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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374601232
Report Date: 10/16/2023
Date Signed: 10/16/2023 11:29:04 AM

Document Has Been Signed on 10/16/2023 11:29 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:JOY'S HOMECAREFACILITY NUMBER:
374601232
ADMINISTRATOR:LIGAYA SANDERSFACILITY TYPE:
735
ADDRESS:1406 I AVENUETELEPHONE:
(619) 474-0198
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: 6CENSUS: 5DATE:
10/16/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Assistant Administrator Tom GilbertTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced plan of correction (POC) visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Assistant Administrator Tom Gilbert. Administrator Ligaya Sanders de Leon arrived during the visit.

The purpose of the visit was to verify if deficiencies issued on 8/15/2023 had been corrected. On 8/15/2023, the licensee was issued 2 deficiencies with a correction due date of 9/15/2023. On 9/7/2023, LPA Ruiz approved a POC extension date of 10/15/2023. On 10/15/2023, the licensee submitted proof of correction to the Department.

During today’s visit, LPA Ruiz reviewed staff and client files and observed clients in care. Staff files contained personnel records, employee rights, health screening, and fingerprint and criminal background clearance. Client files contained identification documents, LIC602 Physician's Report, signed admission agreements, personal items records, pre-admission assessments and needs and service plans. Therefore, the deficiencies 80066(a) and 80070(a) have been corrected.

An exit interview was conducted with Administer Ligaya Sanders de Leon, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 01/16).
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Rebecca A Ruiz
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2023
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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