Joy Senior Center

Type of visit: Required - 1 Year

On 03/18/2025 at 11:30AM, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual required inspection. LPA met with Administrator, Sakaraia Kata, and explained the purpose of the visit. LPA toured the facility with caregiver Sakaraia Kata. The administrator currently holds a certificate (#6077910740) that expires on 08/6/2027. The facility’s fire clearance was approved for twelve (12) Non ambulatory and six (6) Bedridden residents. Hospice waiver for twelve (12). LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of eleven (11) bedrooms, three (3) full bathrooms, and seven (7) half baths in bedrooms. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 136.2 degrees Fahrenheit. Night lights are maintained in hallways and passages to non private bathrooms. LPA observed residents’ bathrooms are equipped with grab bars no non slip mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 12/5/2025. First aid kit was observed to be complete. Fire drill was last conducted on 01/28/2026. Continue on LIC809C. Continued from LIC809 LPA reviewed six (6) resident and five (5) staff records, all were current and complete. LPA also reviewed a sample of residents' medication. LPA request the following documents to be submitted to CCLD by 3/25/2026: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (all 9 pages) Liability Insurance A copy of Administrator License LPA observed the following deficiencies: At 1:10pm, LPA observed there was not any hot water in the shared bathroom near bedroom #1. There was not any hot water in bedroom #9 and #2. The hot water in the shared bathroom near bedroom #6 was 136.2 degrees F. At 1:15pm, LPA observed medication cabinet unlocked. At 1:25pm, LPA observed six (6) residents did not have a doctor's order for half bedrail. At 1:37pm, LPA observed facility having 4 bottles of shampoo and is requiring residents to purchase own hygiene products. Deficiencies cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights and this report provided.the state’s words, verbatim · CDSS document, Mar 18, 2026

Type of visit: Case Management - Incident

On 08/05/2025 at 1:13PM Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 07/30/2025 LPA met with Gurpreet Matharu, Administrator and explained the purpose of the visit. Incident report revealed that on 07/26/2025 R1 had visitors arrive unannounced and facility advised R1’s visitors to contact R1’s daughter (RP) to be accompanied during the visit as per instructed by RP and R1’s physician. LPA interviewed staff, R1’s daughter who was present during visit, and obtained R1's physician’s new medication order that also has a note pertaining to visitation. LPA may return at a later date No deficiencies issued during the visit. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 5, 2025

Allegation investigated: Staff did not ensure that resident in care was turned as needed. Resident developed a pressure injury while in care due to staff neglect.

On 07/22/205, at 10:40am, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct a complaint investigation and to deliver complaint findings for the allegations above. LPA met with Sakaraia Kata, Direct Care Staff and explained the purpose of the visit. During the course of the investigation, LPA obtained the following documents: (employees’ roster and residents’ roster, physician reports, appraisal needs and services plan, repositioning log, after visit hospital summary report, incident reports LIC624, home health care notes, and residents’ identification and emergency information for R1. On 07/22/2025, LPA interviewed staff, Home Health and obtained the following documents: vitals record, training (wound care) log, home health care notes from 03/28-05/16/2025, and hospice care notes from 05/21/2025-07/14/2025. Continue on LIC9099C) Unsubstantiated Continued from LIC9099 Interview with W1 indicated that R1’s pressure injuries developed from prolonged supine immobility prior to hospital admission. Incident report dated 04/23/2025 revealed that the facility reported R1 had two wounds when R1 returned from hospital on 04/20/2025. Interviews with S1, S2 and Home Health indicate consistent statements of staff being attentive to the residents’ care needs and staff did not neglect to provide care. Interview with Home Health and Home Health notes revealed staff were trained by home health to provide care R1 and that R1 was receiving home health care from 3/28/2025 to 05/16/2025. Allegations: Staff did not ensure that resident in care was turned as needed. Interviews with staff, Home Health and record review revealed that R1 was repositioned every 2 hours. R1's home health notes indicated that R1 was receiving ongoing monitoring and education to help prevent exacerbation of conditions and reduce the risk of hospitalization. Resident developed a pressure injury while in care due to staff neglect. Interviews with staff, Home Health and records review revealed that R1 did not develop pressure injury while in care and staff did not neglect to provide care. R1 was receiving home health services from 03/28/2025-05/16/2025. Continue on LIC9099C Continued from LIC9099C Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore these allegations are UNSUBSTANTIATED. No deficiencies are being cited on this date. Exit interview conducted with Sakaraia Kata. A copy of this report provided.the state’s words, verbatim · CDSS document, Jul 22, 2025 · control 15-AS-20250421120751

Type of visit: Case Management - Health Checks

On 04/23/2025 at 12:35PM, Licensing Program Analysts (LPAs), T. Syess-Gibson and L. Hall arrived unannounced to conduct a health and safety check. LPAs met with Sakaraia Kata, Direct Care Staff, Direct Care Staff, Caregiver and explained the reason for the visit. Upon arrival at 10:00AM, LPAs initially arrived to conduct a 10-day complaint visit for 15-AS-20250421120751 and observed four (4) residents watching television, and the other residents were residing in their bedrooms. During the health and safety check, LPAs toured the facility including but not limited to common areas, bathrooms, bedrooms and outdoor common area. The facility is noted to be clean, in good repair, and residents in care appear to be safe. There is a minimum of 7-day non-perishables and 2-day perishables foods. There are no imminent health/safety concerns on today's date. During visit LPAs observed the following deficiency: At 10:50am, LPAs observed during record review resident (R5) did not have a home health care plan. Deficiency cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and a copy of this report and appeal right provided.the state’s words, verbatim · CDSS document, Apr 23, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87623(b) · Plan of correction due date: Apr 30, 2025

87623 Indwelling Urinary Catheter (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: This requirement is not met as evidenced by: Based on record review and interview, licensee did not comply with the section cited above by not having a home health care plan for resident (R5), which poses a potential health and safety risk for persons in care.the state’s words, verbatim · CDSS document, Apr 23, 2025

Plan of correction: Administrator agreed to submit a care plan from the home health agency providing care for resident R5 by POC date.

Type of visit: Required - 1 Year

On 03/06/2025 at 9:30AM, Licensing Program Analyst LPA T. Syess-Gibson conducted an unannounced Annual 1-Year required inspection. Caregiver Alice Cuntapay contacted the Administrator by phone. LPA toured the facility with caregiver Sakaraia Kata. The administrator currently holds a certificate (#7012574740) that expires on 08/15/2026. The facility’s fire clearance was approved for twelve (12) Non ambulatory and six (6) Bedridden residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of eleven (11) total bedrooms and three (3) bathrooms. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 115.8 degrees Fahrenheit. Night lights are maintained in hallways and passages to non private bathrooms. LPA observed residents’ bathrooms are equipped with grab bars no non slip mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/05/2024. First aid kit was observed to be complete. Fire drill was last conducted on 01/22/2024. Five (5) residents records were reviewed, two (2) out of five (5) were missing current appraisal needs and service plan. Five (5) staff records were reviewed, LPA observed during file review, S2 isn’t fingerprint cleared and S3 isn’t associated to the facility. Continue on LIC809C Continued from LIC809 The following deficiencies were observed: At 10:50AM LPA observed hand washing faucet in residents’ shared bathroom wasn't in good operating condition. At 10:55AM LPA observed two (2) walkers, three (3) Wheelchairs and one (1) Hoyer Lift located in the hallway blocking passageway. At 12:36PM LPA observed during file review S2 doesn’t have a criminal clearance. At 12:38PM LPA observed during file review S3 isn’t associated to facility. Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 03/13/2025: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Residents roster Updated facility sketch Liability Insurance Deficiencies cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. The total amount of civil penalties assessed on today's date is $750.00 for staff not being criminal background cleared and repeat deficiency.* Exit interview conducted. A copy of this report, LIC421FC, LIC421BG and appeal rights provided.the state’s words, verbatim · CDSS document, Mar 6, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

On 11/06/2024 at 11:30AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 11/05/2024. LPA met with Alicia Cuntapay, Caregiver, and explained the purpose of the visit. The incident occurred on 10/28/2024 which involved a resident (R1) having trouble swallowing food and couldn’t talk. LPA interviewed staff (S1) who was present during the time of incident. S1 stated on 10/28/2024 S1 entered residents' room and noticed he had tears rolling down his face, S1 asked R1 what's going on, why are you crying, are you in pain? R1 didn’t respond as if he couldn’t talk, which alarmed S1 that something was wrong because he would vocalize if something was wrong. S1 contacted R1's daughter to advise R1 needs to be sent to hospital. S1 interrupted the meeting Administrator was in to advise of what was happening with R1. Administrator and S1 agreed that it was best to call 911 to examine R1. Once paramedics arrived, they immediately put R1 on oxygen machine and transported R1 to Kaiser Permanente in Antioch CA. S1 received a call from R1’s daughter stating R1 was in ICU for Congested Heart Failure and low blood pressure. As 11/04/2024 R1 is in hospital on oxygen and feeding tube. LPA obtained following document R1’s Physician’s Report LIC602 during visit. No deficiencies issued during the visit. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 6, 2024

Type of visit: Case Management - Incident

On 11/06/2024 at 01:09PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 11/05/2024. LPA met with Rose Constantino, Caregiver, and explained the purpose of the visit. The incident occurred on 11/01/2024 which involved a resident (R1) AWOL'd. LPA interviewed staff (S1) who was present during the time of incident. S1 stated on 11/01/2024 R1 ate lunch around 12:30pm and left the facility without staff being aware. At approximately 1:50PM a paramedic was at the door inquiring if the resident lives at the facility. S1 explained that R1 does live at the facility, and the paramedic stated they received a call from a witness who saw R1 fall near the corner. S1 stated she went out the parking lot with the paramedic and observed R1 in the back of the ambulance on the gurney. While outside the paramedic called R1's daughter and explained the incident, R1 daughter arrived at the facility while paramedics examined R1. R1 stated she was okay and denied going to the doctor, R1 returned to the facility with daughter. LPA obtained the following documents S1’s written statement, R1’s Physician Report (LIC602), R1’s Unusual Incident Reports, Staff Roster, Residents Roster during visit and Incident. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted and a copy of this report and appeal rights was provided. Continue on LIC809Dthe state’s words, verbatim · CDSS document, Nov 6, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(c) · Plan of correction due date: Nov 13, 2024

Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following..... This requirement was not met as evidence by: Based on interview and record review the Licensee did not comply with the section cited above in keeping residents from AWOL, which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2024

Plan of correction: Administrator agreed to implement a written plan that will show how the facility will prevent residents from AWOL. Plan will be submitted to CCLD by POC date.

Type of visit: Case Management - Incident

On 10/22/2024 at 2:10PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 10/17/2024. LPA met with Alicia Cuntapay, Caregiver and explained the purpose of the visit. Alicia called Administrator, Gupreet Mathanu and LPA explained purpose of visit via telephone. Administrator gave the authorization for Alicia Cuntapay to provide requested documents and sign the reports. The regional office received a incident report on 10/17/2024, stating Resident 1 (R1) had fell and was on the floor by his bed. (R1) was transported to the hospital that morning to be examined for the pain her was experiencing. LPA obtained the following documents: LIC602 and After Care Summary Report. LPA interviewed Staff 1 who witnessed the fall. Per (S1) I was assisting him to his room after he finished eating breakfast that morning. He uses a wheelchair, so I was pushing him to his room. Once in the room I told him to wait to sit down, he was rushing sit down decided to sit without my help and slid down from the edge of bed.” I couldn’t stop his fall because he is too strong and big and I’m little” It wasn’t a hard fall, but he did slide down to the floor. I called for assistance from my coworkers to get him off the floor. Staff called the paramedics they took him to hospital to be examined. (R1)returned to the community later that afternoon. No deficiencies observed during visit. Exit interview conducted and a copy of this report was provided to Alicia Cuntapay.the state’s words, verbatim · CDSS document, Oct 22, 2024

Type of visit: Case Management - Incident

On 08/21/2024 at 10:53AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 08/13/2024. LPA met with Rose Constantino, Caregiver and explained the purpose of the visit. Rose called Administrator, Gupreet Mathanu and LPA explained purpose of visit via telephone. Administrator gave the authorization for Rose Constantino to provide requested documents and sign the reports. The regional office received an incident report stating R1 had wounds on the resident's buttocks S1 stated R1 moved into facility on 07/15/2024. S1 also stated R1 did not have an open wound but did have a scratch on buttocks. S1 noticed the scratch and observed R1 fingernails were long and she proceeded to cut them down , R1 informed S1 that he had been scratching his buttocks, possible resulting in the scratch on the buttocks. LPA T. Syess-Gibson collected the following documents: Showering and Diaper changing schedule, After Visit summary(hospital) and staff schedule for the week of July 15,2024. LPA observed the following Deficiency during visit: LPA observed during interview that R1 has currently been admitted to the hospital for other health reasons since August 9, 2024 and it was not reported to CCLD Exit interview conducted and a copy of this report and appeal rights was provided to Rose Constantino.the state’s words, verbatim · CDSS document, Aug 21, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: Aug 24, 2024

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: 1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below....... This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above by not notifying CCLD of incidents within the seven days of occurance, and R1 being admitted to the hospital which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Aug 21, 2024

Plan of correction: Administrator has agreed to review reporting requirements and submit signed written statement of understanding to CCLD by POC date

Type of visit: Case Management - Incident

On 08/21/2024 at 1:24PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 08/07/2024. LPA met with Rose Constantino, Caregiver and explained the purpose of the visit. The regional office received an incident report stating R1 had an un-witnessed fall and was found by S1 in the bathroom on the floor, S1 says R1 expressed to staff that he fell down after using restroom and that he was okay at that time. S1 also states the next day R1 started complaining of pain, S1 called 911 and had the resident transmitted to Kaiser hospital for evaluation on 08/07/2024. R1 returned to the community later that night on 08/07/2024 with an After Visit Summary report indicating R1 had a fractured Rib. R1 can transfer and take care of all activities of daily living (ADL's) with assistance. LPA spoke with R1 during visit. R1 stated he fell while in the restroom and landed between the toilet and shower and tried to get himself up from the floor he may have twisted his body wrong which may have cause the fracture to the rib. R1 used his call button for assistance once he realized he wasn't able to get up from the floor without assistance. LPA T. Syess-Gibson collected the following documents: R1’s Physician's Report, After Visit Summary and Appraisal Needs and Service Plan . No deficiencies issued during the visit and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 21, 2024