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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001493
Report Date: 07/16/2019
Date Signed: 07/16/2019 04:15:11 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: 28DATE:
07/16/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Cassandra Huntoon & Oneiki RobinsonTIME COMPLETED:
04:30 PM
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Licensing Program Analysts (LPAs) Singh and Cowan met with Executive Director, Oneiki Robinson, Center Director, Cassandra Huntoon, for a case management inspection about an incident. The purpose of the inspection was explained.

Facility self reported an incident occurred on June 10, 2019. Facility reported that an infant’s milk bottle was spoiled and was not fed to the child. During today’s inspection, LPAs interviewed the executive director and center director about the incident. Executive director stated that the infant had multiple milk bottles on that day. Per director, while the teacher was warming a bottle to prepare to feed, it was found that the milk was spoiled. Per director, facility decided not to feed the milk from that bottle. Per director, the bottle filled with milk was returned to the mother at the time of pick up. Per director, the infant is still attending the day care and parent appears to be happy with the service.

During the inspection, no violation of regulations was observed. 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: 07/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
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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