Garden of Joy

Type of visit: Case Management - Deficiencies

On 7/8/26 at 2:00pm, Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced case management inspection to address deficiencies observed/documented while conducting a related complaint investigation. LPA met with facility administrator and together discussed the deficiency. The department has determine The facility administrator illegally evicted a former resident R1 (see confidential names list, LIC 811, dated 7/8/26). LPA has determined based on documentation and statements obtained that the facility has not been paid for several months since R! was placed at the facility. LPA received email from administrator on June 9, 2026 stating that resident will be returned to hospital due to non payment at the end of the month. LPA observed an eviction letter addressed to R1 dated 6/23/26, that their lease will be terminated effective June 30th, 2026. LPA observed the eviction notice does not meet all department requirements for an eviction notice. Additionally, The department was not notified within 5 days of the resident being served this eviction notice. Per California Code of Regulations, Title 22, the following deficiency is cited. Exit interview conducted and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 8, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87224(a) · Plan of correction due date: Jul 9, 2026

Eviction Procedures. The licensee may, upon thirty (30) days written notice to the resident, evict the resident for nonpayment of the rate for basic services, failure to comply with state or local law, failure to comply with the general policies of the facility, development of a need not previously identified, and/or a change of use of the facility. This requirement was not met as evidenced by LPA review of resident records which did not provide an effective 30 day notice, the eviction notice did not meet the required elements for and eviction notice and the eviction was not provided to the department within 5 days of being provided to the resident which poses an immediate health safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 8, 2026

Plan of correction: Licensee has agreed to review Title 22 eviction proceedures and provide a written letter stating they have reviewed the regulations and understand the requirements. LIcensee will also submit an updated eviction notice for R1 that includes all requirements by the department for a completed 30 day eviction notice.

Type of visit: Required - 1 Year

On 2/26/26 at 9:15am Licensing Program Analyst (LPA) Kevin Gould arrived at Gardens of Joy for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Drusilla Uwoghiren and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 120 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA observed one staff member present has a criminal record clearance but was not associated to the facility prior to their presence in the facility. Additionally, LPA observed both staff and resident files to be incomplete and missing required documents. Report Continued on LIC 9099-C. Per California Code of Regulations, Title 22 the following deficiencies are cited during today's inspection. An immediate civil penalty was also issued today. An exit interview was conducted, and a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Feb 26, 2026

Allegation investigated: Staff did not prevent a resident from hitting another resident with an object Staff mishandled a resident while in care

On 9/10/25, Licensing Program Analyst (LPA) Cynthia Tamayo made an unannounced visit to this facility to open and complete an investigation into the above allegations. LPA identified themselves upon arrival, stated the purpose of the visit, LPA met with the administrator Drusilla Uwoghiren (S1). It was alleged that staff did not prevent a resident from hitting another resident with an object. During the investigation, LPA Tamayo conducted three staff interviews, two resident interviews, and two collateral interviews. No corroborating evidence was obtained to support the allegations above. It was alleged that staff mishandled a resident while in care. During the investigation, LPA Tamayo conducted record review, three staff interviews, and two resident interviews. No corroborating evidence was obtained to support the allegation. Continued on 9099-C Unsubstantiated Based on observations, record review, and interviews, the allegations listed above are UNSUBSTANTIATED but if any additional information is received this complaint can be amended and the finding can be changed. Although the allegation that staff mishandled a resident while in care may have occurred or is valid, there is not a preponderance of evidence to prove the allegation violation did or did not occur. Although the allegation that staff did not prevent a resident from hitting another resident with an object may have occurred or is valid, there is not a preponderance of evidence to prove the allegation violation did or did not occur. There are no deficiencies noted or cited per California Code Regulation, TITLE 22. Exit interview was conducted with the facility administrator. A a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Sep 10, 2025 · control 27-AS-20250903103329

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Cynthia Tamayo arrived unannounced to open a complaint and observed case management deficiencies during this visit. LPA Tamayo spoke with facility administrator Drusilla Uwoghiren (S1)and explained the purpose of the visit. LPA Tamayo observed that Staff 2(S2) was not associated to the facility. Upon record review via Guardian system LPA found that the criminal background clearance process was started on January 2025 but the background clearance process was not completed and S2 is not cleared nor associated to the facility. Additionally, LPA Tamayo observed the facility has not submitted incidents reports or death reports that have occurred in the last month. LPA reviewed records to be maintained at the facility LIC 311 with S1. This facility is being cited per 22 CCR sections 87355(e)(3), 87412(a). Civil penalties are being assessed repeat violation in regard to one staff member not background cleared/associated. An exit interview was held with S1. Appeal rights and a copy of this report were left with S1.the state’s words, verbatim · CDSS document, Sep 10, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(3) · Plan of correction due date: Sep 11, 2025

87355(e) All individuals subject to a criminal record pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) 87356(r)... This requirement was not met as evidenced by: Based on observation and record review, and S1 was not cleared and/or associated with the facility which poses an immediate health, safety and/or personnel rights risk.the state’s words, verbatim · CDSS document, Sep 10, 2025

Plan of correction: Licensee agrees to send a statement of understanding that Licensee understands title 22 regulations 87355(e)(3) on what needs to be included in a staff file. Licensee will have 3 weeks from POC due date to get all files complete and S1 associated. cynthia.tamayo@dss.ca.gov A civil penalty for repeat violation was issued during this visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR872187211 · Plan of correction due date: Sep 19, 2025

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department ,,, (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) ... Based on observation and record review, administrator/licensee has not been completing incident reports and/or death reports which poses an potential or mediate health, safety and/or personnel rights risk.the state’s words, verbatim · CDSS document, Sep 10, 2025

Plan of correction: Licensee agrees to send a statement of understanding that Licensee understands title 22 regulations 87355(e)(3) on what needs to be included in a staff file. Licensee will have 3 weeks from POC due date to get all files complete and S1 associated. cynthia.tamayo@dss.ca.gov

Allegation investigated: Staff made inappropriate comments towards resident Staff hit resident Staff did not ensure resident received privacy Staff inappropriately punished resident

Licensing Program Analysts (LPA) Holly Williams made an unannounced visit to amend this compaint investigation due to errors made. LPA Williams rewrote the unsubstatiated report to make the report clear. LPA Williams met with facility administrator Drusilla Uwoghiren and together discussed the investigation details. This investigation consisted of interviews, observations, and record review. LPA Williams interviewed the administrator, 1 staff member, 3 residents (R1-R3), and the Placement Agent (PA). Allegation: Staff made inappropriate comments towards resident. It was alleged that a staff member, made inappropriate remarks to R1. During the course of this investigation LPA conducted interviews and reviewed facility records. Based on staff interviews conducted S1 said that R1 was aggressive and tried to hurt S1. S1 denied ever saying anything inappropriate to R1. It was stated by R2 that R2 heard someone say, “you don’t have any friends, and no one likes you!” to R1. LPA Williams asked if it was a staff [Continued on 9099-C] Unsubstantiated In an interview, R1 said that they did not receive an eviction notice. Based on interviews with staff and residents, and based on record review, the above allegation is SUBSTANTIATED. A finding that the complaint allegation is substantiated means that the allegation is valid because the preponderance of evidence standard has been met. This facility is being cited per 22 CCR Section 87224(d)(1)(B)(1). An exit interview was held with Drusilla Uwoghiren. Appeal rights and a copy of this report were left with Drusilla Uwoghiren. member or a resident and R2 said it was a staff member and their name was Lynn. LPA Williams talked to the administrator and the administrator has never heard of a Lynn working there. It was stated by the PA that the PA never heard either the staff members or R1 make inappropriate comments to each other. LPA interviewed R1 and based on the information given R1 does not want the facility to be in trouble for anything and that R1 wants all charges dropped. Based on the information gathered it is unclear if staff members made inappropriate comments towards resident. Allegation: Staff hit resident It was alleged that that a staff member hit the resident. During the course of this investigation LPA conducted interviews. Based on staff interviews conducted the administrator Uwoghiren said that they have never hit the resident. S1 said they never hit the resident and that S1 quit because R1 made S1 cry and was aggressive. R2 and R3 said they have never seen any staff hit anyone. In an interview on the telephone PA said that they never saw any abuse. LPA Williams interviewed R1, and they would not talk about it. R1 wanted to drop all charges. Based on the information gathered it is unclear if staff members hit the resident. Allegation: Staff did not ensure resident received privacy. It was alleged that staff members did not ensure residents privacy. During the course of this investigation LPA conducted interviews. Based on interviews with staff and residents LPA has not found any evidence that suggests resident did not receive privacy. Allegation: Staff inappropriately punished resident. It was alleged that a staff member inappropriately punished resident. During the course of this investigation LPA conducted interviews with staff and residents and no one has seen or heard anyone being punished or treated badly. 3 out 3 residents have not seen or heard anyone getting punished. Based on interviews, observation, and record review, the above allegations are UNSUBSTANTIATED, which means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies were cited regarding the above allegation. An exit interview was held, and a copy of this report was left with Drusilla Uwoghiren.the state’s words, verbatim · CDSS document, Mar 10, 2025 · control 27-AS-20250113142527

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87244(d)(1)(B)(1) · Plan of correction due date: Mar 18, 2025

87224(d)(1)(B)(1) Eviction Procedures (d) Resources available to assist in identifying1Referral services that will aid in finding alternative housing. This requirement was not met as evidenced by: Based on record review the licensee did not write a legal eviction which poses a potential health, safety and/or personnel rights risk.the state’s words, verbatim · CDSS document, Mar 10, 2025

Plan of correction: Licensee agrees to read the Title 22 eviction procedures and to write a statement stating that the licensee will follow the eviction procedures in Title 22 in the future by POC due date. Holly.williams@dss.ca.gov

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Holly Williams arrived unannounced to conduct an annual inspection. LPA Williams met with facility administrator Drusilla Uwoghiren and explained the purpose of the visit. LPA Williams reviewed 5 resident files (R1-R5) and 4 staff files (S1-S4). LPA Williams toured the facility with Drusilla Uwoghiren and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 70 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 117 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. LPA Williams supplied the form LIC621 to implement in their files. On a prior case management visit LPA Williams had cited Uwoghiren for documentation and the plan of correction is not due yet. The Technical Support Program is having a virtual meeting with Uwoghiren today. LPA Williams observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and working carbon monoxide/smoke detectors. LPA Williams observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Williams observed a locked cabinet for the storage of medication. LPA Williams observed locked cabinets for the storage of cleaning solutions and knives. LPA Williams interviewed 2 staff members (S1 and S2) and 2 residents (R1 and R2). Drusilla Uwoghiren gave permission for Williams Uwoghiren to sign the report. No deficiencies were cited during this visit. An exit interview was conducted and a copy of this report was left with Drusilla Uwoghiren.the state’s words, verbatim · CDSS document, Feb 20, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPA) Holly Williams arrived unannounced to open a complaint and found other deficiencies in the process. LPA Williams spoke with facility administrator Drusilla Uwoghiren and explained the purpose of the visit. On arriving on 1/23/25 LPA Williams observed that S1 was not associated and none of the caregivers had files including the administrator. The housekeeper S4 had an ID and a clearance. LPA Williams is referring Uwoghiren to TSP on their request. This facility is being cited per 22 CCR sections 87355(e)(3), 87412(a). LPA assessed civil penalties for not associating staff member S1. Civil penalties are being assessed for $500 for 1 staff member not associated. An exit interview was held with Uwoghiren. Appeal rights and a copy of this report were left with Uwoghiren.the state’s words, verbatim · CDSS document, Jan 23, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(3) · Plan of correction due date: Jan 24, 2025

87355(e) All individuals subject to a criminal record pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) 87356(r)... This requirement was not met as evidenced by: Based on observation and record review, and S1 was not associated with the facility which poses an immediate health, safety and/or personnel rights risk.the state’s words, verbatim · CDSS document, Jan 23, 2025

Plan of correction: Licensee agrees to send a statement of understanding that Licensee understands title 22 regulations 87355(e)(3) on what needs to be included in a staff file. Licensee will have 3 weeks from POC due date to get all files complete and S1 associated. Holly.williams@dss.ca.gov

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87412(a) · Plan of correction due date: Feb 24, 2025

87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee... This requirement was not met as evidenced by: Based on observation and record review none of the employees or administrator has a personnel file which poses an immediate health, safety and/or personnel rights risk.the state’s words, verbatim · CDSS document, Jan 23, 2025

Plan of correction: Licensee agrees to have all files and training completed by POC due date. Holly.Williams@dss.ca.gov

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jamie Ivey Canady arrived at Garden of Joy for the purpose of conducting an unannounced required 1 year annual inspection. LPA met with Administrator, Drusilla Uwoghiren. There are currently 5 residents present in the facility. LPA arrived during lunch hour and all residents are seated for lunch. According to review of resident files, no special diets assigned. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 116 degrees F which meets the 105-120 degree Fahrenheit regulation. It is currently 71 degrees F in the facility today. LPA observed sufficient seven-day non-perishable and two-day perishable food supplies. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. First aid kit was checked and is complete. LPA observed centrally stored medications, toxins, and sharp knives kept locked and inaccessible to clients. LPA requested and received 2 staff, 2 resident, MAR file and Centrally Stored Medication and Destruction Record. All files are in accordance with Title 22 regulations. Current Administrator Certificate number 6044309740 expires 5/07/2025 Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jan 19, 2024