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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 312700901
Report Date: 06/20/2024
Date Signed: 11/13/2024 10:22:46 AM

Document Has Been Signed on 11/13/2024 10:22 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:A LOVING AND JOYFUL HOME RCFEFACILITY NUMBER:
312700901
ADMINISTRATOR/
DIRECTOR:		HEYDON, ANITAFACILITY TYPE:
740
ADDRESS:609 HERNANDEZ LANETELEPHONE:
(916) 918-2429
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY: 6CENSUS: 6DATE:
06/20/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:20 PM
MET WITH:Anita HeydonTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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**This document was amended on 11/13/24 at 9:00 AM to reflect updated findings following the Department granting an appeal. Some additional information has been added to this report as well as language removed that resident was financially abused by staff. **

Licensing Program Analysts (LPA) Kevin Mknelly arrived unannounced to amend findings, originally delivered 6/20/24, that resulted from a complaint investigation at another of the licensee’s care homes. LPA met with Anita Heydon, and explained purpose of visit.

During the course of the Audit investigation, the Department reviewed bank records for accounts belonging to resident (R1), facility records, other records and conducted interviews. The department found that (R1) was always responsible for his own financial and medical decisions and paid the facility with his own checks for rent and reimbursement for items he requested. Although there were some charges made to (R1's) debit card that did not appear to be for (R1), such as gasoline for a vehicle, there was no evidence found that the facility financially abused (R1). Further review indicated that (R1's) rate was not increased at this facility. Based on this information, the citation issued 6/2024 for a deficiency for personal rights violation, was dismissed upon appeal.



Exit interview. Copy of report and appeal rights provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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 06/20/2024 03:49 PM - It Cannot Be Edited


Created By: Kevin Mknelly On 06/20/2024 at 03:41 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: A LOVING AND JOYFUL HOME RCFE
FACILITY NUMBER: 312700901

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
06/20/2024
Section Cited
CCR
87468.2(a)(8)

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Additional Personal Rights of Residents in Privately Operated Facilities (a):(8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement is not met as evidenced by:
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The Administrator and LLC member(s) agree to attend personal rights training from a Department-approved vendor. This was completed for the other home and applies to this citation as well. Therefore no further action is required at this time.
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Based on documentation reviewed, the Licensee did not ensure that resident (R1) was free from financial exploitation, while living at the facility, from on/around August 2022 through March 2023, before relocating to the licensee’s other licensed care home, which posed an immediate health and safety risk to residents in care.
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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:Maribeth Senty
LICENSING EVALUATOR NAME:Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2024


LIC809 (FAS) - (06/04)
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