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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004819
Report Date: 08/07/2025
Date Signed: 08/07/2025 03:41:47 PM

Unsubstantiated


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
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: 10DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
12:22 PM
MET WITH:Lorena TaylorTIME COMPLETED:
03:55 PM
ALLEGATION(S):
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9
Licensee allowed uncleared adults to work in the facility.
INVESTIGATION FINDINGS:
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13
On August 7, 2025, at approximately 12:30 p.m., Licensing Program Analyst (LPA) Zeynep Basak conducted an unannounced visit to the facility to conclude the complaint received on July 24, 2025.

Upon arrival, LPA met with the assistant and the licensee, Lorena Taylor, arrived at 12:40 p.m. and LPA explained the purpose of the visit.

During today’s inspection, LPA observed the licensee, an assistant, and ten children (4 infants, 6 preschool age) present. LPA verified the individuals who live in or present criminal background clearance through the Guardian website. The facility's operation hours Monday through Friday from 8:00 a.m. to 5:00 p.m.
As part of the complaint investigation conducted on several occasions and dates, the LPA obtained pertinent documentation, reviewed facility records, and conducted interviews with parents, and the licensee.

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

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
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 2
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: 08/07/2025
NARRATIVE
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Page 2.
Based on the observations, interviews, record review, and the information obtained, the above allegation was determined to be unsubstantiated.

The findings were delivered during the visit.

No deficiencies were cited today.

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

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2