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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208993
Report Date: 10/20/2021
Date Signed: 10/20/2021 01:51:16 PM

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 II LLCFACILITY NUMBER:
157208993
ADMINISTRATOR:JIMENEZ, JOELFACILITY TYPE:
740
ADDRESS:10310 MALAGUENA CTTELEPHONE:
(661) 679-7876
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:6CENSUS: 3DATE:
10/20/2021
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Administrator, Joel JiminezTIME COMPLETED:
01:38 PM
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Licensing Program Analyst (LPA) Darius Williams conducted an unannounced Post Licensing inspection. LPA Williams met with Administrator, Joel Jiminez, and discussed the purpose of the visit. Two staff and three residents were also present.

LPA Williams toured the facility with the Administrator.

In the kitchen, LPA Williams observed two days of perishable food and sevens days of non-perishable. Knives were locked in a hallway closet. The fridge temperature reflected 40 degrees Fahrenheit (F), the freezer reflected 0 degrees F, and the water temperature reflected 110 degrees F.

3 of 3 residents bedroom had chairs, night stands, dressers, mattress, bed linens, and lamp. The living room had seating for all residents and did not have any obstructions.

LPA Williams observed medications and chemicals locked in behind a door. Extra linens, towels, and hygiene were observed in the hallway.

LPA Williams did not observe any bodies of water on the property and the outside areas were free of obstructions.

No deficiencies were observed.

An exit interview was conducted and a copy of this report was provided.

SUPERVISOR'S NAME: Serigy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Darius WilliamsTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
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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