274410749-1-22-2026-07-CC-DBAS-DQKTLR-20260122134958

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274410749
Report Date: 01/22/2026
Date Signed: 01/22/2026 01:50:09 PM

Document Has Been Signed on 01/22/2026 01:50 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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	SHORELINE PRE-SCHOOL		FACILITY NUMBER:	274410749
ADMINISTRATOR/ DIRECTOR:	KRISTA CHAWINGA		FACILITY TYPE:	850
ADDRESS:	2500 GARDEN ROAD		TELEPHONE:	(831) 641-0209
CITY:	MONTEREY	STATE: CA	ZIP CODE:	93940
CAPACITY: 36	TOTAL ENROLLED CHILDREN: 36	CENSUS: 14	DATE:	01/22/2026
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:50 AM
MET WITH:	Krista Chawinga		TIME VISIT/ INSPECTION COMPLETED:	12:15 PM

NARRATIVE

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On January 22, 2026, Licensing Program Analyst (LPA) Darnella Barnes conducted an unannounced case management inspection at the facility. The visit was to follow up on a self-reported incident. The reason for the visit was explained to the Director, Krista Chawinga, who granted access to the facility.

At the time of the visit, Director, two staff members, and fourteen children were present. LPA toured the interior and exterior of the facility, including classrooms, restrooms, outdoor play areas, and common areas. Staff and children were present in classrooms. Staff-to-child ratios and required postings were observed. No hazards were observed during the tour.

The facility reported an incident on January 20, 2026, at approximately 10:25 a.m., involving children in the three-year-old preschool classroom. Before snack time, Staff (S1) and Staff (S2) escorted eight children to a bathroom in the same building, located down the hallway near the Pre-K classroom, for handwashing. After returning to the classroom, S2 realized that Child 1 (C1) was missing. S2 went back to the bathroom, but C1 had exited and was walking toward the classroom. S2 met C1 in the hallway at the classroom doorway. C1 was unattended for approximately three minutes. No injuries were observed.

S1 did not follow facility policies and did not conduct a headcount before returning to the classroom.

-----CONTINUED ON NEXT PAGE -----

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026

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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Document Has Been Signed on 01/22/2026 01:50 PM - It Cannot Be Edited

Created By: Darnella Barnes On 01/22/2026 at 10:05 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SHORELINE PRE-SCHOOL	FACILITY NUMBER: 274410749
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/22/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/23/2026 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision 101229 (a) The licensee shall provide care and supervision … 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:	1 2 3 4 5 6 7	1. Immediate Action: Director will provide a statement detailing what steps were taken to address the incident and ensure children are visually supervised at all times.
	8 9 10 11 12 13 14	Two staff members took children to the restroom and returned to the classroom. They realized Child 1 (C1) was missing. S2 ran to the restroom and met C1 in the hallway as she walked toward the classroom. Video footage and interviews confirmed C1 was unattended for three minutes.	8 9 10 11 12 13 14	2. Prevention Plan: Director will outline how the facility will prevent similar incidents, including any staff training, supervision changes, or procedures put in place.
	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.

	Gladys Kuizon
NAME OF LICENSING PROGRAM MANAGER:

	Darnella Barnes
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026

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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SHORELINE PRE-SCHOOL	FACILITY NUMBER: 274410749
	VISIT DATE: 01/22/2026

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S1 did not inform the Director until after all children were signed out for the day. S1 informed the child’s grandmother at pick-up. The Director spoke with the child’s mother that evening.

S1 was dismissed. S2 was placed on probation.

Based on a review of video footage, interviews, discussions, observations, and documentation, along with the facility’s self-admission, it was confirmed that the incident occurred due to a lack of supervision

LPA Darnella Barnes informed Director, Krista Chawinga that this report dated January 22, 2026 document a Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Darnella Barnes informed the licensee Shoreline Preschool to provide a copy of this licensing report dated January 22, 2026 that documents one 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.

A notice of site visit was given and must remain posted for 30 days. Appeals rights provided.

Exit interview conducted and report was reviewed with the Director, Krista Chawinga

-----END OF REPORT -----

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026

LIC809 (FAS) - (06/04)

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