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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423372
Report Date: 10/14/2025
Date Signed: 10/14/2025 12:56:45 PM

Document Has Been Signed on 10/14/2025 12:56 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:THOMAS, SHEREEFACILITY NUMBER:
013423372
ADMINISTRATOR/
DIRECTOR:		THOMAS, SHEREEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 332-7082
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 5DATE:
10/14/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:43 AM
MET WITH:Sheree Thomas, Licensee/DirectorTIME VISIT/
INSPECTION COMPLETED:
01:17 PM
NARRATIVE
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Licensing Program Analyst (LPA) Canela arrived unannounced on 10/14/2025 at this Large Family Child Care Home facility for the purpose of conducting a Required – 3 Year annual inspection. LPA was granted access into the home and was greeted by Licensee Sheree Thomas. There are a total of 6 children enrolled at the facility. Present during today’s inspection were 5 children: 3 infants (under 24 months) and 2 pre-school age. LPA observed the following activities: licensee actively playing games with children, lunch time, and nap time.

Facility hours of operation are Monday – Friday from 8:00 am to 5:00 pm.

This is a two-story home which consists of upstairs bedrooms and bathrooms, downstairs laundry area, kitchen, dining room, family room, front yard, side yard, and basement.

On-limit areas (accessible to children): Family room, playroom, bathroom on first floor, left side of yard and front yard. Isolation Area: family room.

Off-limit areas (inaccessible to children): Entire second floor (bedrooms and bathroom), dining room, kitchen with dining area, laundry room and basement located on the first floor, and the right side of the yard.

All off limits areas will be made inaccessible by closed and/or locked doors, safety gates and visual supervision.



Report continued on LIC 809-C
NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: THOMAS, SHEREE
FACILITY NUMBER: 013423372
VISIT DATE: 10/14/2025
NARRATIVE
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Physical Inspection:

The LPA toured areas of the home accessible to children (on-limit areas). The home was observed to be clean and in good repair. LPA observed an ample supply of toys, play equipment, and materials for children. Licensee stated there are no weapons or firearms in the home. There is a fully charged 3A40BC fire extinguisher. Interconnected combination smoke and carbon monoxide detectors were observed operational. There is a working telephone available. Storage areas for cleaning supplies, detergents, and poisons were observed locked.

Outdoor space: LPA did not observe a pool, hot tub, or any bodies of water on the premises. Additionally, there are age-appropriate toys outside.

Licensee understands that when outside of facility, 100% supervision of children in care is required.

Licensee occasionally provides transportation for children for field trip outings; Licensee understands children cannot be left unattended in parked vehicles. Licensee understands the driver for transporting children is required to have: a valid Driver's license, current mandated reporter training, required immunization record, current CPR/First Aid, valid car insurance, and a car in good repair. Documentation shall be available for review at the facility for Community Care Licensing.

Licensee understands smoking, baby walkers, bouncers, jumpers and similar items are prohibited in Family Child Care homes.

Report continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: THOMAS, SHEREE
FACILITY NUMBER: 013423372
VISIT DATE: 10/14/2025
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Record Review:

Licensee is scheduled to renew Pediatric First Aid/CPR/AED on 10/19/2025. Licensee's renewal of Mandated Reporter Training is in process (to be renewed every 2 years). Licensee has Criminal Record Clearance and required Tuberculosis (TB) immunization. Disaster and Fire Drill was conducted on 08/27/2025. Fire/Disaster Drills: Licensee is compliant with requirement of conducting fire and disaster drills at least once every six months.

Licensee understand the day care shall operate within the limitations and capacity of a Large Family Child Care Home with regard to ratios and the Licensee is required to be present in the day care for 80% of the operation hours.


Licensee understand children's personal rights should not be violated and no corporal punishment. Isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries and requirements for assistant/substitute were also discussed.
Licensee currently does not have children enrolled needing IMS services: Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Report continued on LIC 809-C
NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: THOMAS, SHEREE
FACILITY NUMBER: 013423372
VISIT DATE: 10/14/2025
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LPA discussed the following with Licensee:

Safe Sleep Regulations were discussed. Child Care Licensing Safe Sleep webpage provided: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep

Recalled Infant Devices: LPA discussed with applicants the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Mandated Reporter Training: Any person who works in a child care facility shall complete and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

Criminal Record Clearance or Exemption: Applicants were reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.



MyChildCarePlan.org – Centers and Family Child Care Homes: Website was provided for Licensee; a consumer education website which helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Megan’s Law – Family Child Care Homes. Licensee confirmed there are no Registered Sex Offenders living in the facility and the RSO profile was completed.

*No deficiencies observed in the areas inspected.

Exit interview conducted with Licensee Sheree Thomas, whose signature on this form confirms receipt.

NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC809 (FAS) - (06/04)
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