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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005488
Report Date: 08/17/2026
Date Signed: 08/17/2026 12:41:56 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
08/13/2026 and conducted by Evaluator Nathan Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260813202824
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:
08/17/2026
UNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Xiaoli (Lily) Tian/Madisyn AndersenTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not ensure an administrator or acting administrator is onsite.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 17, 2026, Licensing Program Analyst (LPA) Garcia arrived at the facility to conduct a complaint inspection in response to the above complaint allegation. LPA met with facility head teacher Xiaoli (Lily) Tian. Facility director, Madisyn Andersen arrived at the facility at 11:33am. LPA explained purpose of inspection. There were 17 children present with 6 staff members in the infant facility.

Based on information obtained during the course of this investigation, through interviews, and records review, it was found that the allegation of "Licensee does not ensure an administrator or acting administrator is onsite" is unsubstantiated. Meaning it may have happened or is valid, there is no preponderance of evidence to prove the violations did or did not occur.

LPA conducted exit interview and report was given to facility director, Madisyn Andersen.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2026
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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