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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001493
Report Date: 05/02/2019
Date Signed: 05/02/2019 04:15:43 PM

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:
414001493
ADMINISTRATOR:ROBINSON, ONEIKIFACILITY TYPE:
830
ADDRESS:1050 TWIN DOLPHIN DRIVETELEPHONE:
(650) 594-1100
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94065
CAPACITY:112CENSUS: 43DATE:
05/02/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Oneiki Robinson & Cassandra HuntoonTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Singh met with Executive Director, Oneiki Robinson, and Center Director, Cassandra Huntoon, for a case management inspection regarding an incident. Purpose of the inspection was explained. Present, there are 43 children with 14 staff and the director.

On April 18, 2019, facility self reported an incident of a teacher feed the one child’s milk to different child. During today’s inspection, LPA inspected the infant rooms and observed each room has refrigerator to keep the milk bottles. LPA observed each milk bottle is closed and stored properly. LPA observed each milk bottle has child’s name written on it. During the inspection, director stated that the facility has procedures in place to follow during feeding the infants. Per director, the teacher on that specific day did not followed the procedure and incident occurred. Per director, parents of both children were informed immediately, and a meeting was held with the teachers. Per director, another will be held with all staff to update or remind all staff to follow proper procedures to feed the children.

During the inspection, it was observed that facility follow the protocol after the incident and informed the parents. No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019
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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