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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208993
Report Date: 10/09/2024
Date Signed: 10/09/2024 02:26:53 PM


Document Has Been Signed on 10/09/2024 02:26 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 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: 5DATE:
10/09/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:13 PM
MET WITH:Joel JimenezTIME COMPLETED:
03:00 PM
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On 10/09/24, Licensing Program Analyst (LPA) M. Medina made an unannounced Annual Required inspection. LPA Medina was allowed entrance by direct care staff. License/Administrator, Joel Jimenez, contacted by telephone and arrived a short time later to conduct inspection.

Currently, there are five (5) residents in care. Residents observed to be relaxing in the living room area at time of LPA arrival. .

Facility observed to be clean, odor free, and a comfortable temperature. Facility tour began in resident bedrooms. Rooms observed to have all required accommodations. All areas of the facility have sufficient lighting. Residents bathrooms observed to be clean and in good repair. Bath/tub area have non-skid mats and grab bars. Hot water measured in bathroom and observed to be 109 degrees F. Dining room and living room have adequate seating and lighting for all residents in care. Tour of kitchen conducted. LPA observed adequate food supply for the residents in care. LPA observed leftovers stored in the refrigerator and/or freezer observed to be properly stored and labeled. Medications observed to be locked in closet in hallway. Medication observed to have original labels and be administered as prescribed.

Smoke detector and Carbon monoxide detector present and visible in hallway near resident bedrooms and observed operational. Fire extinguisher has a service date of 12/18/23. Last fire drill conducted on 9/04/2024 according to facility records. All cleaning supplies observed to be locked in secured cabinet in garage..

All facility staff who require caregiver background checks have received criminal record index clearance or exemptions. Staff files reviewed

Outside areas toured. All exits open freely and observed to be free of obstruction. No hazards observed.

No deficiencies cited during visit.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/09/2024
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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