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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602635
Report Date: 03/21/2024
Date Signed: 03/21/2024 05:13:01 PM

Document Has Been Signed on 03/21/2024 05:13 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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:JOYOUS RESIDENTIAL CAREFACILITY NUMBER:
198602635
ADMINISTRATOR:TORI LACYFACILITY TYPE:
735
ADDRESS:410 N. CHESTER AVETELEPHONE:
(310) 438-3412
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY: 4CENSUS: 4DATE:
03/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:11 PM
MET WITH:Administrator Tori LacyTIME COMPLETED:
02:15 PM
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On 03/21/2024, Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual required visit using the New Inspection Tool. LPA was met by Administrator Tori Lacy as the purpose of today’s visit was explained. The facility is licensed to serve 4 developmentally disabled clients ages 18-59, clients are linked to the South Central Regional Center. Current facility census is 4. Facility fees are current.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: 3 bedrooms, 1 bathroom, family room/dining room, kitchen, living room, indoor and outdoor activity area, an outdoor shaded arealaundry room and a detached garage house additional hygiene supplies. A land line was observed. Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilet and water faucet worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to clients, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards.

LPA conducted a records review of 2 staff records, 2 client records, 2 medication administration records, and 2 P&I records, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 03/01/24, 1 fire extinguisher fully charged and located in the kitchen, carbon monoxide and smoke detectors are interconnected and operational.

Exit interview conducted with Administrator Tori Lacy, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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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