<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107206695
Report Date: 10/06/2023
Date Signed: 10/06/2023 03:22:15 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/17/2023 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20230517093734
FACILITY NAME:JOYFUL LIVING RCHEFACILITY NUMBER:
107206695
ADMINISTRATOR:GALVEZ, DELIAFACILITY TYPE:
740
ADDRESS:1337 W. ROBERTS AVE.TELEPHONE:
(559) 570-8557
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY:6CENSUS: 6DATE:
10/06/2023
UNANNOUNCEDTIME BEGAN:
02:06 PM
MET WITH:Licensee, Delia GalvezTIME COMPLETED:
03:33 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff does not serve nutritious meals.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/6/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to deliver complaint findings. LPA met with Direct Care Staff, Alma Alcantara and Licensee, Delia Galvez explained reason for visit and was permitted entry into the facility. A health and safety check was completed for residents in care. Residents observed in rooms and in common areas. Tour of facility was completed inside and out.

During the investigation LPA completed interviews with staff and resident(s) and reviewed documentation (physicians reports, menus, grocery receipts). Records reviewed indicated the facility is making regular grocery purchases. The facility has menus for the residents, however, LPA observed soups and sandwiches are being served 5 of 7 days for most dinners. This does not meet the dietary nutirients for the daily allowances. The allegation above meet the preponderance of evidence standard per Title 22. The allegation is SUBSTANTIATED. Deficiencies cited per Title 22 on LIC 9099D.

Exit interview completed with Licensee, Delia. A copy of this report and appeal rights given.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
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 24-AS-20230517093734
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: JOYFUL LIVING RCHE
FACILITY NUMBER: 107206695
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2023
Section Cited
CCR
87555
1
2
3
4
5
6
7
87555 General Food Service Requirements(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner.
1
2
3
4
5
6
7
New menu will be generated. Licensee stated they will include residents in menu planning. Menus will be provided to CCL by POC date. Training will be completed with staff. In-service sign in sheets will be provided to CCL as proof of correction.
8
9
10
11
12
13
14
This requirement was not met as evidence by LPA interviews and records review of residents menus showing residents being served soups/sandwiches 5 out of 7 days. This poses a potential health, safety and/or personal rights risk to residents in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2