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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001492
Report Date: 04/20/2022
Date Signed: 04/20/2022 05:30:01 PM

Document Has Been Signed on 04/20/2022 05:30 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
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: 184TOTAL ENROLLED CHILDREN: 120CENSUS: 89DATE:
04/20/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Mindy Ly and Lisa BeckerTIME COMPLETED:
04:45 PM
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On April 8th, 2022 at 1:20pm, Licensing Program Analyst, (LPA) Tapia-Mandujano met with Co-Directors, Lisa Becker and Mindy Ly. The purpose of today's inspection was explained. Present in the facility are 13 staff caring for 89 preschool age children. All staff are fingerprint cleared and associated.

The incident had occurred on April 7th, 2022. Incident was self- reported to the department by the Co-Directors, and involved a preschool child, parents of child, and classroom teachers. Parents brought up a concern that involved their child and how a child was spoken to. Facility did an internal investigation that determined that there was no bad intent from the teachers. Per Co-directors, facility and parents agreed to move the child to a different classroom. Per Co-directors, parents and child are happy with the move.

***No deficiencies cited against the facility under CCR,Title 22, Div. 12, Chapt. 1.***

A Notice of Site Visit shall be posted for 30 days.

A copy of this report will be emailed. This report must be available in the facility for public review. The facility was informed to contact the San Bruno Regional for any additional question at 650-266-8800 M-F, 8 AM-5 PM. For Rules and Regulations, visit the Website: www.ccld.ca.gov

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2022
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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