414004819-2-18-2025-05-CC-ZBAK-DDZV2G-20250218150307

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004819
Report Date: 02/18/2025
Date Signed: 02/18/2025 03:03:27 PM

Document Has Been Signed on 02/18/2025 03:03 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:	TAYLOR, LORENA		FACILITY NUMBER:	414004819
ADMINISTRATOR/ DIRECTOR:	TIMOTE, LORENA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 440-1029
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94401
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 12	CENSUS: 11	DATE:	02/18/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:15 PM
MET WITH:	Lorena Taylor		TIME VISIT/ INSPECTION COMPLETED:	03:20 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	On February 18, 2025, at approximately 12:15 p.m., Licensing Program Analyst (LPA) Zeynep Basak conducted an unannounced annual inspection, met the licensee, Lorena Taylor, and explained the purpose of the inspection. LPA observed the licensee and the helper supervising 11 children (3 infants, 6 toddlers, and 3 preschoolers). The licensee complies with the licensing capacity during the time of inspection. The children’s roster had been reviewed and was found to be complete and up to date. The licensee owns a three-bedroom, two-bathroom home and stated that three adults live there. LPA verified with the Guardian Roster that all present/live-in adults have criminal clearance. Per the licensee, the Childcare Home's operational hours are Monday through Friday, from 8:00 a.m. to 5:00 p.m. DAY CARE AREAS: Living Room, Bedroom #1 (Nap Room), Backyard, and Bathroom OFF-LIMIT AREAS: Bedroom #2 (Master Bedroom and bathroom located inside master bedroom), Kitchen, and Garage. The licensee also has an in-law suite in the backyard that is fenced, locked, and off-limits. According to the licensee, there have been no changes to the previously approved childcare areas and off-limits areas. LPA observed all off-limits areas to be securely barricaded and inaccessible to children in care. LPA observed the home to be clean and in good repair with proper temperature and ventilation. LPA observed 2 working combo smoke alarms and carbon monoxide detectors, and a fully charged fire extinguisher in the size of 2A:10BC in the daycare area. See page 2.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

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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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: TAYLOR, LORENA	FACILITY NUMBER: 414004819
	VISIT DATE: 02/18/2025

NARRATIVE

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LPA observed the childcare home to have a functioning telephone and verified contact information. Per the licensee, there is no firearm in the home. The licensee stated that breakfast, lunch, a.m., and p.m. snacks are provided for children in addition to drinking water.

LPA and the licensee inspected the childcare areas for health and safety hazards. LPA observed the daycare area to be clean, with all outlets covered. LPA observed that all cleaning supplies and chemicals were properly stored and inaccessible to children. LPA observed the daycare area to be equipped with age-appropriate furniture, toys, books, and educational materials.

LPA observed mats and individual sheets in the napping area. The licensee verified that they provide sheets and blankets for children. The facility currently has 3 infants who sleep in cribs or play yards. LPA observed that no toys, blankets, or other items were hanging over or placed in cribs. The licensee was informed about maintaining a sleep log to check on infants every 15 minutes during naptime. The licensee acknowledged that no baby walkers, bouncers, or similar items are used during daycare hours. LPA observed a fireplace in the living room, which was properly barricaded.

LPA inspected the children’s bathroom and observed it to be clean and sanitary, with no chemicals within the children’s reach. LPA inspected the outdoor play area for health and safety hazards and observed sufficient toys and play materials in the backyard for children. LPA confirmed with the licensee that an isolation area is available in the napping room for ill children while waiting for their guardians to arrive. The licensee confirmed that there is only one child has allergies or require medication and LPA observed the medication is properly stored and up to date.

LPA reviewed 8 children’s files and found all required records were in the file, including Emergency Cards and Parental Rights forms. LPA reviewed the staff file and found that the licensee has a valid CPR expires on 6/2025 and a Mandated Reporter certificate which expires on 6/2025. LPA reviewed the helper's file and found she has a valid CPR and Mandated Reporter certificate.

Per the licensee, emergency drills are conducted at least once every six months, and the latest drill was conducted on January 21, 2025.
See page 3.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: TAYLOR, LORENA	FACILITY NUMBER: 414004819
	VISIT DATE: 02/18/2025

NARRATIVE

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LPA observed that all required forms and postings were displayed in the Childcare Home, including the License and Parent’s Rights Poster.

Per the licensee, the facility carries liability insurance for the daycare, and the copy was provided to LPA for placement in the physical file.

The licensee was reminded that all adults 18 years of age or older living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption as specified in Health and Safety Code Section 1596.871. This must occur prior to initial presence in a licensed Family Child Care Home. LPA informed the licensee that a civil penalty of $100 per person per day will be assessed for unqualified adults present for a maximum of five days. If this is a repeat violation, the penalty may increase to $500 per person per day after the fifth day.

LPA discussed the safe sleep regulations with the licensee and shared the Child Care Licensing Safe Sleep webpage located at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the licensee about the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov. LPA recommended that the licensee register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed with the licensee. For additional information, LPA referred the licensee to PIN 22-02-CCP. LPA informed the licensee that when any IMS is provided, a Plan for Providing IMS must be submitted to the Department. Information regarding ADA compliance was also shared, including the toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY). A publication titled “Commonly Asked Questions about Child Care Centers and the ADA” is available at https://www.ada.gov/resources/child-care-centers/.

LPA also provided information about the MyChildCarePlan.org website, a consumer education resource that connects families with childcare providers and Resource and Referral Agencies (R&Rs) throughout California.
See page 4.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: TAYLOR, LORENA	FACILITY NUMBER: 414004819
	VISIT DATE: 02/18/2025

NARRATIVE

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To improve the quality and value of the inspection process, LPA informed the licensee that a survey may be sent to the email address on file. The licensee was encouraged to complete the survey and share her inspection experience. For additional information regarding the inspection process, the licensee was referred to the program website at https://www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

During the inspection, the licensee confirmed that there were no registered sex offenders living in the facility. LPA completed the RSO profile in FAS.

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

The exit interview was conducted, and the report was reviewed with the licensee, Lorena Taylor.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

LIC809 (FAS) - (06/04)

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