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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191602210
Report Date: 04/01/2026
Date Signed: 04/02/2026 07:51:48 AM

Document Has Been Signed on 04/02/2026 07:51 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:RIVIERA HALL PRE SCHOOLFACILITY NUMBER:
191602210
ADMINISTRATOR/
DIRECTOR:		DORIAN THEBERGEFACILITY TYPE:
850
ADDRESS:330 PALOS VERDES BLVDTELEPHONE:
(310) 375-6538
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90277
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 20DATE:
04/01/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Laura Martinez - Interim Preschool Director/Pre-K TeacherTIME VISIT/
INSPECTION COMPLETED:
02:55 PM
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On 04/01/2026 Licensing Program Analyst (LPA) Cristina Castellanos conducted an unannounced Case Management Inspection at the above-mentioned facility for the purpose of ensuring the standards are being met in accordance with California Tittle 22 Regulations and California Health and Safety Codes.

Upon arrival, LPA met with staff member S1, who granted entry to the facility. Shortly thereafter, LPA was greeted by Interim Preschool Director/Pre-K Teacher Laura Martinez, and the purpose of the visit was explained.

LPA conducted a tour of the facility and observed twenty (20) children in care with four (4) staff members providing supervision.

During the visit, it was observed that the private school continues to store transitional kindergarten (TK) materials, equipment, and other items inside the licensed preschool classroom (Wildcats). The licensee was previously informed that the preschool classroom is approved solely for the licensed preschool program and may not be used for storage or access by the Riviera Hall Lutheran School (RHLS).

Despite prior guidance, the noncompliant activity is ongoing and requires corrective action to ensure the classroom is used exclusively for the licensed preschool program and that access is limited to authorized preschool staff. The continued use of the preschool classroom by RHLS is not in compliance with Title 22 regulations regarding the use of licensed space - Type B.


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NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Cristina Castellanos
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/01/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: RIVIERA HALL PRE SCHOOL
FACILITY NUMBER: 191602210
VISIT DATE: 04/01/2026
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Additionally, it’s noted that the preschool program’s Director Dorian Theberge last day of employment was 2/27/2026. Since that time, the Interim Director Laura Martinez has assumed full-time responsibility for the director’s role while simultaneously serving as the lead teacher in a preschool classroom. This staffing arrangement does not align with Title 22 requirements, which mandate that a qualified director must be available to perform director-specific duties and may not be assigned as the full-time lead teacher in a classroom. LPA informed Interim Director Martinez of this requirement, and corrective action is still needed to ensure compliance with staffing and administrative regulations. Licensee will ensure the matter is resolved by April 30, 2026:

§ Ensure that a qualified director is appointed and available to perform all required administrative, supervisory, and operational duties as outlined in Title 22 regulations.

§ Remove the Interim Director from full-time classroom teaching duties so that director-specific responsibilities can be carried out in accordance with regulatory requirements.

Pursuant to Title 22, Division 12, Chapter 1 of the California Code of Regulations, one (1) deficiency is cited for violations of Title 22 requirements. The deficiency is documented on the LIC 809-D (Type B).

An exit interview was conducted, and the Plan of Correction was reviewed with Interim Director Laura Martinez. A copy of this report and the Appeal Rights were provided to Interim Director Laura Martinez, whose signature acknowledges receipt of these documents.


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NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Cristina Castellanos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/02/2026 07:51 AM - It Cannot Be Edited


Created By: Cristina Castellanos On 04/01/2026 at 02:11 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: RIVIERA HALL PRE SCHOOL
FACILITY NUMBER: 191602210

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2026
Section Cited
CCR
101238(a)

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101238 Buildings and Grounds (a) The child care center shall be clean, safe... at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met as evidenced by:
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Licensee agrees to remove all private school materials, equipment, and supplies from the licensed preschool classroom to ensure the space is used exclusively for the preschool program. Prohibit RHLS school staff from entering or accessing the licensed preschool classroom for any purpose, unless they have a fingerprint clearance associated to the facility.
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Based on observation and interviews, the licensed preschool classroom (Wildcats) continues to be used for storage and access by the Riviera Hall Lutheran School (RHLS), which poses a potential risk to the health, safety, and personal rights of children in care.
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Additionally will submit a written statement of how compliance will be maintained, including any internal policies or supervision measures implemented to ensure the licensed space remains dedicated solely to the preschool program.

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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.
Loyce Phillips
NAME OF LICENSING PROGRAM MANAGER:
Cristina Castellanos
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/01/2026


LIC809 (FAS) - (06/04)
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