Joyful Hearts Senior Care

Allegation investigated: Resident is not being taken to their doctor appointments Staff failed to follow eviction procedures

*This report supersedes the previous report dated (7/2/26) It clarifies the findings, will not change the findings* On July 2, 2026, the Department of Social Services (DSS) staff conducted an unannounced visit to the facility to continue the investigation and to deliver findings of the above allegations. The department was greeted by Licensee Jordan Alapag and the purpose of the visit was explained. The facility currently has three residents in care. The investigation consisted of the following: On December 19, 2024, the Department conducted an initial unannounced visit to investigate the listed allegations. During that visit, it was determined that further investigation was required. On June July 1, 2026, the Department conducted unannounced visit to continue investigation. During visit, the Department obtained and reviewed the following documents: Staff Roster (dated 9/6/24), Resident Roster (4/30/26), R1’s Physician’s report (dated 10/27/24), Nursing Notes (dated 11/1/24-12/14/24), Appraisal Needs and Services plan (dated 1027/24), discharge from facility letter signed by R1 (dated 12/15/24), voluntary discharge acknowledgement letter (dated 12/6/24), Staff trainings: Anti-psychotic and psychotropic medication training, Medication Administration, recognizing signs of dementia, Needle and shared safety and disposal, Resident Rights, infectious control and universal precaution, Elder Abuse and mandated reporting (Dated 10/1/24-7/18/25), R1’s MAR (October 2024-November 2024), Centrally Stored Medication log (dated 10/28/24), Vital Signs log (November-December 2024), Hospital discharge page (dated 10/24/24). On July 1, 2026, the department interviewed Administrator (A1). On July 2, 2026, the department interviewed licensee (A2), 1 staff (S1), and 2 Residents (R2-R3). Page 1 of 4 Unsubstantiated The investigation revealed the following Allegation: Resident is not being taken to their doctor appointments The detail of complaint alleges R1 is not being taken to his doctor’s appointments On July 1, 2026, the Department interviewed Administrator (A1) and Licensee (A2), both of whom denied the allegation. They stated that during R1’s stay, only one appointment had been scheduled—a telehealth visit—with no follow-up appointments pending. Nursing notes showed that R1 completed a telehealth appointment on December 5, 2024 with doctor Ng. Following the appointment, a nurse informed A1 that a medication order would be sent to Parkview Pharmacy. A1 attempted to pick up the medication on December 6, 2024, but was told it would not be available until December 28, 2024 due to an unresolved insurance issue. A1 made another attempt on December 9, 2024, but the medication was still not ready. During a final attempt, A1 emphasized to the pharmacy the urgency of the matter, but the insurance issue remained unresolved. No further attempts were made because R1 moved out of the facility on December 15, 2024. On July 2, 2026, the Department interviewed two residents (R2–R3), both of whom reported that staff treat them well, that they feel adequately cared for, and that they attend all required appointments. R1 could not be interviewed because R1 no longer resides at the facility and no contact information was available. R1 lived at the facility from October 27, 2024 to December 15, 2024. Page 2 of 4 According to A1 and record review, R1 arrived with no pending medical appointments, and his discharge documents contained only information regarding R1’s medical condition. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Allegation: Staff failed to follow eviction procedures The detail of complaint alleges “the facility doesn’t want R1 there.” On July 1, 2026, the Department interviewed Administrator (A1), who denied the allegation and stated that R1 chose to leave the facility. According to A1, R1 did not want to remain in a care setting. The Department reviewed a discharge letter from Joyful Hearts Senior Care dated July 15, 2024, stating that R1 required a higher level of care and that R1’s departure was voluntary. A1 reported that R1 does not have a Power of Attorney (POA), and no POA documentation was found in R1’s file during the review. A1 also indicated that R1 has a sister who recently reconnected with R1 and visited one time at the facility. According to A1, the sister was present during the discharge and R1 left the facility with her. On July 2, 2026, the Department interviewed the Licensee (A2) and staff (S1), both of whom stated that R1 expressed a desire to leave and wanted to depart the facility. Page 3 of 4 Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. There were no deficiencies cited during today’s visit. Exit interview conducted with Licensee and copy of report provided. Page 4 of 4the state’s words, verbatim · CDSS document, Jul 23, 2026 · control 18-AS-20241216145524

Allegation investigated: Resident is not being taken to their doctor appointments Staff failed to follow eviction procedures

On July 2, 2026, the Department of Social Services (DSS) staff conducted an unannounced visit to the facility to continue the investigation and to deliver findings of the above allegations. The department was greeted by Licensee Jordan Alapag and the purpose of the visit was explained. The facility currently has three residents in care. The investigation consisted of the following: On December 19, 2024, the Department conducted an initial unannounced visit to investigate the listed allegations. During that visit, it was determined that further investigation was required. On June July 1, 2026, the Department conducted unannounced visit to continue investigation. During visit, the Department obtained and reviewed the following documents: Staff Roster (dated 9/6/24), Resident Roster (4/30/26), R1’s Physician’s report (dated 10/27/23), Nursing Notes (dated 11/1/24-12/14/24), Appraisal Needs and Services plan (dated 1027/24), discharge from facility letter (dated 12/15/24), voluntary discharge acknowledgement letter (dated 12/6/24), Staff trainings: Anti-psychotic and psychotropic medication training, Medication Administration, recognizing signs of dementia, Needle and shared safety and disposal, Resident Rights, infectious control and universal precaution, Elder Abuse and mandated reporting (Dated 10/1/24-7/18/25), R1’s MAR (October 2024-November 2024), Centrally Stored Medication log (dated 10/28/24), Vital Signs log (November-December 2024), Hospital discharge page (dated 10/24/24). On July 1, 2026, the department interviewed Administrator (A1). On July 2, 2026, the department interviewed licensee (A2), 1 staff (S1), and 2 Residents (R2-R3). Page 1 of 3 Unsubstantiated The investigation revealed the following Allegation: Resident is not being taken to their doctor appointments The detail of complaint alleges R1 is not being taken to his doctor’s appointments On July 1, 2026, the Department interviewed Administrator (A1) who denied the allegation stating that since resident was in their care, he had only one appointment scheduled at that was telehealth appointment where he spoke with a doctor via telephone. July 2, 2026, the department interviewed Licensee (A2) who also denied allegation. On July 1, 2026, the Department reviewed and evaluated nursing notes dated 12/5/24 which corroborated that R1 did participate in a telehealth medical appointment via telephone. On July 2, 2026, the department interviewed two residents (R2–R3). Both residents reported that staff treat them well and that they feel properly cared for. Both also stated that they attend all required appointments. R1 could not be interviewed because he is no longer residing at the facility. R1 lived at the facility from October 27 to December 15, 2024. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Page 2 of 3 Allegation: Staff failed to follow eviction procedures The detail of complaint alleges “the facility doesn’t want R1 there.” On July 1, 2026, the Department interviewed Administrator (A1) who denied the allegation stating that R1 made his own decision to leave on his own. He didn’t want to be in placement. On 7/1/26, the department reviewed discharge letter (dated 7/15/24) indicating that R1 “requires a higher level of care" and that "voluntary decision as being claimed by the family.” On 7/2/26, the department interviewed the Licensee (A2) and staff (S1) who stated that R1 wanted to leave and expressed his desire to leave. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. There were no deficiencies cited during today’s visit. Exit interview conducted with Licensee and copy of report provided. Page 3 of 3the state’s words, verbatim · CDSS document, Jul 2, 2026 · control 18-AS-20241216145524

Allegation investigated: Staff mishandled a resident's medications Staff are not providing adequate care and supervision of a resident

On July 2, 2026, the Department of Social Services (DSS) staff conducted an unannounced visit to the facility to continue the investigation of the above allegations and to deliver findings. The department was greeted by Licensee Jordan Alapag and the purpose of the visit was explained. The facility currently has three residents in care. The investigation consisted of the following: On December 19, 2024, the Department conducted an initial unannounced visit to investigate the listed allegations. During that visit, it was determined that further investigation was required. On June July 1, 2026, the Department obtained and reviewed the following documents: R1’s Physician’s report (dated 10/27/23), Nursing Notes (dated 11/1/24-12/14/24), Appraisal Needs and Services plan (dated 1027/24), discharge from facility letter (dated 12/15/24), voluntary discharge acknowledgement letter (dated 12/6/24), Staff trainings: Anti-psychotic and psychotropic medication training, Medication Administration, recognizing signs of dementia, Needle and shared safety and disposal, Resident Rights, infectious control and universal precaution, Elder Abuse and mandated reporting (Dated 10/1/24-7/18/25), R1’s MAR (October 2024-November 2024), Centrally Stored Medication log (dated 10/28/24), Vital Signs log (November-December 2024), Hospital discharge page (dated 10/24/24). On July 1, 2026, the department interviewed Administrator (A1). During this visit it was determined that further investigation is needed. On July 2, 2026, the department interviewed Licensee (A2), 1 staff member (S1), and 2 residents (R2-R3). Page 1 of 4 Unsubstantiated The investigation revealed the following: Allegation: Staff mishandled a resident's medications The detail of complaint alleges that on December 14, 2024, it was observed that R1 was not receiving medication at the facility. R1 allegedly suffered a stroke before he was admitted to facility and there was a concern as to why he wasn’t receiving any medication. On July 2, 2026 at 1:15 pm, the Department interviewed Administrator (A1) who stated in previous interview (12/19/24) and in (7/1/26) interview that R1 moved into the facility with his medications in October and by the end of November, he needed refills and when A1 contacted the pharmacy to get a refill, she was told that R1 did not have any refills and that he needed to contact his primary doctor. R1 did not have a primary doctor because he had been homeless and was hospitalized for about a month until the hospital contacted facility for an emergency placement for R1. A1 subsequently called a local Community Health Center to get an appointment for R1 and was told due to R1 having Medi-Cal insurance, there was an issue with getting him an appointment. On July 1, 2026, the department obtained, reviewed and evaluated the following documents: R1’s Physician’s report (dated 10/27/23), Nursing Notes (dated 11/1/24-12/14/24), Appraisal Needs and Services plan (dated 1027/24). The documentation reviewed shows that the facility made efforts to obtain R1’s medication. Nursing notes reflect that on 11/14/24, A1 contacted the pharmacy several days before the medication was due for a refill. As mentioned above, the pharmacy informed A1 that they could not refill the prescription and that R1 needed to contact his primary care physician for authorization. Page 2 of 4 Additional documentation indicates that A1 made multiple attempts (11/19/24, 11/20/24, 12/3/24) to connect R1 with a physician so he could obtain his medication. A1 was later informed by the community health center that his insurance status prevented him from getting a scheduled appointment. These continued efforts lasted until his discharge on 12/15/24. On July 2, 2026, the department interviewed 2 residents (R2-R3) and of those interviewed, 2 out of 2 state that staff treat them well and that they feel well taken care of. 2 out of 2 state that they are always given medication on time and there wasn’t a time when their medication was late due to not being refilled in a timely manner. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Allegation: Staff are not providing adequate care and supervision of a resident The detail of the complaint alleges R1 is a high risk for falls following a stroke and R1 allegedly was not receiving PT/OT services in the home. Lastly it was alleged that his bedside commode was observed to be out of R1’s reach. On July 1, 2026, at 1:15 p.m., the Department interviewed Administrator (A1), who denied the allegation. A1 explained that a physician had not ordered physical therapy (PT) or occupational therapy (OT), and the facility is not permitted to provide services that are not prescribed by a doctor. A1 stated that staff repositioned the bedside commode to prevent R1 from attempting to get up without supervision. Due to R1’s stroke, he experienced paralysis on the left side of his body and was unable to stand without assistance. Page 3 of 4 A1 further explained that the intention was to prevent R1 from trying to stand independently and potentially falling. On July 1, 2026, the department obtained, reviewed and evaluated the following documents: R1’s Physician’s report (dated 10/27/23), Nursing Notes (dated 11/1/24-12/14/24), and R1’s Appraisal Needs and Services plan (dated 1027/24). Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED There were no deficiencies cited during today's visit. Exit interview conducted with Licensee and copy of report provided. Page 4 of 4the state’s words, verbatim · CDSS document, Jul 2, 2026 · control 18-AS-20241216113725

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry by Angie Lim. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. Administrator arrived shortly. Resident record review began- Two (2) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements. Employee records review began- Three (3) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to meet the needs of the clients in care. Administrator certification is present, current until 08/05/2026. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is not maintained at a comfortable temperature for the clients-AC is not functioning at level. Lighting is sufficient for safety and comfort. Water temperature measured 111.0 degrees F. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals in the garage. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. (Continued from LIC809, Page 1) (Continued from LIC809, Page 1) Food Service- Food supply meets the of one week supply of nonperishable and 2-day supply of perishables food on hand. A menu is posted, foods are dated to assure safety. Food prep areas are not clean and organized. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation, and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 06/30/2025. The facility conducting emergency disaster drills quarterly; last done on 7/2/2025 Corporation is active and in good standing. Based on the information received during this visit today, there are one (1) deficiency that are being cited per Title 22, Division 6 of The California Code of Regulations. This report, LIC809D, LIC809G and Appeals Rights was reviewed with Chermaineanne Laudato and copies provided at the time of the exit interview. LPA has requested updates to the following documents to be submitted to the CCL by 09/29/2025: LIC 200 to change capacity with revised floor plan.the state’s words, verbatim · CDSS document, Sep 23, 2025

Type of visit: Prelicensing

On 8/19/24 Licensing Program Analyst's (LPA) Valerie Flores, Andrei Castillo, Abdoulaye Zerbo made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA's Flores, Zerbo, and Castillo met with Applicant Abner Laudato, who accompanied LPA's for the tour of the facility. The Applicant has submitted an application for 6 residents. On 5/14/24 the Riverside County Fire Department approved a fire clearance for five (5) non-ambulatory residents and one (1) bedridden resident. The home is a single-story structure consisting of four (4) bedrooms, two (2) bathrooms, a kitchen, formal dining room, two (2) living rooms, garage, and a backyard. The bedrooms were observed to have met the required bedding lighting, and furniture. The bathrooms had non-skid mats, and grab bars. There are plenty of extra linen (sheets, blankets, towels) that were observed to be in good repair located in the hallway. A fully charged fire extinguisher located in the kitchen. A locked drawer was observed in the kitchen that stored knifes and other sharp objects; a separate locked cabinet that contained disinfectants. A locked cabinet was observed in the dining room for centrally stored medication. The carbon monoxide and smoke detector were tested and were deemed to be in good working condition. The hot water temperature was measured at 110.9 degrees Fahrenheit meeting the required limits. The facility has an emergency disaster plan and approved infection control training plan on file. The facility has a sufficient supply of dishes, cooking and eating utensils, that were observed to be in good repair. There is a fully stocked first aid kit. Indoor and outdoor passageways were free of obstruction. LPA's observed an outdoor patio with a shaded seating area available for all resident use. There are no bodies of water observed on the premises. Per Applicant Abner, there are no firearms or ammunition on the premises. LPA's observed the required postings of the emergency disaster plan, resident personal rights, employee rights, facility sketch, Administrator Certification and the Long-Term Care Ombudsman poster. During today's visit, LPA's Flores, Castillo, and Zerbo did not observe any issues or concerns. Applicant is schedule to attend COMP III on 8/20/24 at the Riverside Regional Office. Final approval of licensure will be determined by Centralized Application Bureau (CAB). A exit interview and a copy of this report was given to Applicant Abner.the state’s words, verbatim · CDSS document, Aug 19, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Interview Method: Telephone interview On 7/17/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jul 17, 2024