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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002860
Report Date: 01/16/2025
Date Signed: 01/16/2025 02:06:08 PM

Document Has Been Signed on 01/16/2025 02:06 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:JOY'S CARE HOME 2FACILITY NUMBER:
315002860
ADMINISTRATOR/
DIRECTOR:		SUSBILLA, GLORIA JOYCE BROFACILITY TYPE:
740
ADDRESS:1229 KASEBERG CIRCLETELEPHONE:
(916) 297-5675
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY: 6CENSUS: 0DATE:
01/16/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Calvin SusbillaTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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on 1/16/25, LPA Kevin Mknelly conducted an Annual inspection and met with the Administrator.

The home is currently vacant.

Renovations are being made to the home.

LPA asked licensee submit a new facility sketch.

LPA will be notified when there are residents in care and will return for a Annual continuation inspection.

No deficiencies noted at this time.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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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