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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005688
Report Date: 02/14/2025
Date Signed: 02/14/2025 03:56:12 PM

Document Has Been Signed on 02/14/2025 03:56 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:JOY IN LIFE HOMESFACILITY NUMBER:
306005688
ADMINISTRATOR/
DIRECTOR:		HANNA, BAHIRAFACILITY TYPE:
740
ADDRESS:19301 HICKORY LANETELEPHONE:
(714) 378-0347
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92646
CAPACITY: 6CENSUS: 2DATE:
02/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Hanna BahiraTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA Haley was greeted and granted entry by staff who contacted Licensee/Administrator (AD) Bahira Hanna. AD Hanna arrived later and was present for the remainder of the visit. AD Hanna has a current Administrators certificate that expires August 20, 2025.

Joy in Life Homes is a one-story community with seven bedrooms, six of which are for residents, one is for caregivers, and three bathrooms. The current capacity is six and the census was two during today’s visit. Residents were observed in their room watching television.

During the inspection, LPA Haley observed all resident bedrooms. The bedrooms had all the requirements and were in compliance with regulation guidelines. In the hallway near the main bathroom, LPA Haley observed a supply of clean linens. On the other side of the hallway closet is locked and used to store resident medications and first aid supplies.

Resident bathrooms were observed. Hot water temperatures were measured in between 110 - 113 degrees Fahrenheit. A few hazardous items were observed in the bathroom of a vacant room. AD Hanna was advised and immediately had the items removed.

In the kitchen LPA observed a perishable and nonperishable food supply in compliance with regulation guidelines. All four burners and the warmer were operational on the gas stove in the kitchen. A fire extinguisher was observed mounted on the wall in the kitchen. The Carbon Monoxide detector was mounted on the wall behind the dining room table and tested operational.

In the garage, LPA Haley observed an additional supply of perishable and nonperishable food items. Knives, sharp objects, and hazardous cleaning materials are kept locked in the garage.

Continued on LIC809C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2025
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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Document Has Been Signed on 02/14/2025 03:56 PM - It Cannot Be Edited


Created By: Jerome Haley On 02/14/2025 at 02:58 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: JOY IN LIFE HOMES
FACILITY NUMBER: 306005688

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87355(d)(3)
Criminal Record Clearance
(3) The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Individual one (ID1) was one of two caregivers present in the facility and ID1 was not fingerprint cleared prior to working in the facility.
Based on observation and interview confirmation, the licensee did not comply with the section cited above which poses an immediate safety and/or personal rights risk to persons in care.
POC Due Date: 02/15/2025
Plan of Correction
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Licensee/Administrator Hanna removed ID1 and understands the individual can not return to the facility until fingerprint cleared and associated to the facility roster. No further action is required at this time.
Type A
Section Cited
CCR
87465(h)(5)
Incidental Medical and Dental Care Services
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.

This requirement is not met as evidenced by:
Deficient Practice Statement
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LPA observed medications for Resident 1 (R1) and (R2) were placed in a daily pill container for Friday (2.14) and Saturday (2.15).
Based on observation, the licensee did not comply with the section cited above which poses an immediate health and safety risk to persons in care.
POC Due Date: 02/15/2025
Plan of Correction
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Licensee/Administrator Hanna will read and review regulation section 87465 Incidental Medical and Dental Care Services. Upon completion, Licensee Hanna will email LPA Haley a signed statement of understanding and acknowledgement that the regulations were read and understood.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Lourdes Montoya
LICENSING EVALUATOR NAME:Jerome Haley
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2025


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: JOY IN LIFE HOMES
FACILITY NUMBER: 306005688
VISIT DATE: 02/14/2025
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A washer and dryer was observed in the garage, and several facility items like a hoyer lift, bed frames, mattresses, and gardening tools to name a few of the items being stored in the garage.

The backyard was clean and organized. No tripping hazards were observed. During the tour of the exterior portion of the facility, LPA Haley observed a shaded patio area with a table and chairs. Both side exit gates are self-closing and self-latching.

Smoke detectors were observed in all resident rooms and tested operational.

Deficiencies, Technical Violations and Technical Advisories are being cited as a result of today’s visit.

An exit interview conducted, and a copy of this report was provided to Licensee/Administrator Bahira Hanna.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
LIC809 (FAS) - (06/04)
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