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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700854
Report Date: 06/07/2024
Date Signed: 06/07/2024 12:36:01 PM

Document Has Been Signed on 06/07/2024 12:36 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:JOY LOVING CARE LLCFACILITY NUMBER:
194700854
ADMINISTRATOR/
DIRECTOR:		NOCON, JOJIE CANSONFACILITY TYPE:
300
ADDRESS:14050 HALCOURT AVETELEPHONE:
(562) 882-9775
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY: CENSUS: DATE:
06/07/2024
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Jojie NoconTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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Home Care Services Bureau (HCSB) Analyst, Mila Quinto arrived at the business office of Joy Loving Care for biennial inspection. Upon arrival, Analyst Quinto was greeted by Licensee, Jojie Nocon. The proper posting of business hours and license was observed. The proof of insurance's record was reviewed. The Analyst was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analyst discussed the findings of the inspection with the Licensee. The analyst informed the Licensee of the deficiencies found and explained they would be noted on the 809D.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 06/07/2024 12:36 PM - It Cannot Be Edited


Created By: Mila Quinto On 06/07/2024 at 10:30 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814

FACILITY NAME: JOY LOVING CARE LLC
FACILITY NUMBER: 194700854

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/07/2024
Section Cited
1796.43(a)
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1796.43(a) Home care organizations that employ affiliated home care aides shall ensure the affiliated home care aides are cleared on the home care aide registry before placing the individual in direct contact with clients...
This requirement is not met as evidenced by:
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Based on file reivew, HCA (reference 1) is not registered and per review it was expired onn 4/14/2024.
This poses an immidiate safety risk to chidren in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 06/07/2024 12:36 PM - It Cannot Be Edited


Created By: Mila Quinto On 06/07/2024 at 10:34 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814

FACILITY NAME: JOY LOVING CARE LLC
FACILITY NUMBER: 194700854

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2024
Section Cited
1796.45(c)
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TB Testing 1796.43(c)... shall be required to undergo an examination at least once every two years.
This requirement is not met as evidenced by:
Based on file review 3 of 6 HCA did not have a current tb clearance.
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This poses a potential health and safety risk to the clients served.
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Type B
06/14/2024
Section Cited
1796.23(d)
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1796.23 (d) A person who is a current licensee... transfer their current criminal record clearance or exemption... The person shall instead submit to the department, along with the person’s registration application...
This requirement is not met as evidenced by:
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Based on file review, 4 of 6 HCA were not associated to the license. However, 3 of 6 have fingerprint clearance and registered. Whiel 1 of 6 was not registered and associated to the organizaiton.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024
LIC809 (FAS) - (06/04)
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