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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419229
Report Date: 07/25/2024
Date Signed: 07/25/2024 02:44:04 PM


Document Has Been Signed on 07/25/2024 02:44 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:PIPER PRESCHOOLFACILITY NUMBER:
197419229
ADMINISTRATOR:BILTZ, CRYSTALFACILITY TYPE:
850
ADDRESS:807 ARIZONA AVENUETELEPHONE:
(310) 451-4600
CITY:SANTA MONICASTATE: CAZIP CODE:
90401
CAPACITY:175CENSUS: 39DATE:
07/25/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:36 AM
MET WITH:Jennifer Shpall - DirectorTIME COMPLETED:
03:07 PM
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On 7/25/2024 Licensing Program Analyst (LPA) Jillinda Chandler made an announced visit to Piper - Santa Monica located at 807 Arizona Ave. Santa Monica, CA. 90401, for the purpose of conducting a "Case Management - Licensee Initiated " inspection. The licensee is requesting to add a toddler component to their current license. The licensee is requesting to care for 16 toddlers ages 18 -36 months. LPA met with Jennifer Shpall (director) who provided a tour of the facility according to the provided facility sketch.
There is an approved fire clearance on file conducted by Armando Reyes of the Santa Monica Fire Department, conducted 1/4/2024.

The building is a three story building with nine classes dedicated to the preschool (C 2-10) on bottom and second levels and one dedicated to the toddler component (C1) located on the lower level behind the directors office, the third floor is comprised of office space. All classrooms were inspected and measured according to the provided facility sketch.

LPA observed the following of the toddler addition:

The classroom had age appropriate furniture and equipment in good condition,
There were one toilet and two sinks age appropriate in the classroom for toddler use, per the director a potty chair will be provided to meet the requested capacity. LPA informed the director there shall be 1 potty chair, per every 5 children being potty trained

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SUPERVISOR'S NAME: Deborah LoweTELEPHONE: (916) 661-7243
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4


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: PIPER PRESCHOOL
FACILITY NUMBER: 197419229
VISIT DATE: 07/25/2024
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The classroom was clean and in good repair

Indoor measurements were: 600.39 square feet, which will accommodate the requested capacity.

Outdoor measurements were: 835.07 square feet, which will not accommodate the requested capacity. Licensee shall request an outdoor waiver.

Based on todays inspection the center shall be recommended for the addition of a toddler component with a capacity of 16, following the recommended corrections and approval of an outdoor waiver.

The following recommended corrections, shall be completed prior to licensure:

1. Make water pipe inaccessible to children in care.
2. Gapping under the gate shall be lowered.
3. Licensee shall devise a plan for toddlers to access the additional play area, preventing commingling with the preschool.


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SUPERVISOR'S NAME: Deborah LoweTELEPHONE: (916) 661-7243
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: PIPER PRESCHOOL
FACILITY NUMBER: 197419229
VISIT DATE: 07/25/2024
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Applicant 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. PIN 22-05-CCP Page Four
LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

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SUPERVISOR'S NAME: Deborah LoweTELEPHONE: (916) 661-7243
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: PIPER PRESCHOOL
FACILITY NUMBER: 197419229
VISIT DATE: 07/25/2024
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LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant 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.

LPA reviewed with applicant the LIC. 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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/.

An exit interview was conducted, a copy of this report was discussed and provided to director Jennifer Shpall Pg.4
SUPERVISOR'S NAME: Deborah LoweTELEPHONE: (916) 661-7243
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4