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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374845327
Report Date: 10/29/2025
Date Signed: 10/29/2025 02:36:14 PM

Document Has Been Signed on 10/29/2025 02:36 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:PEPPERTREE MONTESSORIFACILITY NUMBER:
374845327
ADMINISTRATOR/
DIRECTOR:
GILLINS, CHERYLFACILITY TYPE:
830
ADDRESS:427 COLLEGE BLVD, STE ITELEPHONE:
(760) 940-1931
CITY:OCEANSIDESTATE: CAZIP CODE:
92057
CAPACITY: 52TOTAL ENROLLED CHILDREN: 52CENSUS: 23DATE:
10/29/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:31 AM
MET WITH:Facility Representative Jazmin De La Rosa and Director Cheryl Gillins TIME VISIT/
INSPECTION COMPLETED:
12:01 PM
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On the above date and time, Licensing Program Analyst’s (LPA’s) Kelly Gerth and Kelli Waters conducted an unannounced Licensee initiated Case Management inspection for an increase in capacity on the Toddler Component of the infant license. Upon arrival, LPA’s met with Facility Representative Jazmin De La Rosa. This is a combination childcare center, and the following licensed programs were also inspected on this date: #374845328.
The Licensee requested an increase in capacity from a current total capacity of 52 Infants and Toddlers (28 infants in Rooms 3 and 5, and 24 toddlers in Room 2) to a total capacity of 76 Infants and Toddlers (28 infants in Rooms 3 and 5, and 48 Toddlers in Rooms 2 and Room 1). A fire clearance was granted on October 13, 2025, specifying room uses. Hours of operation are and will remain Monday Through Friday 07:00am-05:00pm.
Present during today’s inspection were 23 Infants/Toddlers with 5 staff. Appropriate ratios and supervision were observed. All indoor and outdoor activity space utilized for the children was inspected and measured today, including the proposed change of room use, Room 1. After Director Cheryl Gillins arrival at approximately 11:45am, LPA’s informed Director Cheryl Gillins that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. LPA’s observed a total of (8) sinks and (5) toilets available for children’s use,
New measurements revealed that the infant indoor capacity to be 1115.8 Square feet, which is sufficient for 31 infants. The outdoor capacity to be 447.62 square feet, sufficient for 5 infants at one time. Currently the facility does have a waiver in place to share the use of the toddler playground on a staggered schedule. New measurements revealed that the Toddler indoor capacity to be 1490.94 Square feet, which is sufficient for 42 Toddlers. The outdoor capacity to be 2410.84 square feet, sufficient for 32 Toddlers at one time.
NAME OF LICENSING PROGRAM MANAGER: Carlos Martinez
NAME OF LICENSING PROGRAM ANALYST: Kelly Gerth
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2025
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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: PEPPERTREE MONTESSORI
FACILITY NUMBER: 374845327
VISIT DATE: 10/29/2025
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LPA’s observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. Filtered drinking water is available both indoors and outdoors, via personal drinking bottles and/or disposable cups. LPA’s verified that lead testing was completed on 9/1/2022. LPA’s observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property.
The facility currently has a fully fenced playground area. Fencing is secure and a minimum of is at least four feet high. Shade is provided via shade sails and trees/foliage. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is adequate cushioning in fall zones of climber provided by artificial turf, sand and/or rubber matting. LPA observed all hazardous items on the playground to be inaccessible to children.
After reviewing measurements and room use with Director Cheryl Gillins, At this time Director has opted not to move forward with change of capacity and has revoked submission of application on this date. Facility representative understands that should a change of capacity be requested in the future a new application, including updated fire clearance, sketch and fee will be required. A notice of site visit was given to Director Cheryl Gillins and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Carlos Martinez
NAME OF LICENSING PROGRAM ANALYST: Kelly Gerth
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC809 (FAS) - (06/04)
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