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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073403024
Report Date: 03/27/2024
Date Signed: 03/27/2024 03:44:33 PM

Document Has Been Signed on 03/27/2024 03:44 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:THOMAS, YOLANDAFACILITY NUMBER:
073403024
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
03/27/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Yolanda ThomasTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced Case Management/ increase in capacity inspection. Present during today’s inspection was the licensee and her fingerprint cleared husband. There were 5 preschool aged children and 1 school aged child in care. Licensee has requested an increase in capacity to care for up to 14 children. Licensee has an approved fire clearance dated 2/29/24. Fire inspector indicated that the garage is off limits to children in care. Licensee has been licensed at this location since 10/19/2001.

The home was toured for Health and Safety Inspection. On limits area consist of the family room/child care room, living room, kitchen, and bathroom located in the hallway. The remainder of the home is off limits to children in care. The deck located in the backyard is used for outdoor play. The remainder of the backyard is off limits to children in care. Licensee understands that she must provide supervision at all times while children are playing on the deck to ensure children's safety. Off limits areas will be made inaccessible by use of gates, closed and/or locked doors and visual supervision. The home has a hot tub that is covered. The hot tub cover is not latched and locked. There are no firearms on the premises as stated by the licensee. The fireplace is barricaded to prevent access by children. LPA verified that the fire extinguisher 2A10BC is fully charged. The home is equipped with both a smoke detector and carbon monoxide detector. There is a working telephone in the home. The home provides appropriate toys, learning materials and play equipment.

The licensee has current CPR and First Aid which expires 10/24. Mandated reporter training was completed 6/2/23.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: THOMAS, YOLANDA
FACILITY NUMBER: 073403024
VISIT DATE: 03/27/2024
NARRATIVE
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See 809-D for deficiencies cited during today's inspection.

Prior to approval of increase in capacity, licensee shall correct all deficiencies cited during today's inspection.

Notice of Site Visit was provided and must be posted for 30 days.

Exit interview and report was reviewed with Yolanda Thomas.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/27/2024 03:44 PM - It Cannot Be Edited


Created By: Cherie Acosta On 03/27/2024 at 01:48 PM
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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: THOMAS, YOLANDA
FACILITY NUMBER: 073403024

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/28/2024
Section Cited
CCR
102417(g)(5)(A)

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Operation of a Family Child Care Home. The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:All licensees shall ensure the inaccessibility of pools... hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.
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Licensee shall ensure the hot tub cover is properly latched and locked at all times when children are in care. Licensee shall submit a letter to CCL ensuring she understands and shall comply with this requirement by 3/28/24.
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... Pool covers shall be strong enough to completely support the weight of an adult and shall be placed on the pool and locked while the pool is not in use. This requirement was not met as evidenced by: hot tub cover was not properly latched and locked which poses a potential risk to the health and safety of children in care.
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Licensee shall also submit pictures to CCL of the properly latched and locked cover. • Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Type B
03/28/2024
Section Cited
CCR102417(g)(4)

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Operation of a Family Child Care Home. The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: Poisons, detergents, cleaning compounds, medicines,
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During the inspection licensee removed the cleaning products from the cabinets in the kitchen and bathroom. Licensee shall submit a letter to CCL by 3/28/24 ensuring that she understands the regulation
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firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement was not met as evidenced by: LPA observed cleaning products in unlocked cabinets under both the kitchen and bathroom sinks which poses a potential risk to children in care.
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and shall remain in compliance.
Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Cherie Acosta
LICENSING EVALUATOR SIGNATURE:
DATE: 03/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2024


LIC809 (FAS) - (06/04)
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