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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107206695
Report Date: 10/06/2023
Date Signed: 10/06/2023 03:23:40 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/17/2023 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20230517093734
FACILITY NAME:JOYFUL LIVING RCHEFACILITY NUMBER:
107206695
ADMINISTRATOR:GALVEZ, DELIAFACILITY TYPE:
740
ADDRESS:1337 W. ROBERTS AVE.TELEPHONE:
(559) 570-8557
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY:6CENSUS: 6DATE:
10/06/2023
UNANNOUNCEDTIME BEGAN:
02:06 PM
MET WITH:Licensee, Delia GalvezTIME COMPLETED:
03:33 PM
ALLEGATION(S):
1
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9
Staff are not properly addressing pest infestation in facility
INVESTIGATION FINDINGS:
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2
3
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5
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9
10
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13
On 10/6/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to deliver complaint findings. LPA met with Direct Care Staff, Alma Alcantara and Licensee, Delia Galvez explained reason for visit and was permitted entry into the facility. A health and safety check was completed for residents in care. Residents observed in rooms and in common areas. Tour of facility was completed inside and out.

During the investigation LPA completed interviews with staff and resident(s) and reviewed documentation (physicians reports and pest control receipts). Records reviewed indicated the facility has pest control services. Althought the allegation may or may not have occurred it does not meet the preponderance of evidence standard per Title 22. The allegation is UNSUBSTANTIATED. No deficiencies cited during this visit.

Exit interview completed with Licensee, Delia. A copy of this report given.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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