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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202431
Report Date: 02/29/2024
Date Signed: 03/01/2024 08:38:09 AM


Document Has Been Signed on 03/01/2024 08:38 AM - 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 CARE HOME, LLCFACILITY NUMBER:
157202431
ADMINISTRATOR:JIMENEZ, JOELFACILITY TYPE:
740
ADDRESS:11605 REVOLUTION ROADTELEPHONE:
(661) 587-5968
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:6CENSUS: 5DATE:
02/29/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:28 AM
MET WITH:Joel JimenezTIME COMPLETED:
01:14 PM
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On 2/29/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA introduced self, stated purpose of visit, and allowed entrance by caregiver. Licensee, Joel Jimenez arrived a short time later to conduct inspection. Licensee, also serves as facility Administrator #6013998740, expires 5/03/24.

There are currently five (5) residents in care. All residents were present during today's inspection. Residents were observed to be engaging in activities at the dining room today with the Activities Coordinator during inspection.

Facility tour conducted with licensee. Facility observed to be in good repair, well lit, have adequate seating in all common areas, comfortable temperature, and to be odor free. All resident bedrooms observed to be fully furnished. Bathrooms toured, showers observed to have shower chairs, grab bars, and non-skid mats available. Toilet area also observed to have grab bars. Water temperature measured in bathroom at 107 degrees F. Kitchen toured, facility observed to have adequate food supply for residents in care. All sharps observed to be locked and secured in laundry room. Medications observed to be locked and secured in kitchen cabinet.

Fire extinguisher present with a purchase date of 1/02/2024. Carbon monoxide detector and smoke detector observed operational during inspection. Facility is also equipped with a pull station. Last fire drill conducted on 12/16/2023.

Staff and resident files review.

Outside of facility toured. No obstructions or hazards observed.

No deficiencies observed during inspection.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/29/2024
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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