331881550-7-2-2026-18-AS-PMAA-DVYPQZ-20260714113159

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881550
Report Date: 07/02/2026
Date Signed: 07/02/2026 02:50:56 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/16/2024 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20241216113725

FACILITY NAME:	JOYFUL HEARTS SENIOR CARE		FACILITY NUMBER:	331881550
ADMINISTRATOR:	LAUDATO, CHERMAINE		FACILITY TYPE:	740
ADDRESS:	9268 MARTHA WAY		TELEPHONE:	(951) 840-5648
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92503
CAPACITY:	6	CENSUS: 3	DATE:	07/02/2026
		UNANNOUNCED	TIME BEGAN:	10:54 AM
MET WITH:	Jordan Alapag		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff mishandled a resident's medications
Staff are not providing adequate care and supervision of a resident

INVESTIGATION FINDINGS:

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On July 2, 2026, the Department of Social Services (DSS) staff conducted an unannounced visit to the facility to continue the investigation of the above allegations and to deliver findings. The department was greeted by Licensee Jordan Alapag and the purpose of the visit was explained. The facility currently has three residents in care.
The investigation consisted of the following:
On December 19, 2024, the Department conducted an initial unannounced visit to investigate the listed allegations. During that visit, it was determined that further investigation was required.
On June July 1, 2026, the Department obtained and reviewed the following documents: R1’s Physician’s report (dated 10/27/23), Nursing Notes (dated 11/1/24-12/14/24), Appraisal Needs and Services plan (dated 1027/24), discharge from facility letter (dated 12/15/24), voluntary discharge acknowledgement letter (dated 12/6/24), Staff trainings: Anti-psychotic and psychotropic medication training, Medication Administration, recognizing signs of dementia, Needle and shared safety and disposal, Resident Rights, infectious control and universal precaution, Elder Abuse and mandated reporting (Dated 10/1/24-7/18/25), R1’s MAR (October 2024-November 2024), Centrally Stored Medication log (dated 10/28/24), Vital Signs log (November-December 2024), Hospital discharge page (dated 10/24/24).
On July 1, 2026, the department interviewed Administrator (A1). During this visit it was determined that further investigation is needed. On July 2, 2026, the department interviewed Licensee (A2), 1 staff member (S1), and 2 residents (R2-R3).
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

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 18-AS-20241216113725

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: JOYFUL HEARTS SENIOR CARE	FACILITY NUMBER: 331881550
	VISIT DATE: 07/02/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff mishandled a resident's medications

The detail of complaint alleges that on December 14, 2024, it was observed that R1 was not receiving medication at the facility. R1 allegedly suffered a stroke before he was admitted to facility and there was a concern as to why he wasn’t receiving any medication.

On July 2, 2026 at 1:15 pm, the Department interviewed Administrator (A1) who stated in previous interview (12/19/24) and in (7/1/26) interview that R1 moved into the facility with his medications in October and by the end of November, he needed refills and when A1 contacted the pharmacy to get a refill, she was told that R1 did not have any refills and that he needed to contact his primary doctor. R1 did not have a primary doctor because he had been homeless and was hospitalized for about a month until the hospital contacted facility for an emergency placement for R1. A1 subsequently called a local Community Health Center to get an appointment for R1 and was told due to R1 having Medi-Cal insurance, there was an issue with getting him an appointment.

On July 1, 2026, the department obtained, reviewed and evaluated the following documents: R1’s Physician’s report (dated 10/27/23), Nursing Notes (dated 11/1/24-12/14/24), Appraisal Needs and Services plan (dated 1027/24).

The documentation reviewed shows that the facility made efforts to obtain R1’s medication. Nursing notes reflect that on 11/14/24, A1 contacted the pharmacy several days before the medication was due for a refill. As mentioned above, the pharmacy informed A1 that they could not refill the prescription and that R1 needed to contact his primary care physician for authorization.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20241216113725

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: JOYFUL HEARTS SENIOR CARE	FACILITY NUMBER: 331881550
	VISIT DATE: 07/02/2026

NARRATIVE

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Additional documentation indicates that A1 made multiple attempts (11/19/24, 11/20/24, 12/3/24) to connect R1 with a physician so he could obtain his medication. A1 was later informed by the community health center that his insurance status prevented him from getting a scheduled appointment. These continued efforts lasted until his discharge on 12/15/24.

On July 2, 2026, the department interviewed 2 residents (R2-R3) and of those interviewed, 2 out of 2 state that staff treat them well and that they feel well taken care of. 2 out of 2 state that they are always given medication on time and there wasn’t a time when their medication was late due to not being refilled in a timely manner.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Allegation: Staff are not providing adequate care and supervision of a resident

The detail of the complaint alleges R1 is a high risk for falls following a stroke and R1 allegedly was not receiving PT/OT services in the home. Lastly it was alleged that his bedside commode was observed to be out of R1’s reach.

On July 1, 2026, at 1:15 p.m., the Department interviewed Administrator (A1), who denied the allegation. A1 explained that a physician had not ordered physical therapy (PT) or occupational therapy (OT), and the facility is not permitted to provide services that are not prescribed by a doctor. A1 stated that staff repositioned the bedside commode to prevent R1 from attempting to get up without supervision. Due to R1’s stroke, he experienced paralysis on the left side of his body and was unable to stand without assistance.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20241216113725

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: JOYFUL HEARTS SENIOR CARE	FACILITY NUMBER: 331881550
	VISIT DATE: 07/02/2026

NARRATIVE

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A1 further explained that the intention was to prevent R1 from trying to stand independently and potentially falling.

There were no deficiencies cited during today's visit. Exit interview conducted with Licensee and copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

LIC9099 (FAS) - (06/04)

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