Heart of Joy Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Licensee Josephine Mesina. The facility's license shows a maximum capacity of five (5) non-ambulatory residents, of whom one (1) may be bedridden in Bedroom #2. Hospice waiver for four. During today’s inspection there were four (4) residents in care. LPA with Licensee Mesina toured the interior and exterior of the facility and inspected each room. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Licensee Mesina, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced within the last 12 months. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Licensee to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Feb 6, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced case management visit due to a request to change the facility capacity. LPA was greeted by, identified herself to, and discussed the purpose of the visit with Licensee Josephine Mesina. A Change of Capacity application was received by the Department on November 24, 2025, in which the licensee requested an increase in capacity from five (5) non-ambulatory residents to six (6) non-ambulatory residents of whom one (1) may be bedridden in Bedroom #2. The Fire Safety Inspection Request was approved by the local fire authority on January 7, 2026. During today’s visit, LPA toured the facility and observed the residents in care. The facility sketch was consistent with the current layout of the facility. No immediate health and/or safety concerns were observed. The completed change of capacity request will be forwarded to management for final review and approval. An exit interview was conducted with Licensee Mesina to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Feb 6, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Raquel Hernandez conducted an announced visit to the facility for the purpose of a change of ambulatory, non-ambulatory and bedridden status. LPA was greeted and granted entrance by Administrator Josephine Mesina. Per the LIC200, Licensee requested for (1) bedridden. The current capacity is 5 non-ambulatory current census is (5). The fire clearance request was approved on 5/30/2025. The licensee was advised that the noted designated capacity and status for each room is to remain in compliance. LPA observed that the residents’ bedrooms had functional utilities. The physical plant is ready. LPA will update the facility's file and issue a new license. An exit interview was conducted where this report LIC809 was discussed and provided to Administrator Josephine Mesina.the state’s words, verbatim · CDSS document, Jun 30, 2025

Type of visit: Required - 1 Year

On 03/17/2025 at 09:15 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct the required comprehensive annual inspection. LPA Brown met with a staff and was granted entry to the facility. Licensee/Administrator Josephine Mesina was informed of the visit and arrived during the visit. LPA Brown informed Licensee/Administrator Mesina of the purpose of the visit. At the time of the visit there were two (2) staffs present, and four (4) residents present. The facility is a five (5) bedroom, two (2) bathroom home with a kitchen/dining area, living room/activity room, laundry room and an attached garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of five (5) non-ambulatory residents. The facility’s approved for four (4) hospice waiver. The current census is four (4) residents. LPA Brown was accompanied by Staff #2 (S2) to conduct a general overall inspection, which included, but was not limited to the following: Physical Plant: LPA Brown observed Resident #1 (R1) and Resident #3 (R3) were reported bedridden by their physician and the facility does not have an approved fire clearance for bedridden residents. Deficiency will be issued today, 03/17/2025 and an immediate civil penalty of $500.00 will be assessed and will continue to be assessed until corrected. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 71 degrees Fahrenheit (F). LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperature in the resident bathroom to be at 106.5 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Charged fire extinguisher was also observed at the facility. Posters such as personal rights, Ombudsman poster, and the disaster plan, House Rules and Theft and Loss Policy were posted in a common area. However, LPA Brown observed the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) was not posted at the facility. Technical Violation will be issued. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. ***Continuation in LIC809C *** There is a medicine cabinet with the resident’s medications locked. LPA Brown observed a complete first aid kit and first aid book at the facility. Moreover, LPA Brown noted that the facility has the required emergency supplies, emergency food and emergency water maintained at the facility. Food Service: More than seven (7) days’ supply of non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has an Administrator present at the facility with appropriate and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. LPA Brown noted that the facility has a staff scheduled to work at night, awake and on duty as required for facility with dementia residents. Record Review: LPA Brown noted that the facility has an updated Infection Control Plan, Emergency Disaster Plan and updated Liability Insurance. LPA Brown reviewed four (4) resident files for admission agreements, updated physician reports, pre-placement appraisals, centrally stored medication list/physician orders and needs and services plans. LPA Brown noted that Resident #1 (R1) and Resident #2 (R2) Admission Agreements were not signed and dated by the Licensee or LIcensee's Designated Representative. Deficiency will be issued. Moreover, LPA Brown noted that Resident #4 (R4) half bed rail has written order from R4's physician indicating the need for half bed rail for mobility. LPA Brown reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings with tuberculosis (TB) test result. LPA Brown observed that staff files reviewed were complete. During medication audit, LPA Brown observed that staffs at the facility are assisting their residents with their medications per their doctor's order. No issues observed. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations (CCR). An exit interview was conducted, and this report (LIC809), LIC809D, LIC421 IM and Appeal Rights were discussed and provided to Licensee/Administrator Josephine Mesina.the state’s words, verbatim · CDSS document, Mar 17, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Josephine Mesina and was granted entry to the facility. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of five (5) non-ambulatory residents. The current census is two (2) residents. LPA was accompanied by Administrator to conduct a general overall inspection, which included, but was not limited to, the following: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperature in the bathrooms to be at 110.2 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Postings such as the facility license, personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident files and staff files. Medications are kept inside a kitchen cabinet inaccessible to residents. During medication review, LPA found that the Resident R1’s medications were removed out of their originally received prescription containers and were being stored in a plastic weekly container. The facility will be issued a deficiency for not storing the resident’s medications in the original prescription containers. Non-perishable and perishable food supply is sufficient for the residents in care. LPA reviewed two (2) residents files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed four (4) staff files for First Aid/CPR certifications, criminal record clearances, trainings, and health screenings. Based on the observations made during today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC811, and LIC809D were discussed and provided to Administrator Josephine Mesina, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Feb 15, 2024