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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001493
Report Date: 01/08/2026
Date Signed: 01/08/2026 01:05:18 PM

Document Has Been Signed on 01/08/2026 01:05 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 CENTERFACILITY NUMBER:
414001493
ADMINISTRATOR/
DIRECTOR:
BECKER, LISAFACILITY TYPE:
830
ADDRESS:1050 TWIN DOLPHIN DRIVETELEPHONE:
(650) 594-1100
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94065
CAPACITY: 112TOTAL ENROLLED CHILDREN: 33CENSUS: 32DATE:
01/08/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:27 AM
MET WITH:Director Lisa BeckerTIME VISIT/
INSPECTION COMPLETED:
10:40 AM
NARRATIVE
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On January 8, 2026, at approximately 8:30am, Licensing Program Analyst (LPA) Maria Olguin-Leon arrived at facility to conduct a Case management incident visit. LPA met with new Director, Lisa Becker. The purpose of the inspection was to discuss Unusual Incident Report (UIR) that was reported to the department on December 11, 2025.

Present during today’s inspection was 9 staff supervising 32 infant children. All staff present during today’s inspection have criminal background clearances and are associated to the facility. Facility operates year-round from Monday-Friday from 7:00am-6:00pm. Facility is licensed for an infant program and preschool program. Infant program is licensed in 11 classrooms and currently only operating in 5 classrooms, Sea Monkeys, Angelfish, Clown Fish, Rainbow Fish, and Beluga Whales.

During today's inspection, LPA conducted a health and safety inspection indoors and outdoors of facility and interviewed Director about the reported incident. The facility self-reported an incident that occurred on December 11, 2025. The incident involved a child being left unsupervised in the toddler playground. Per interview conducted with Director and Assistant Director, the children were outdoors in toddler playground and were transitioning into classroom from lunch. Per Director, S1 and S2 heard a child crying and turned around and saw C1 crying in the toddler playground, which connects to the DP (Discovery Preschool) playground. There is a shared fence between the classrooms and staff have visual into both playgrounds.

Per Director, S3 (DP teacher) was returning from break and entered into toddler playground to comfort C1. S1 stated S1 saw C1 in toddler playground and tried to reach out to S4 or S5 as they turned the corner with the children. Per S1, S1 called AD1 and AD1 came to toddler playground to escort C1 into classroom.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: 414001493
VISIT DATE: 01/08/2026
NARRATIVE
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Per AD1, C1 was walked into classroom to rejoin class. Per AD1, S4 and S5 had children sitting on rug and had not completed the CSR (Child Supervision Record) yet. Per Director, C1’s mom and district leader were immediately notified of incident.

Per Director, staff was interviewed about incident and S4 was separated from facility and S5 was retrained and given final coaching. Per Director, staff was reassigned CSR active supervision for staff to review.

See page LIC809D for type B deficiency issued today under CCR, Title 22, Div. 12, Chapt. 1.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview was conducted, and report was reviewed and provided to Director, Lisa Becker. Appeal rights were provided and explained.

Office meeting to be scheduled.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 01/08/2026 01:05 PM - It Cannot Be Edited


Created By: Maria Olguin-Leon On 01/08/2026 at 11:04 AM
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: 414001493

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/23/2026
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision: (a) "The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation."

This requirement was not met as evidenced by:
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Per Director, staff was reassigned CSR active supervision for staff to review and will be conducting another retraining with role playing and moving through building scenarios with staff. Retraining will be conducted on January 22, 2026.




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Based on interview and record review, the facility did not comply with the section cited above as facility self-reported an incident where a toddler age child was left in outdoor playground during a transtion back into classroom for lunch,which poses a potential health, safety or personal rights risk to persons in care.
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Director will email LPA a copy of training agenda conducted on January 22, 2026. Agenda will include signatures of staff acknowledging attendance and understanding of supervision procedures discussed during training.

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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:
Maria Olguin-Leon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/08/2026


LIC809 (FAS) - (06/04)
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