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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200972
Report Date: 04/24/2023
Date Signed: 04/24/2023 12:48:14 PM

Document Has Been Signed on 04/24/2023 12:48 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, STE. 310
OAKLAND, CA 94612
FACILITY NAME:HOUSE OF JOYFACILITY NUMBER:
079200972
ADMINISTRATOR:GAMEZ, JINO FRANKLIN Y.FACILITY TYPE:
735
ADDRESS:1374 SANDSTONE DR.TELEPHONE:
(925) 997-8701
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 6CENSUS: 4DATE:
04/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Jino Franklin Gamez, AdministratorTIME COMPLETED:
01:05 PM
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On 4/24/2023 at 10:10AM Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct an annual required inspection. LPA met with Administrator Jino Gamez. Facility has census of 4. During facility inspection, LPA observed zero (0) clients, according to Administrator Jino, clients were attending day programs.

LPA toured facility with Licensee/Administrator including but not limited to the client’s bedroom, common areas, kitchen, and outdoor area. Clients’ bedrooms are equipped with the proper furniture and bedding linens. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. The kitchen was observed cleaned and within compliance. Living room is equipped with the proper furniture for the clients. There is a designated storage cabinets for cleaning supplies and knives. Indoor and outdoor passageways were free of obstruction. Two (2) Fire extinguishers was observed at the facility hallways and with serviced tag date of March 2, 2023. Smoke detectors and sprinklers are interconnected. Carbon monoxide detector was observed to be in working condition. Medication cabinet has a lock, and first aid kit is complete. LPA advised Licensee and Administrator that hot water temperature should be maintained between 105 degrees F and 120 degrees F. LPA observed a one-week supply of non-perishable and 2-day perishable foods. Freezer temperature was observed at 0 degrees Fahrenheit. Refrigerator temperature measured at 40 degrees Fahrenheit.

Facility has enough supplies of PPEs, paper supplies and hygiene supplies. Facility has a mitigation plan and infection control plan.

LPA interviewed 3 staff.

No deficiency cited during the visit. Exit interview conducted. Copy of this report provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Leslie Ibo
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2023
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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