107209170-4-25-2022-24-AS-MHON-CDVVFN-20220427162411

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107209170
Report Date: 04/25/2022
Date Signed: 04/25/2022 11:47:05 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/21/2022 and conducted by Evaluator Mai Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20220421154653

FACILITY NAME:	JOY IN CARING		FACILITY NUMBER:	107209170
ADMINISTRATOR:	IDUSUYI, INNOCENT		FACILITY TYPE:	740
ADDRESS:	2766 KEATS AVE		TELEPHONE:	(559) 701-5394
CITY:	CLOVIS	STATE: CA	ZIP CODE:	93611
CAPACITY:	6	CENSUS: 4	DATE:	04/25/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Eddiemer (Bang) Sison, Caregiver		TIME COMPLETED:	12:05 PM

ALLEGATION(S):

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Staff are denying resident visitors.

INVESTIGATION FINDINGS:

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On 04/25/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial complaint on the above allegation. LPA introduced self, stated the purpose of the visit, and requested to meet with the Administrator. LPA met with designated representative Eddiemer (Bang) Sison. Administrator Innocent Idusuyi was called and stated unable to attend meeting.

During the course of the investigation, interviews were conducted with staff and resident. Staff stated resident was not denied visitors. Staff stated resident choose to not have visitors. Resident stated the staff are no denying him visitors. Resident stated it is his choice on who can visit him.

Based on interviews conducted, the allegation above is to be UNFOUNDED, meaning they were false, could not have happened, and/or are without reasonable basis. We have therefore dismissed the complaint. Exit interview conducted with designated representative. No deficiencies issued. A copy of this report was provided to the designated representative.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 243-8080
LICENSING EVALUATOR NAME: Mai Yang	TELEPHONE: 559-772-7402
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022

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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