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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206695
Report Date: 08/24/2022
Date Signed: 08/24/2022 03:15:21 PM


Document Has Been Signed on 08/24/2022 03:15 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, 1314 E SHAW AVE
FRESNO, CA 93710



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:
08/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:18 PM
MET WITH:Carlo SantosTIME COMPLETED:
03:12 PM
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On 8/24/22, Licensing Program Analyst (LPA) M. Medina conducted an Annual Required Infection Control Inspection. LPA Medina introduced self and allowed entrance by met by Direct Care Staff. Administrator, Carlo Santos contacted by telephone and arrived a short time later to conduct facility inspection. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point through front door.

All residents were present during facility inspection. Tour of the facility conducted with Administrator. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Resident bedrooms toured, all resident bedrooms are private and have adequate lighting and furnishings. LPA observed a 2-day supply of perishable and a 7-day supply of non-perishable food available. Fire extinguisher present with a service date of 8/08/2022.

Outside of facility toured. Pool is surrounded by a locked and secured fence and inaccessible to residents.

Licensee to submit Administrator Certificate, LIC 500, LIC 610 and LIC 9020 to Fresno CCL office no later than 9/02/22.

No deficiencies were observed. Exit interview was conducted. A copy of this report provided for facility records.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2022
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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