Pre-licensing visit·November 18, 2025

At approximately 9:45 AM, Licensing Program Analyst (LPA) Star Stevenson arrived announced to conduct a pre-licensing inspection and was greeted by Licensee/Applicant Elinore Ramas and Administrator Jhorielle Diga. This pre-licensing inspection is being conducted for an initial licensing of a Residential Care Facility for the Elderly (RCFE). Joyful Journey Home LLC has a fire clearance approved for 4 non-ambulatory residents. All bedrooms 1,2,3,4, are approved for non-ambulatory use. Facility has an infection control plan and Licensee/Applicant is currently in partnership with North Bay Regional Center (NBRC) Licensee provided LPA a copy of their Dementia Care Plan. At approximately 10:00 AM, LPA initiated a tour of the facility and observed the following: Facility is a one-story home, was a comfortable temperature, and passageways were free from obstructions. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. Applicant had non-slip mats and grab bars in place. LPAs observed a supply of clean linens, hygiene products, and paper products available for residents. Hallways are equipped with night lights and residents' bedrooms have all the appropriate furnishings as outlined in Title 22 regulations. LPAs observed dishes and cooking supplies for resident use with sharps and other hazardous items kept secured in various designated locked drawers and cabinets as well as under the kitchen sink. Cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked. Continued on LIC809-C ... Continued from LIC809 Licensee currently has one week of perishable foods and emergency water and food and agrees to maintain at least two days of perishable foods one residents received. Licensee is noted to have 240 servings of emergency long term food in special containers. The required posters were observed hanging in the facility entryway. Licensee has a copy of the emergency disaster plan posted and licensee was advised to post a copy of their generic admissions agreement. The facility currently has Applicant and 16 staff members associated to facility. Applicant is aware of Guardian association and staff transfer process. LPA observed a sample menu posted in the common area to indicate a healthy and balanced set of meals for residents in care. The facility has a designated lounge area and internet for residents in care and applicant will provide an IPAD for residents once accepted. Facility phone was tested and operational during inspection. Facility has a designated locked room, as well as locked drawers and cabinet for centrally stored medications and resident, staff, and facility files. LPA observed first aid kit, PPE, other emergency supplies, activity schedule, and games available for resident use. LPA recommended that Applicant add additional, age appropriate activities for elderly residents and licensee reports plans to have a Recreational therapist consult/advise. Facility has a fire extinguishers (4), which were last inspected October 2025 and are fully charged. Smoke and Carbon Monoxide detectors are centrally wired and were tested and operational during inspection, in addition the system was tested by the fire department in October 2025. Windows, screens, and blinds were all observed in good repair. The front and backyard features wide ramps and sturdy handrails, paved walkways and a shaded patio area for resident use. The property has a 10ft by 10ft shed containing extra PPE, emergency water and supplies and will be added to the facility sketch. LPA observed a facility sketch which accurately reflects the interior floor plan. Applicant was not approved for bedridden residents by the local fire department. The right front fence gate has a loose gait latch and licensee will send picture proof of repair by Friday November 21st, 2025 to this LPA. Continued on LIC809C... Continued on LIC809C... At approximately 11:25 LPA reviewed three (3) staff files and observed 3 of 3 to have all required documentation; additional on-site orientation and caregiver educational training will occur once they have accepted their first resident in care. LPA obtained today for the facility record: 1) LIC308 Designation of Facility Responsibility 2) LIC500 Personnel Report 3) LIC402 Surety Bond (covers Affidavit-LIC400) 4) LIC400 Affidavit Regarding Resident Cash Resources 5) Copy of Lease Agreement (in effect as long as the facility is licensed) 6) Current Certificate of Liability insurance effective through 11/18/2026 7)Copy updated facility sketch showing 10'x10' shed containing locked hardware and supplies. 8) Copy of Dementia Care plan Component III orientation was conducted with the Applicant at facility where they conveyed knowledge and understanding of Title 22 regulations. The pre-licensing evaluation has been completed. License will be granted upon completion of a final review and approval from the Licensing Program Manager. Pre-Licensing inspection was signed by Licensee, whose signature denotes acceptance.