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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004819
Report Date: 07/29/2025
Date Signed: 07/29/2025 04:41:14 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/24/2025 and conducted by Evaluator Zeynep Basak
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250724095346
FACILITY NAME:TAYLOR, LORENAFACILITY NUMBER:
414004819
ADMINISTRATOR:TIMOTE, LORENAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 440-1029
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:14CENSUS: 15DATE:
07/29/2025
UNANNOUNCEDTIME BEGAN:
03:23 PM
MET WITH:Lorena TaylorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility operated out of ratio.
INVESTIGATION FINDINGS:
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On July 29, 2025, at approximately 3:15:00 p.m., Licensing Program Analysts (LPAs) Zeynep Basak and Brendon Van conducted an unannounced visit to open the complaint received on 7/24/2025 and met with the Licensee, Lorena Taylor. The purpose of the inspection was explained, and LPAs was granted entry.

The facility's operation hours Monday through Friday from 8:00 a.m. to 5:00 p.m.
Upon entry, LPAs observed the licensee, a helper, and 15 children (4 infants, 9 preschoolers, and 2 school-age) present during the visit.
LPA verified the staff members' criminal background records with the Guardian website.

During the investigation, LPAs conducted observations, record review, interviewed the licensee, and obtained pertinent documents.

See page 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 05-CC-20250724095346
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 07/29/2025
NARRATIVE
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Page 2.
Based on the LPAs observation and interview ,the above allegation found to be SUBSTANTIATED. The licensee's licensed capacity and limitations are only allowed for four infants, eight preschoolers, and two school-age children.

LPAs informed the Licensee, Lorena Taylor that this report dated July 29, 2025, document(s) a Type A citation(s) 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.

Also, LPAs informed the licensee to provide a copy of this licensing report dated July 30, 2025, that documents any Type A citation(s) 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.

An exit interview was conducted, and the report was reviewed with the licensee, Lorena Taylor.
A Notice of Site Visit was provided and remain posted for 30 days.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 05-CC-20250724095346
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/30/2025
Section Cited
CCR
102416.5(d)(2)
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102416.5(d)(2) Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:(2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.

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 The Licensee must follow the limitations and requirements outlined in her license. She has confirmed her intention to reduce the number of preschoolers in her care and has committed to providing Licensing with a written plan or schedule detailing her strategy to comply with her license limitations by July 30, 2025. Additionally, the licensee will submit an updated children roster that includes the dates when preschoolers were removed from her facility. A follow-up visit is necessary to ensure the licensee is in compliance.
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Based on observation and interview, the Licensee did not comply with the section cited above. There are a total of fifteen children present during the inspection (four infants, nine preschoolers, and two school-age children). The licensee's licensed capacity and limitations are only allowed for four infants, eight preschoolers, and two school-age children. Operating beyond the licensed limitation poses an immediate risk to the health, safety, or personal rights of children in care.
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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.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4