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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486804209
Report Date: 11/18/2025
Date Signed: 11/18/2025 01:02:43 PM

Document Has Been Signed on 11/18/2025 01:02 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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:JOYFUL JOURNEY HOMEFACILITY NUMBER:
486804209
ADMINISTRATOR/
DIRECTOR:		DIGA, JHORIELLE DFACILITY TYPE:
740
ADDRESS:708 SEQUIOA DRIVETELEPHONE:
(916) 743-9164
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 4CENSUS: 0DATE:
11/18/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Licensee Elinore Ramas and Administrator Jhorielle DigaTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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At approximately 9:45 AM, Licensing Program Analyst (LPA) Star Stevenson arrived announced to conduct a pre-licensing inspection and was greeted by Licensee/Applicant Elinore Ramas and Administrator Jhorielle Diga. This pre-licensing inspection is being conducted for an initial licensing of a Residential Care Facility for the Elderly (RCFE). Joyful Journey Home LLC has a fire clearance approved for 4 non-ambulatory residents. All bedrooms 1,2,3,4, are approved for non-ambulatory use. Facility has an infection control plan and Licensee/Applicant is currently in partnership with North Bay Regional Center (NBRC) Licensee provided LPA a copy of their Dementia Care Plan.

At approximately 10:00 AM, LPA initiated a tour of the facility and observed the following: Facility is a one-story home, was a comfortable temperature, and passageways were free from obstructions. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. Applicant had non-slip mats and grab bars in place. LPAs observed a supply of clean linens, hygiene products, and paper products available for residents. Hallways are equipped with night lights and residents' bedrooms have all the appropriate furnishings as outlined in Title 22 regulations.

LPAs observed dishes and cooking supplies for resident use with sharps and other hazardous items kept secured in various designated locked drawers and cabinets as well as under the kitchen sink. Cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked.

Continued on LIC809-C...
NAME OF LICENSING PROGRAM MANAGER: Bethany Moellers
NAME OF LICENSING PROGRAM ANALYST: Star Stevenson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2025
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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: JOYFUL JOURNEY HOME
FACILITY NUMBER: 486804209
VISIT DATE: 11/18/2025
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Continued from LIC809
Licensee currently has one week of perishable foods and emergency water and food and agrees to maintain at least two days of perishable foods one residents received. Licensee is noted to have 240 servings of emergency long term food in special containers. The required posters were observed hanging in the facility entryway. Licensee has a copy of the emergency disaster plan posted and licensee was advised to post a copy of their generic admissions agreement. The facility currently has Applicant and 16 staff members associated to facility. Applicant is aware of Guardian association and staff transfer process. LPA observed a sample menu posted in the common area to indicate a healthy and balanced set of meals for residents in care. The facility has a designated lounge area and internet for residents in care and applicant will provide an IPAD for residents once accepted. Facility phone was tested and operational during inspection.

Facility has a designated locked room, as well as locked drawers and cabinet for centrally stored medications and resident, staff, and facility files. LPA observed first aid kit, PPE, other emergency supplies, activity schedule, and games available for resident use. LPA recommended that Applicant add additional, age appropriate activities for elderly residents and licensee reports plans to have a Recreational therapist consult/advise. Facility has a fire extinguishers (4), which were last inspected October 2025 and are fully charged. Smoke and Carbon Monoxide detectors are centrally wired and were tested and operational during inspection, in addition the system was tested by the fire department in October 2025. Windows, screens, and blinds were all observed in good repair.

The front and backyard features wide ramps and sturdy handrails, paved walkways and a shaded patio area for resident use. The property has a 10ft by 10ft shed containing extra PPE, emergency water and supplies and will be added to the facility sketch. LPA observed a facility sketch which accurately reflects the interior floor plan. Applicant was not approved for bedridden residents by the local fire department.

The right front fence gate has a loose gait latch and licensee will send picture proof of repair by Friday November 21st, 2025 to this LPA.

Continued on LIC809C...
NAME OF LICENSING PROGRAM MANAGER: Bethany Moellers
NAME OF LICENSING PROGRAM ANALYST: Star Stevenson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
LIC809 (FAS) - (06/04)
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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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: JOYFUL JOURNEY HOME
FACILITY NUMBER: 486804209
VISIT DATE: 11/18/2025
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Continued on LIC809C...
At approximately 11:25 LPA reviewed three (3) staff files and observed 3 of 3 to have all required documentation; additional on-site orientation and caregiver educational training will occur once they have accepted their first resident in care.

LPA obtained today for the facility record:
1)LIC308 Designation of Facility Responsibility
2)LIC500 Personnel Report
3)LIC402 Surety Bond (covers Affidavit-LIC400)
4)LIC400 Affidavit Regarding Resident Cash Resources
5)Copy of Lease Agreement (in effect as long as the facility is licensed)
6)Current Certificate of Liability insurance effective through 11/18/2026
7)Copy updated facility sketch showing 10'x10' shed containing locked hardware and supplies.
8)Copy of Dementia Care plan
Component III orientation was conducted with the Applicant at facility where they conveyed knowledge and understanding of Title 22 regulations. The pre-licensing evaluation has been completed. License will be granted upon completion of a final review and approval from the Licensing Program Manager.

Pre-Licensing inspection was signed by Licensee, whose signature denotes acceptance.
NAME OF LICENSING PROGRAM MANAGER: Bethany Moellers
NAME OF LICENSING PROGRAM ANALYST: Star Stevenson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
LIC809 (FAS) - (06/04)
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