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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002960
Report Date: 01/10/2024
Date Signed: 01/10/2024 10:41:01 AM

Document Has Been Signed on 01/10/2024 10:41 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:JOY'S CARE HOME-ELMFACILITY NUMBER:
315002960
ADMINISTRATOR:SUSBILLA, GLORIA JOYCE BROFACILITY TYPE:
740
ADDRESS:256 ELM STREETTELEPHONE:
(916) 297-5675
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY: 6CENSUS: 4DATE:
01/10/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Calvin and Gloria "Joy" Bron SusbillaTIME COMPLETED:
10:40 AM
NARRATIVE
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An office meeting was conducted on January 10, 2024 with Sacramento North Regional Office, via Teams virtual meeting. Present in the meeting was Licensee, Calvin Bron Susbilla, Administrator, Gloria "Joy" Bron Susbilla, Licensing Program Manager (LPM), Maribeth Senty, and Licensing Program Analyst (LPA), Kevin Mknelly to discuss the Department's expectations if Licensee was to close the facility and/or change of ownership.

LPM discussed California Code Regulation 87109 Transferability of License and Health Safety Code 1569.682 Transfer of resident upon forfeiture of license or change in use of facility; duties of licensee; closure plan; duty of department upon licensee’s failure to comply; civil penalties. Copy of the sections was also provided.

Additionally, LPM and LPA emphasized to Licensee, notice of change of ownership must be given to any new admission during this period. Licensee was informed she is to be responsible of the facility during the change of ownership until applicant is licensed. LPM informed the Licensee that Licensee must maintain control of property until a new license is issued. Licensee was also informed that they must maintain liability insurance in the name of the licensee for the program property.

LPA and LPM discussed with licensee that if, after a sixty day notice to residents of change of use, the potential applicant has delays in excess of the licensee's wishes, the licensee may proceed with a voluntary closure. Licensee agreed that if they pursue that direction, CCL will be informed.

It was emphasized that all issues discussed related to this license also apply to any other facilities for which the licensee has a change of ownership. Licensee agreed to correct control of property issues at both homes.
Exit interview conducted and a copy of the report was emailed to licensee for signature.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2024
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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