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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 247209177
Report Date: 02/01/2022
Date Signed: 02/02/2022 12:12:46 PM

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:JOY JOYCE RESIDENTIAL CARE HOMEFACILITY NUMBER:
247209177
ADMINISTRATOR:MUTUA, CATHERINE NFACILITY TYPE:
740
ADDRESS:263 ARROYO CTTELEPHONE:
(510) 292-1577
CITY:MERCEDSTATE: CAZIP CODE:
95341
CAPACITY:6CENSUS: 0DATE:
02/01/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Catherine MutuaTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Katie Brown arrived at the facility as scheduled to conduct the subsequent Pre-Licensing Inspection. LPA met with Administrator (AD), Catherine Mutua.

LPA and AD toured the facility inside and out. A Covid screening area has been set up at the main entrance. Symptom screening logs, sanitizer and PPE were observed by the LPA. LPA toured each bedroom and observed all required furniture and lighting has been placed and the furniture has been arranged to allow for easy passage and comfortable usage.

As stated in the previous Pre-Licensing report dated 12/15/2021, all other requirements are in place and were observed today by LPA Brown.

Component III was conducted during this pre-licensing visit with the Administrator.


The applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.


An exit interview was conducted, and a copy of this report was provided via email to the Administrator at cnm499@yahoo.com
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Katie BrownTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022
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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