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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603449
Report Date: 02/06/2025
Date Signed: 02/10/2025 11:58:44 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/04/2025 and conducted by Evaluator Nicol Wesley
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250204083049
FACILITY NAME:JOY HOME AND CAREFACILITY NUMBER:
198603449
ADMINISTRATOR:ARGENTE-GRANADA,MARY ASTERFACILITY TYPE:
735
ADDRESS:16527 E CYPRESS ST.TELEPHONE:
(626) 332-4532
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:6CENSUS: 6DATE:
02/06/2025
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Mary Aster Argente-GranadaTIME COMPLETED:
02:28 PM
ALLEGATION(S):
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Due to lack of supervision, resident wandered away from facility.
Staff did not report resident missing to police in a timely manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced Complaint visit at the facility and spoke with Mary Aster Argente-Granada and explained the purpose for todays visit.

The investigation consisted of: Interview with the Administrator, Interview with staff who last saw the client(C1), reviewed police report, spoke to clients relative over the phone, reviewed incident reports, reviewed sign in/out sheet, clients file. The roommate client (C2) was not present in the facility as they go home with family members for the weekend.

The Investigation revealed: Due to lack of supervision, resident wandered away from facility. LPA Wesley was
interviewing staff and the administrator and asked the staff where was he when the client(C1) was missing. The staff said he was sleep. The facility staff were not aware that they had to be awake throughout the night.
The allegation Due to lack of supervision, resident wandered away from facility is SUBSTANTIATED
continued on LIC 9099C
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 28-AS-20250204083049
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: JOY HOME AND CARE
FACILITY NUMBER: 198603449
VISIT DATE: 02/06/2025
NARRATIVE
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The investigation revealed: The Staff did not report resident missing to police in a timely manner. During the interview with the Administrator it was reveal that she filed a police report on 02/03/25, and the last time the staff saw the resident was on 02/01/25. I also asked the Administrator if she contacted Licensing, and she answered no, she said she was getting the timeline together. LPA Wesley explained the importance for the Administrator to file her reports in a timely manner. The investigation revealed Staff did not report resident missing to police in a timely manner is SUBSTANTIATED.

Based on LPA's observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated.

California Code of Regulations, Title 22, Division 6 and Chapter 1, is being cited on the attached LIC 9099D. Appeal rights were given. A copy of the LIC 9099/LIC 9099C/LIC 9099D was given during the exit interview.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20250204083049
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: JOY HOME AND CARE
FACILITY NUMBER: 198603449
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/06/2025
Section Cited
CCR
85065.6(c)
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Night Supervision.
In facilities providing care and supervision for 15 or fewer clients, there shall be at least one person on call on the premises.
This requirement was not as evidenced by: The staff(S2) at the facility staff
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The administrator will ensure to alert all staff that they should be awake and aware at night.
Administrator will provide an in service training and date of service the training was provided. Please send the sign in sheet with the employees names, date and signatures to:
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admitted to falling asleep. staff is only aware of the last time resident was seen eating a snack at 10pm on 02/10/, Which posed a health and safety violation to residents in care.
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LPA N. Wesley via fax 323-980-4934 by POC date 02/13/25.
Type B
02/07/2025
Section Cited
CCR
80061(b)(1)(E)
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Reporting Requirments
Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours....Any unusual incident or client
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The Licensee shall give a report to the licensing agency by 02/07/25, and will notify all agencies of any incidents occuring in section 80061 within the required time frame.
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absence which threatens the physical or emotional health or safety of any client. This requirement was not met as evidence by. The Licensee did not submit an incident report that the client was missing from the facility. which posed a health and safety violation to the client in care.
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***faxed to licensing
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC9099 (FAS) - (06/04)
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