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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208993
Report Date: 10/20/2023
Date Signed: 10/21/2023 08:02:14 AM


Document Has Been Signed on 10/21/2023 08:02 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 II LLCFACILITY NUMBER:
157208993
ADMINISTRATOR:JIMENEZ, JOELFACILITY TYPE:
740
ADDRESS:10310 MALAGUENA CTTELEPHONE:
(661) 679-7876
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:6CENSUS: 4DATE:
10/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Joel JimenezTIME COMPLETED:
01:05 PM
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On 10/20/23, Licensing Program Analyst (LPA) M. Medina arrived at the facility unannounced to conduct an Annual Required visit. LPA introduced self, stated purpose of visit and allowed entrance by Direct Care Staff, Licensee/Administrator Joel Jimenez was present at facility.

Facility tour conducted with Licensee and began with the resident bedrooms. Resident bedrooms are adequately furnished and have sufficient lighting. Resident bathrooms toured. Resident bathrooms have grab bars in all toilet and tub/shower areas. Non-skid mats are present. Water temperature measured at 107 degrees F in hallway bathroom.

Dining and living rooms are sufficiently furnished and have adequate lighting. Kitchen toured. Pantry & refrigerator/freezers contain 7 day supply of non-perishable & 2 day supply of perishable food. LPA observed food to be properly stored and dated in both refrigerator and freezer. Medications observed to be locked and stored in hall closet. Smoke detectors and carbon monoxide detector observed to be operational during visit.

Outside of the facility was toured. All fire exits open freely and are free of obstruction. No outside hazards observed.

Resident and staff files reviewed during facility inspection.

No deficiencies cited during today's visit.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2023
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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