Joyful Hearts Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Rona Lomeda, administrator for the facility, and explained the purpose of the visit. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Infection Control: · Infection control plan is on file. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. The facility consists of five (5) resident bedrooms, a living room, a dining room, a kitchen, dining room, and an attached garage that contains the washer and dryer for the facility. The facility contains three (3) bathrooms including checking their water temperature, which all fell within the required range of 105 – 120 degrees Fahrenheit. The carbon monoxide detectors are all operational in the home. A fully charged fire extinguisher is kept on the premises. Facility was observed to be in good repair. Operational Requirements: · Fire clearance was approved by LA County Fire Department for a capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden, and a hospice waiver approved for six (6) residents. · Care and supervision to meet the clients’ needs was observed. Staffing: · Five (5) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Five (5) staff files were reviewed for criminal background clearance and training. · All five (5) staff records have a health screening with a Tuberculosis clearance, First Aid/CPR trainings that are active, and required annual trainings. · Administrator’s certificate expires on 10/6/2027. Resident Rights/Information: · Physician orders were reviewed for five (5) resident files. · Medications were also reviewed for five (5) residents. Resident Records/Incident Reports: · Five (5) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents are assisted with medication management by staff. Disaster Preparedness: · Emergency and Disaster Plan (LIC610E) was posted in the facility and LPA obtained a copy. · The last emergency and disaster drill was conducted on 9/3/2026. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies were observed during the visit. Exit interview held and a copy of the report along with appeal rights were provided.the state’s words, verbatim · CDSS document, Sep 4, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) S Vaid conducted the required annual inspection. LPA met with Grace Obar who allowed entry into the facility. Licensee / Administrator Rona Lomeda was notified and arrived shortly after and discussed the purpose of today’s visit. LPA toured the facility and did not observe any health and safety issues. The facility is licensed to serve the elderly ages 60 and above. Fire clearance approved for six (6) non-ambulatory and one (1) bedridden in bedroom #5. Hospice waiver approved for six (6). The facility is a single-story building located in a residential area with five (5) resident bedrooms, two (2) resident bathrooms, kitchen, dining room, living room, front yard, backyard, and attached garage without entry from main house. Currently there are four (4) non-ambulatory residents currently residing, zero (0) residents are currently bedridden. LPA utilized the Compliance and Regulatory Enforcement tools for the visit today and observed the following: 1.Infection Control: There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. 2.Operational Requirements: The fire clearance is approved for six (6) non ambulatory and hospice waivers for six (6). There are currently four (4) residents of which four (4) are non-ambulatory. Staff are adhering to operational requirements. Continued on 809C................... 3.Physical Plant & Environment Safety: LPAs toured facility grounds. Smoke alarms and carbon monoxide detectors were observed. Both, smoke alarms and carbon monoxide detectors were tested and operable. Fire extinguishers are located throughout the premises (service date of 07/21/25). Water temperature measured as per Title 22 regulations, within 105-120 degree F. Bathrooms had non-skid surfaces and grab bars. Cleaning solutions, and disinfectants are locked and inaccessible to clients. Pesticides and cleaning supplies are kept away from the food preparation areas. 4.Staffing: Facility has reasonable staffing; staff was observed assisting residents with their activities. 5.Personnel Records-Training: Staff files are maintained at the facility. LPA reviewed staff files for S-1 through Staff #4 (S1-S4). Staff have their Health and TB Screening on file. Association and clearance. 6.Resident Rights-Information: Resident rights are included in Resident files. The let-us-no and ombudsman posters were observed to be posted in the living room. 7.Planned Activities: Activity schedule/calendar is posted inside the activity room. Staff does activities with residents daily, exercise, karaoke. 8.Food Service: Dining area has adequate seating. Plates, cups and utensils are kept cleaned and stored properly. Pesticides and cleaning supplies are kept away from the food preparation areas. Kitchen is kept clean and free from rodents and other vermin. Knives are locked and inaccessible to clients. There are sufficient food supplies of 2-day perishable and (1) week of non-perishable items. The food is properly stored in the refrigerator. 9.Incidental M&D: The medications are centrally stored in the medication room and in bubble packs and/or original containers. Medications are administered as prescribed by the Physician. 10.Resident Records-Incident Reports: LPA reviewed Resident files for Resident #1 (R-1) through Resident #4(R-4). Resident files are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Functional Capabilities, and Resident Rights were observed. 11.Disaster Preparedness: The facility has the Emergency Disaster Plan in place. Fire Drill was conducted 7/15/25. 12.Clients with SHN: Facility does not use manual restraints at this facility. No deficiencies observed on today's visit. Exit interview was conducted with licensee/administrator Rona Lomeda. Due to printer issues, LPA Vaid will mail report via USPS.the state’s words, verbatim · CDSS document, Sep 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced Annual Required Visit at 12:07PM. LPA was met by Care giver John Macalino and explained the purpose of the visit. Administrator Rochel Malaca arrived shortly. Facility is licensed to serve residents over 60 years old six (6) can be non-ambulatory, of which one (1) may be bedridden in room#5. During todays visit it was observed facility had two (2) bedridden residents without approved fire clearance civil penalties assessed. The facility is a single-story building located in a residential area with five (5) resident bedrooms, three (3) bathrooms, kitchen, dining room, living room, front yard, backyard, and detached garage. LPA toured the facility and observed the following: Each client bedroom has the required furniture and bedding. There is extra clean linen and towels in a hallway closet. Smoke detectors were observed in each room and throughout the facility and are properly operating. There is 1 carbon monoxide in the hallway and is properly operating. The facility has two (2) fully charged fire extinguishers which is kept in the kitchen and living room. Cleaning supplies and toxic substances were observed to be accessible to clients in cabinet next to kitchen deficiency cited. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. Sharps are locked and placed in cabinet in kitchen. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between 85.1 -85,2 not in the required range of 105-120 degrees F. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction. The garage is clean and has extra supplies. SEE LIC 809C Three (3) Staff files were reviewed and included Criminal clearance record, CPR/training, and health screening with TB. Administrator did not have file at facility deficiency cited. Five (5) Client files were reviewed and included physicians report, TB clearance. Fire/earthquake drill was not conducted deficiency cited. Infectious control plan was reviewed. The medications are centrally stored and locked in a cabinet in kitchen The facility uses the Medication Administration Record (MAR) log to document medications given. LPA reviewed medications for all clients, and they are being administered as prescribed by the physician. Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D and appeal rights were provided to Rochel Malaca.the state’s words, verbatim · CDSS document, Jul 30, 2024