to be complete except for two children were missing a Health History/Parent's Report. 5 staff files (1 / D irector/ 2 Teachers / 2 Aides) were reviewed for the following records: Transcripts/Verification of Experience, Health Screening Report (LIC503), Employee Rights (LIC9052), Criminal Record Statement (LIC508), Statement Acknowledging Requirement to report Child Abuse (LIC9108), Mandated Reporter Training Certificate, Tuberculosis (TB) Clearance, and Immunization Record showing immunity to measles (MMR), pertussis (Tdap), and influenza (or statement declining influenza). There is at least one staff member present with current CPR/First-Aid that expires 01/06/2026. The Director has current Mandated Reporter Training that expires on 08/27/2026. LPA reminded the Director that the Mandated Reporter Training must be renewed by all staff every 2 years and meet the req uirement of AB1207. The Director understands that the site director shall be on the premises during the hours the center is in operation and that children at the center shall be visually supervised at all times. LPA reminded Director Pangan that there shall be at least one person with valid CPR and First-Aid certifications on site at all times or present during off site activities, such as field trips. LPA Collected the following documents during today's inspection: Lead Testing Results dated 04/03/2023 Current LIC9040 - Facility Roster Due to today's inspection, 2 - Type B Deficiencies were cited, more details provided on the attached LIC809-D. Exit interview conducted with Director Jo-Ann Pangan, report provided and reviewed along with appeal rights. 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 .

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • HEALTH-RELATED SERVICES

    Based on observations, the licensee did not have EPI pen in original packaging this does not comply with the section cited above in 1 out of 3 persons which poses a potential health, safety or personal rights risk to persons in care.

  • OUTDOOR ACTIVITY SPACE

    Based on observations, the licensee did not comply with the section cited above due to a hole on the outdoor area that was covered by astro-turf, which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 5, 2025 inspection of PEPPERTREE SCHOOLS COTTAGE HOUSE?

This was a inspection inspection of PEPPERTREE SCHOOLS COTTAGE HOUSE on February 5, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to PEPPERTREE SCHOOLS COTTAGE HOUSE on February 5, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on observations, the licensee did not have EPI pen in original packaging this does not comply with the section cit..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

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