197609853-7-18-2023-31-AS-EMIR-CUWUD4-20230821152852

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609853
Report Date: 07/18/2023
Date Signed: 07/18/2023 01:45:07 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/13/2023 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20230713111132

FACILITY NAME:	REESEJOY CARE HOME II		FACILITY NUMBER:	197609853
ADMINISTRATOR:	RAMIREZ, ROBERTO		FACILITY TYPE:	740
ADDRESS:	17544 SAN JOSE ST		TELEPHONE:	(805) 832-8792
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 6	DATE:	07/18/2023
		UNANNOUNCED	TIME BEGAN:	08:14 AM
MET WITH:	Bong Punsalang, Roy Sicam		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility air conditioning in disrepair

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Chris Alemoh and Michael Cava conducted a complaint visit to the facility to investigate the above allegation. It was reported that the air conditioner is broken and it is hot at the facility. LPAs met with staff Bong Punsalang and Roy Sicam and advised them of the complaint. Administrator, Roberto Ramirez was advised of the complaint over the telephone. Today's investigation consisted of a physical plant inspection, and interviews with staff and residents

According to staff, the air conditioning was just maintained. The free-on had just been changed, but there is still a leak. Maintenance was already called, and an appointment to conduct another repair is made for this afternoon (on 07/18/23). LPAs conducted a walkthrough of the physcial plant. Internal temperature was measured at approximatly 80 degrees. The facility has two kinds of air conditioning units. There are two portable units for rooms #5 and #6. Common areas such as the living room, dining room, kitchen and resident rooms #1, #2, and #3 rely on central air. LPAs checked the furnace and central

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20230713111132

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: REESEJOY CARE HOME II	FACILITY NUMBER: 197609853
	VISIT DATE: 07/18/2023

NARRATIVE

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units and observed the free-on was replaced with a new one. LPAs also checked the central air conditioning unit at the outside of the home, and was told of where the leak was coming from.

Interviews with three (3) of the six (6) residents stated there are times, especially during the extreme heat, that the internal temperature is too warm and uncomfortable. Aside from the use of electric fans, staff does try to accommodate by providing cold beverages, ice cream and hosing down the outside of the room so there would be some cold moisture.

Based on the information obtained through interviews and a physical plant inspection, the allegation of the air conditioning unit is in disrepair is Substantiated. Citation issued on the 9099 D.

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20230713111132

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: REESEJOY CARE HOME II	FACILITY NUMBER: 197609853
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/18/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/18/2023 Section Cited CCR 87303(a)	1 2 3 4 5 6 7	Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Administrator stated they have since addressed the air conditioning. Free-on had just been replaced. Furthermore, another repair company will repair the leak of the air conditioning unit today, 07/18/23. No further corrections needed at this time.
	8 9 10 11 12 13 14	Based on the physical plant inspection and interviews during the investigation made on 07/18/23, it was confirmed that the facility air conditioning unit is in disrepair.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Michael Cava	TELEPHONE: (818) 389-7921
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023

LIC9099 (FAS) - (06/04)

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