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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604805
Report Date: 09/22/2025
Date Signed: 09/22/2025 04:29:54 PM

Document Has Been Signed on 09/22/2025 04:29 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:COMFORT & JOY LIVINGFACILITY NUMBER:
374604805
ADMINISTRATOR/
DIRECTOR:		OKORO, KINGSLEYFACILITY TYPE:
740
ADDRESS:5711 BOUNTY STREETTELEPHONE:
(619) 310-5802
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY: 6CENSUS: 5DATE:
09/22/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Licensee/Administrator Kingston OkoroTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to issue a deficiency based on observations from a annual inspection on 8/6/2025. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Licensee Kingston Okoro.

According to the facility’s license, the facility has a maximum capacity of six (6) elderly residents age 60 and above, one (1) of whom may be non-ambulatory in bedroom #4. The facility has a hospice waiver for 5 residents.  During today’s inspection, there were a total of five (5) residents in care. This facility does not feature a secured perimeter or delayed egress doors.

During today’s visit, LPA observed three non-ambulatory residents in care, one (1) bedridden resident in room number #3, and an ambulatory resident in room #6, one(1) non-ambulatory Resident #2(R2) in bedroom #1, one(1) non-ambulatory Resident #3(R3) in bedroom #5, one(1) non-ambulatory resident in bedroom #4. A review of the Physician Report indicated that Resident #2(R2) and resident #3(R3) R3 are non-ambulatory and resident #1(R1) is bedridden. The facility only has clearance for one non-ambulatory resident in bedroom #4.

During an annual inspection on 8/6/2025, LPA observed, and a review of the physician's report confirms, five (5) residents in care: one ambulatory, three (3) non-ambulatory, and one bedridden. LPA advised the Licensee to contact the San Diego Fire—Rescue Department (SDFRD) to learn about fire code clearance and evaluate the bedridden and non-ambulatory regulation at the time of this visit.

(continued on 809-C)
NAME OF LICENSING PROGRAM MANAGER: Simon Jacob
NAME OF LICENSING PROGRAM ANALYST: Amy Rodgers
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: COMFORT & JOY LIVING
FACILITY NUMBER: 374604805
VISIT DATE: 09/22/2025
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 (continued from 809)

On September 10, 2025, Per SDFRD, the facility is only allowed one non-ambulatory resident in the facility, which is in alignment with the current license.  This poses an immediate safety risk to residents in care. LPA reviewed the process of submitting a new application with the updated fire clearance for one bedridden resident and five non-ambulatory residents. LPA also instructed the licensee on the 30-day eviction procedure as well as the need to update resident records accordingly.

One deficiency was cited per California Code of Regulations, Title 22, for violation of the facility's fire clearance.(Refer to the attached LIC 809-D). A Plan of Correction was jointly developed with the licensee.

An exit interview was conducted with Licensee Kingston Okoro, to whom a copy of this report, the LIC809-D, a Civil Penalty Assessment form - LIC 421IM and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit. 
NAME OF LICENSING PROGRAM MANAGER: Simon Jacob
NAME OF LICENSING PROGRAM ANALYST: Amy Rodgers
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/22/2025 04:29 PM - It Cannot Be Edited


Created By: Amy Rodgers On 09/22/2025 at 08:17 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: COMFORT & JOY LIVING
FACILITY NUMBER: 374604805

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/23/2025
Section Cited
CCR
87202(a)

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All facilities shall maintain a fire clearance approved by the city...or the State Fire Marshal. Prior to accepting or retaining...shall notify the licensing agency and obtain an appropriate fire clearance approved by...or the State Fire Marshal. This requirement is not met as evidenced by:

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The licensee stated they will issue a 30-day notice to the bedridden/non-ambulatory residents [R1],[R2],[R3] in care by the POC due date and would resubmit an application for a bedridden fire clearance/non-ambulatory by 9/6/2025
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Based on a records review, the licensee did not obtain an approved bedridden and non-ambulatory fire clearance for 3 out of 6 [R1],[R2], and [R3] residents, which poses an immediate health and safety risk for residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Simon Jacob
NAME OF LICENSING PROGRAM MANAGER:
Amy Rodgers
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/22/2025


LIC809 (FAS) - (06/04)
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