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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881431
Report Date: 10/11/2023
Date Signed: 10/11/2023 01:26:20 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/06/2023 and conducted by Evaluator Venus Mixson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230906101030
FACILITY NAME:JOY AND LOVE HOME CARE, LLCFACILITY NUMBER:
371881431
ADMINISTRATOR:SARAPAT, AILA J.FACILITY TYPE:
740
ADDRESS:1178 EVERGREEN LANETELEPHONE:
(661) 754-0261
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:18CENSUS: 13DATE:
10/11/2023
UNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:LICENSEE, SIVA MULLAPUDITIME COMPLETED:
01:26 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not properly trained.
Facility is not properly maintained.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/11/2023, Licensing Program Analyst (LPA), Venus Mixson conducted an office visit and met with the Licensee, Siva Mullapudi. The visit was conducted to provide the findings for the investigation pertaining to the listed allegations.

On September 06, 2023, Community Care Licensing (CCL) received a complaint alleging staff are not properly trained and the facility is not properly maintained. During the investigation, the LPA conducted interviews with staff, residents, and additional witnesses. The LPA reviewed pertinent documentation and made observations regarding the allegations.

Regarding the allegation of staff are not properly trained, the information obtained from interviews did not corroborate the allegation that the staff are not properly trained. The facility staff receive several training courses pertaining to the care and supervision of the residents, resident rights, medication management, and housekeeping. Additional information obtained from recorded reviews demonstrated the facility provides additional training's covering other areas of care and supervision. It was advised that staff are provided continuous training on an ongoing basis. The information obtained does not corroborate the alleged allegation.

Regarding the allegation of the facility is not properly maintained, information obtained from interviews and observations, does not corroborate the allegation. The facility was observed to be clean, well maintained, and free of odors. The LPA toured the facility inside and out and observed all resident's rooms to be clean, organized, and consisted of the required furniture. The facility was free of clutter and obstructions. The facility has working utilities, food supply met required regulations, and the temperature was within regulations.

Based on interviews, recorded reviews, and observations, the allegations of facility staff are not properly trained and the facility is not properly maintained has been deemed "Unsubstantiated." An allegation finding of "unsubstantiated" means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegations are unsubstantiated.

An exit interview was conducted, a copy of this report, along with the appeal rights were provided to the Licensee, Siva Mullapudi.



Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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