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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414001492
Report Date: 11/27/2023
Date Signed: 11/27/2023 01:04:28 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/13/2023 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230913085046
FACILITY NAME:SHORES CHILD DEVELOPMENT CENTERFACILITY NUMBER:
414001492
ADMINISTRATOR:BECKER, LISAFACILITY TYPE:
850
ADDRESS:1050 TWIN DOLPHIN DRIVETELEPHONE:
(650) 594-1100
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94065
CAPACITY:158CENSUS: 75DATE:
11/27/2023
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Deanna CastilloTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Child sustained unexplained injury while in care.
INVESTIGATION FINDINGS:
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On 11/27/2023 at 8:50AM., Licensing Program Analyst (LPA), Luis J. Gomez met with Assistant Director, Deanna Castillo. Purpose of inspection was explained and was for an unannounced; complaint investigation. Present was the Assistant Director and 10 staff, supervising 75 children. Per Assistant Director, Director is currently on vacation. LPA inspected facility, indoors and outdoors for health and safety hazards.

During today's inspection, LPA performed site observations, interviews, and reviewed facility records.

At 10:45AM., Based on observation, interview and record review, LPA confirmed Starfish/ Seals classroom operating out of ratio, with one teacher and aide supervising 19 children. Deficiency cited on attached Case Management Report (LIC809).

Based on record review and interviews conducted, LPA confirmed facility enrolled an infant-age child into the preschool program without prior exception approval. Advisory Note: Technical Violation (LIC9102TV) was issued.

During the course of this investigation, site observations were conducted on, 9/19/2023 and 11/27/2023. A review of the facility records was complete, which included the Parent Handbook; Personnel Records; and Children's Records. LPA conducted interviews with the Director, Assistant Director, Staff, and all Involved Parties. (REFER TO LIC9099C, FOR CONT.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 05-CC-20230913085046
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SHORES CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 414001492
VISIT DATE: 11/27/2023
NARRATIVE
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(Page 2)
Regarding the allegation of child sustained unexplained injury while in care; Based on evidence collected, LPA is unable to determine if allegation made is valid.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegation is Unsubstantiated.

LPA conducted exit interview and reviewed complaint report with Assistant Director, Deanna Castillo. Notice of Site Visit provided and shall remain posted for 30 consecutive days.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2