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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 312700901
Report Date: 11/22/2024
Date Signed: 11/22/2024 03:30:54 PM

Document Has Been Signed on 11/22/2024 03:30 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
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: 4DATE:
11/22/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Anita HeydonTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 11/22/24, a Non-compliance conference was held via a Teams conference call.
Present were: Regional Manager, Alycia Berryman, Licensing Program Manager, Maribeth Senty, Licensing Program Analyst, Kevin Mknelly, Administrator, Anita Heydon (representing licensee A Loving and Joyful Home RCFE LLC).

A non-compliance plan was developed with the licensee on today's date as it relates recent compliance history.

The licensee was in agreement with the drafted non-compliance plan.
Licensee requested a TSP referral. RO to make the referral.

No new citations are issued as a result of today's meeting.

Documents to be emailed and signed copies returned.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2024
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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