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25 | On April 17, 2024 at 11:09 AM, Licensing Program Analysts (LPA's) Anna Morales and Marilou Monico arrived at the facility to conduct a Plan of Correction inspection. LPAs were by the front door of the home when Licensee, Kimberly Thunderbull, arrived at approximately 11:14 AM together with two (2) preschool age children. LPAs explained to Licensee the nature of the visit. LPAs entered the home. LPAs toured the home and reviewed documents. Based on LPAs observation and statement from Licensee, Licensee's Assistant (S1) was left alone in the home supervising seven children including four (4) infants and three (3) preschool age. LPAs observed that the children's files were missing some of the required documents. Licensee and her assistant (S1) do not have proof of immunizations in measles, pertussis, and flu. LPAs observed a current fire/disaster drill log. LPAs requested Licensee to submit a copy of children's roster to Licensing by 04/22/24.
LPA's Anna Morales and Marilou Monico informed licensee Kimberly Thunderbull
that this report dated 4/17/2024 document one (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
LPA's Morales and Monico also informed the licensee Kimberly Thunderbull to provide a copy of this licensing report dated 4/17/2024 that documents any Type A citation 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.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPAs discussed and provided Licensee a copy of Appeal Rights.
As a result of this inspection, deficiencies were cited on the following pages:
Exit interview conducted and report was reviewed with Licensee, Kimberly Thunderbull.
A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
04/18/2024
Section Cited
CCR
102416.5(e)
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7 | Staffing Ratio and Capacity: (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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7 | Licensee, Kimberly Thunderbull will submit a written plan to remain in Ratio at all times by 04/18/24.
This case will be referred to Community Care Licensing Management for further review. |
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14 | This requirement was not met as evidenced by:
Based on LPAs observation and Licensee's statement, S1 was left alone supervising seven children: four infants and three preschool aged children. This poses an immediate risk to the health, safety, and personal rights of children in care.
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14 | Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
04/22/2024
Section Cited
HSC
1597.622(c)
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7 | Health & Safety - (c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.
This requirement is not met as evidenced by: | 1
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7 | By 04/22/24, Licensee agreed to submit proof of immunizations in Measles, Pertussis, and Flu for S1. |
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14 | LPAs observed that S1 does not have immunizations in Measles, Pertussis, and Flu. This poses a potential risk to the health, safety or personal rights to children in care. | 8
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14 | An immediate civil penalty of $250 was assessed for repeating the same violation within 12 months. |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
04/22/2024
Section Cited
CCR
102425(j)(2)
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7 | Infant Safe Sleep - The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:
This requirement is not met as evidenced by: | 1
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7 | By 04/22/24, Licensee agreed to submit documentation that infants are checked every 15 minutes when napping. |
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14 | LPAs observed that licensee does not have documentation of 15 minutes sleep check for infants (C1, C2, C4, & C12). This poses a potential risk to the health, safety, or personal rights to children in care. | 8
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14 | An immediate civil penalty of $250 was assessed for repeating the same violation within 12 months. |
Type B
04/22/2024
Section Cited
HSC1596.8662(b)(1)
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7 | Health & Safety - (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by: | 1
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7 | By 04/22/24, Licensee agreed to submit proof of current Mandated Reporter Training for Child Care Providers for her and S1. |
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14 | LPAs observed that Licensee and S1 do not have a current Mandated Reporter Training on file. This poses a potential risk to the health, safety or personal rights to children in care. | 8
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14 | An immediate civil penalty of $250 was assessed for repeating the same violation within 12 months. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
04/22/2024
Section Cited
CCR
102421(a)
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7 | Child's Records - (a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).
This requirement is not met as evidenced by: | 1
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7 | By 04/22/24, Licensee agreed to submit missing Licensing documents for the children. LPAs provided Licensee a copy of LIC 811 showing the list of missing documents. |
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14 | Based on LPAs observation and review of records, all of the children in care have incomplete files. | 8
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14 | An immediate civil penalty of $250 was assessed for repeating the same violation within 12 months. |
Type B
04/22/2024
Section Cited
CCR102425(c)
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7 | Infant Safe Sleep - An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.
This requirement is not met as evidenced by: | 1
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7 | By 04/22/4, Licensee agreed to submit a completed and signed LIC 9227 for C4 & C12. |
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14 | Based on LPAs observation and review of records, C4 & C12 are missing the Individual Sleeping Plan (LIC 9227) on file. | 8
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14 | An immediate civil penalty of $250 was assessed for repeating the same violation within 12 months. |