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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005488
Report Date: 08/07/2026
Date Signed: 08/07/2026 12:21:58 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
07/02/2026 and conducted by Evaluator Nathan Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260702090043
FACILITY NAME:GOLDEN POPPY PRESCHOOL & INFANT CENTERFACILITY NUMBER:
214005488
ADMINISTRATOR:ANDERSEN, MADISYNFACILITY TYPE:
830
ADDRESS:50 EL CAMINO DRTELEPHONE:
(415) 924-2828
CITY:CORTE MADERASTATE: CAZIP CODE:
94925
CAPACITY:52CENSUS: 17DATE:
08/07/2026
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Xiaoli (Lily) TianTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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9
Staff handled daycare children in a rough manner
Staff are propping bottles to bottle feed infants
INVESTIGATION FINDINGS:
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On August 7, 2026, Licensing Program Analyst (LPA) Garcia conducted an unannounced complaint investigation to deliver the findings of the complaint and met with site supervisor, Xiaoli (Lily) Tian. There were 17 infant children in care with 6 teachers during the visit.

Based on information obtained during the course of this investigation, through interviews, and records review, it was found that the allegation of "Staff handled daycare children in a rough manner" and "Staff are propping bottles to bottle feed infants" are unsubstantiated. Meaning there were no sufficient evidence to prove the above allegation. Although the allegations may have happened or is valid, there's no preponderance of evidence to prove the alleged violation did or did not occur. During the visit, LPA spoke with facility director, Madisyn Andersen over the phone regarding the report and findings.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with site supervisor, Xiaoli (Lily) Tian.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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