414001492-7-23-2026-05-CC-CQUO-DW9SSS-20260723140824

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001492
Report Date: 07/23/2026
Date Signed: 07/23/2026 02:08:44 PM

Document Has Been Signed on 07/23/2026 02:08 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	SHORES CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	414001492
ADMINISTRATOR/ DIRECTOR:	BECKER, LISA		FACILITY TYPE:	850
ADDRESS:	1050 TWIN DOLPHIN DRIVE		TELEPHONE:	(650) 594-1100
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94065
CAPACITY: 158	TOTAL ENROLLED CHILDREN: 102	CENSUS: 92	DATE:	07/23/2026
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Lisa Becker		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	S1= Staff 1; C1= Child 1. On July 23, 2026 at approximately 9:00am, Licensing Program Analyst (LPA) Quimbo conducted an unannounced, case management visit due to a self-reported incident. LPA met with facility director, Lisa Becker, and explained the purpose of the visit. LPA also met with assistant director, Deanna Castillo. Facility is a combination center with preschool and infant licenses. Under the preschool license, present during visit included 92 preschool children and 13 teaching staff. Preschool program currently operates in the "Sea Otters", "Orca", "Sea Turtles", "Jellyfish", "Starfish" and "Seals" classrooms for a summer program. LPA observed teaching staff present to have fingerprint clearance and are associated to the preschool facility number. On July 9, 2026, director self reported an unusual incident that occurred the same date at approximately 3:45pm. T1 and 12 preschool children were located in the Sea Turtle classroom on the second level of the facility. T1 was transitioning preschool children from the indoor classroom to the outdoor area. T1 transitioned 11 of the preschool children to the outdoor area while C1 was left alone in the classroom. C1 was found in the classroom by another enrolled child's family and informed program's staff. Per director, C1 was left alone in the classroom for approximately 40 minutes. C1 did not have any injuries and was as per their normal when found. Assistant director informed C1's parents and center director of incident. Internal investigation was conducted and T1 was placed on administrative leave. (Continue report on page 2...)

Marie Rodriguez
Catrina Quimbo
	DATE: 07/23/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 07/23/2026

NARRATIVE

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Program's transition policy includes a name to face count referred to as "Children Supervision Record". Teaching staff are to call a child's name out loud, visually observe the child whose name was called, and physically check off on a record that the child was observed and counted in ratio.

Per assistant director, Children Supervision Record is to be conducted whenever a child is to transition through a door's threshold. Children Supervision Record also is to be conducted whenever children are moving from one activity to another activity. Staff are to also announce and communicate out loud how many children they have at a time. Per director, Children Supervision Record is to be accounted for multiple times a day to ensure no child is left alone.

On date of incident, T1 did not conduct the transition procedure as per the program's policy. T1 no longer works at facility.

Director communicated with C1's parents after hours to verify C1 was safe after incident. An in person meeting was also held. C1 returned to facility the day after the incident and is as per their normal.

Mandatory staff meeting and training was held with all teaching staff, reinforcing program's transition policy. Staff training included scenarios, role playing, and documentation review. Copy of training was provided to LPA during today's visit. Director will provide proof to LPA all teaching staff completed training.

Based on interviews, record review and self-reporting incident, a child was left unattended and without supervision. Facility is being cited a Type A deficiency for absence of supervision. An immediate civil penalty was assessed. Please refer to 809D for more information.

LPA Quimbo informed facility representative, Lisa Becker, that this report dated July 23, 2026 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children
in care.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/23/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/23/2026 02:08 PM - It Cannot Be Edited

Created By: Catrina Quimbo On 07/23/2026 at 12:53 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SHORES CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 414001492
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/23/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/24/2026 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (a)(1) No child(ren) shall be left without the supervision of a teacher at any time. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Civil penalty assessed. Director self reported incident to department. T1 no longer works at facility. Program has a current name to face, transition procedure and policy.
	8 9 10 11 12 13 14	Based on record review and interviews which were conducted, C1 was left unattended and unsupervised for approximately 40 minutes. This poses an immediate health, safety or personal rights risk to children in care.	8 9 10 11 12 13 14	All teaching staff were retrained on program's name to face, transition procedure and policy. Copy of guidance was provided to LPA during visit. Proof of staff attendance will also be submitted to LPA.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:

	Catrina Quimbo
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 07/23/2026

NARRATIVE

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Also, LPA Quimbo informed the facility representative to provide a copy of this licensing report dated July 23, 2026 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Appeal rights were provided.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with director, Lisa Becker.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/23/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026

LIC809 (FAS) - (06/04)

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