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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002960
Report Date: 02/09/2024
Date Signed: 02/09/2024 02:41:06 PM

Document Has Been Signed on 02/09/2024 02:41 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-ELMFACILITY NUMBER:
315002960
ADMINISTRATOR:SUSBILLA, GLORIA JOYCE BROFACILITY TYPE:
740
ADDRESS:256 ELM STREETTELEPHONE:
(916) 297-5675
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY: 6CENSUS: 5DATE:
02/09/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Calvin Bron SusbillaTIME COMPLETED:
02:00 PM
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On 2/9/24, 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, Licensee, Calvin Bron Susbilla, licensee's attorney, Imelda Scott and her attorney.

A non-compliance plan was developed with the licensee on today's date as it relates to the dispute over a failed business sale and control of the property.

The licensee was in agreement with the drafted non-compliance plan.

A follow-up Teams call is scheduled for 2/13/24 at 3:30 PM. Meeting invitation has been sent.

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: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
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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