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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604805
Report Date: 07/25/2024
Date Signed: 07/25/2024 01:43:32 PM


Document Has Been Signed on 07/25/2024 01:43 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:COMFORT & JOY LIVINGFACILITY NUMBER:
374604805
ADMINISTRATOR:OKORO, KINGSLEYFACILITY TYPE:
740
ADDRESS:5711 BOUNTY STREETTELEPHONE:
(619) 310-5802
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY:6CENSUS: 6DATE:
07/25/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Kingsley Okoro AdministratorTIME COMPLETED:
11:36 AM
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Licensing Program Analyst (LPA) Amy Domingo conducted an announced Pre-Licensing and Comp III visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified herself to, and explained the purpose of the visit to applicant Administrator Kingsley Okoro.

The facility fire clearance was granted on 5/24/24  and reflects that the facility is approved for one non ambulatory resident and five ambulatory resident.

During today’s visit, LPA, accompanied by the applicant, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Client bedrooms allowed for easy passage and contained the required furnishings. Toilets and showers were in working order. The facility’s ambient internal temperature was 72 degrees F. Water temperature in a client bathroom was 125 F.

The facility has enough linens, hygiene supplies, dining supplies, and perishable and non-perishable food for future client use. Refrigerator temperature was 34 F, and freezer temperature was 0 F. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of medication and confidential client and staff records. No pools or bodies of water were observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Per the applicant, no firearms or ammunition are or will be stored at the facility.
Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. 2 fire extinguishers and 2 first aid kits were present. Required licensing postings were observed in visible areas of the facility.
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Amy DomingoTELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:
DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: COMFORT & JOY LIVING
FACILITY NUMBER: 374604805
VISIT DATE: 07/25/2024
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Continue from LIC809

The items reviewed were compliant with Title 22, Division 6, Chapter 8 of California Code of Regulations and Health & Safety Code.

The applicant passed the pre-licensing inspection. LPA also provided the Component III Training during today’s visit. Kingsley Okoro was advised that the facility’s application is pending management final review and approval. An exit interview was conducted, and a copy of this report and Licensee Rights LIC 9058 (3/22) were left with the Director, whose signature on this form confirms receipt of these documents.
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Amy DomingoTELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC809 (FAS) - (06/04)
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