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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609853
Report Date: 04/11/2024
Date Signed: 04/12/2024 08:00:44 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/19/2021 and conducted by Evaluator Mariana Agban
COMPLAINT CONTROL NUMBER: 31-AS-20210519164840
FACILITY NAME:REESEJOY CARE HOME IIFACILITY NUMBER:
197609853
ADMINISTRATOR:RAMIREZ, ROBERTOFACILITY TYPE:
740
ADDRESS:17544 SAN JOSE STTELEPHONE:
(805) 832-8792
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:6CENSUS: 5DATE:
04/11/2024
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Roberto Ramirez- Administrator TIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility food supply is insufficient
Facility is not regularly cleaned by staff
INVESTIGATION FINDINGS:
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Lincensing Program Analyst (LPA) Mariana Agban conducted an unannounced subsequent complaint visit for the above allegations. LPA arrived at the facility and was granted access by staff. Administrator arrived shortly after and LPA explained the reason for the visit. LPA conducted a physical plan tour, to ensure health and safety of the residents are protected and is in compliance with Title 22 Regulations.

Allegation: Facility food supply is insufficient
It was alleged that there was not enough food in the facility. During the physical plant tour, LPA observed sufficient amount of perishable and non-perishable food at the facility; properly stored. LPA interviewed 2 residents, 2 staff members and the Administrator. Interview with the Administrator revealed that food has never been an issue at the facility. Administrator stated that staff are providing generous food portions. Administrator confirmed that all residents eat 3 meals a day and have snacks in between meals.
(Continue on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
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 3
Control Number 31-AS-20210519164840
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: REESEJOY CARE HOME II
FACILITY NUMBER: 197609853
VISIT DATE: 04/11/2024
NARRATIVE
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Interview with the 2 residents out of 5 revealed that food supply is sufficient, however, it has no variety food. Based on interviews and observation, this allegation is Unsubstantiated at this time.

Allegation: Facility is not regularly cleaned by staff
It was alleged that the facility was not clean and facility toilet is broken. During the physical plant, LPA observed the facility to be clean. LPA inspected facility bathrooms and they were properly supplied and had functional fixtures. Interviewed 2 residents out of 5 revealed that staff are regularly clean the facility. Based on interviews and observations, the allegation is deemed Unsubstantiated at this time.

Exit interview conducted a copy of this report signed and delivered
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Mariana Agban
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3