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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209170
Report Date: 01/21/2025
Date Signed: 01/21/2025 12:15:44 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
01/17/2025 and conducted by Evaluator Jacques Leffall
COMPLAINT CONTROL NUMBER: 24-AS-20250117091137
FACILITY NAME:JOY IN CARINGFACILITY NUMBER:
107209170
ADMINISTRATOR:IDUSUYI, INNOCENTFACILITY TYPE:
740
ADDRESS:2766 KEATS AVETELEPHONE:
(559) 297-6771
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:6CENSUS: 5DATE:
01/21/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Disignee: Bang SisonTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
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9
Staff handled residents in a rough manner resulting in injuries to residents in care

Staff mismanaged resident's medication

Staff did not attend to resident's call for assistance

Staff double diapered residents in care
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
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9
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11
12
13
On 1/21/25 at 10:30 am Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and investigate above allegations. LPA met with Administrator A1 Eddiemer Sison and stated purpose of visit.

The Department reviewed records and conducted interviews with staff, residents and facility Administrator. The Department toured the facility and checked medications and Resident's MARS. 2 residents were having lunch after interviews concluded.

Based on interviews that were conducted residents stated there are no issues with staff, or resident's diapers. Medications with MARS were observed and accurate.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to Administrator who confirms signature of report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
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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