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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414291
Report Date: 11/19/2025
Date Signed: 11/21/2025 09:19:55 AM

Document Has Been Signed on 11/21/2025 09:19 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:THUNDERBULL, KIMBERLYFACILITY NUMBER:
434414291
ADMINISTRATOR/
DIRECTOR:
THUNDERBULL, KIMBERLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 663-0237
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
11/19/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Kimberly ThunderbullTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
NARRATIVE
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On November 19, 2025, at approximately 12:15 p.m., LPAs Darnella Barnes and Anna Morales arrived at the facility for an unannounced Case Management–Legal/Non-Compliance inspection. They knocked on the front door several times but received no response. LPAs called the Licensee several times. The first call was made at 12:36 p.m.

Licensee returned the call at 1:53 p.m. and stated the facility had closed at 12:00 p.m., no children were present, she was at a doctor’s appointment, and she would not return until late in the evening. LPA Barnes asked if any children were at the home being watched by anyone, including her aide. The Licensee stated no and explained she had to let go of the aide because her business was very slow and she only had a couple of children enrolled, but none were present that day.

LPAs confirmed with parents that children were at the facility past 12pm. Based on this information, LPAs returned to the facility. At approximately 3:05 p.m., they knocked on the door multiple times and heard a baby crying, other children talking, and two adults speaking. Lights were on inside. No one responded.

At 3:12 p.m., LPA Barnes called the licensee. The licensee returned the call, yelled, repeated that no children were present, and ordered LPAs to leave. LPAs informed the licensee that children were reported by parents and could be heard inside. The licensee continued to deny children were present and repeated that she was at a doctor’s appointment.

-----CONTINUED NEXT PAGE -----

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: THUNDERBULL, KIMBERLY
FACILITY NUMBER: 434414291
VISIT DATE: 11/19/2025
NARRATIVE
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The Licensee eventually stepped out of the home and identified herself as Kimberly Thunderbull, even though minutes earlier she had told LPA Barnes over the phone that no one was home, specifically that no children were present, and that she was at a doctor’s appointment.

Between 3:12 p.m. and 3:40 p.m., multiple vehicles arrived. Adults entered the home and removed a total of seven children, ranging in age from infants to about five years old.

Police spoke with the Licensee, who refused entry to the home. Officers advised LPAs that entry required a warrant unless cause existed. The Licensee continued to refuse entry to LPAs.


This report dated 11/19/25 documents two Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Licensee Kimberly Thunderbull is to provide a copy of this licensing report dated 11/19/25 that documents two Type A citations 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.

A notice of site visit was given and must remain posted for 30 days. Appeals rights provided.



Due to licensee's denial of entry to LPAs and refusal for inspection, this report was not signed and provided on the day of the visit.

----END OF REPORT-----

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 11/21/2025 09:19 AM - It Cannot Be Edited


Created By: Darnella Barnes On 11/20/2025 at 07:39 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: THUNDERBULL, KIMBERLY

FACILITY NUMBER: 434414291

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/20/2025
Section Cited
CCR
102391(b)

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102391 INSPECTION AUTHORITY OF THE DEPARTMENT (b) – The licensee shall permit the Department to inspect the family child care home,…,to determine compliance with or to prevent violations of family child care laws or regulations. This requirement was not met as evidenced by:
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Licensee will submit a written plan to licensing by POC due date.
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Licensee made false statements about the daycare’s hours of operation and licensee’s location and refused LPAs entry to the facility for the purpose of an inspection. This posed an immediate risk to the safety of children in care.
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Type A
11/20/2025
Section Cited
CCR102402(a)(3)

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102402 REVOCATION OR SUSPENSION OF A LICENSE (a) The Department shall have the authority to suspend or revoke any license for the following reasons: (3) Conduct in the operation…of a family home which is inimical to the…morals…or safety of either an individual in or receiving services from the facility…This requirement was not met as evidenced by:
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Licensee will submit a written plan to licensing by POC due date.
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Observations and interviews with the licensee and parents revealed that the licensee falsely stated that the facility was closed and that she and the children were not present. Licensee was observed present in the home with children and licensee eventually came out of the home to refuse entry to LPAs. LPAs observed at least 7 children picked up from the facility. This posed an immediate risk to the safety of children in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Gladys Kuizon
NAME OF LICENSING PROGRAM MANAGER:
Darnella Barnes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2025


LIC809 (FAS) - (06/04)
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