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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881431
Report Date: 12/05/2025
Date Signed: 12/05/2025 12:18:31 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
04/15/2024 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 18-AS-20240415151334
FACILITY NAME:JOY AND LOVE HOME CARE, LLCFACILITY NUMBER:
371881431
ADMINISTRATOR:SARAPAT, AILA J.FACILITY TYPE:
740
ADDRESS:1178 EVERGREEN LANETELEPHONE:
(661) 754-0261
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:18CENSUS: 11DATE:
12/05/2025
UNANNOUNCEDTIME BEGAN:
11:24 AM
MET WITH:Venkata Sivaganesh MullapudiTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff member struck a resident in care, causing an injury.
INVESTIGATION FINDINGS:
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On 12/05/2025, at 11:00 a.m., Licensing Program Analyst (LPA) Antonine Richard conducted a subsequent complaint visit regarding the allegations above. LPA met with the Administrator, as the purpose of today’s visit was explained.
The investigation consisted of the following:
On 04/17/2024 and 05/08/2024, Licensing Program Analyst (LPA) Venus Mixson conducted unannounced complaint visits. LPA Mixson interviewed residents and staff. On 12/04/2025, LPA Richard reviewed and obtained the resident and staff rosters. LPA reviewed and obtained documents for Resident #1 (R1), including the hospice file, doctor orders (dated 05/02/2023), Physician Report for Resident (R1) (dated July 2023), Admission Agreement (dated June 26, 2022), and Needs of Service Plan (dated April 2024). Preplacement Appraisal Information (dated July 05, 2021). On December 4, 2025, LPA also interviewed four staff members, #1-4 (S1-S4), and five residents, #2-6 (R2-R6). LPA received a copy of the Unusual Incident Report Injury Report (dated 04/14/2024) for an unwitnessed fall. LPA interviewed the Administrator (A1), the Responsible Party (W1). LPA was unable to interview resident R1 because R1passed away in 2024.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
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 2
Control Number 18-AS-20240415151334
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: JOY AND LOVE HOME CARE, LLC
FACILITY NUMBER: 371881431
VISIT DATE: 12/05/2025
NARRATIVE
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Allegation: Staff member struck a resident in care, causing an injury.

The complaint alleged that the overnight caregiver had slapped R1 across the face while lying in bed. On 12/04/2025, at approximately 9:00 am, the LPA interviewed the Administrator (A1), who denied the allegation and stated that the resident (R1) was not struck or injured by any staff member. On 12/04/2025, the LPA interviewed four staff members 1-4 (S1-S4), all of whom denied the allegation and said they would have reported it if it had occurred. Also, on 12/04/2025, at about 9:00 am, the LPA interviewed five residents, R2 to R6, who all denied ever being struck or hit by staff. On 12/03/2025, the LPA interviewed the responsible party (W1), who stated that R1 was moved out of the facility on May 05, 2024, and R1 passed away in 2024. During the record review on 12/04/2025, the LPA found no hospital visits or police reports indicating that R1 was struck or injured at the facility. The LPA reviewed an Unusual Incident Report faxed to Licensing dated April 14, 2024, regarding an unwitnessed fall involving R1.

Based on the information gathered, interviews, and record reviews, 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.

No deficiencies were cited.

An exit interview was conducted. A copy of the report was provided to the Administrator Venkata Mullapudi.

SUPERVISORS NAME: Antonine Richard
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2