Paradise Senior Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:28 AM. LPA contacted the facility Administrator Knarik Davtyan. Facility Staff #1 (S1) arrived to the facility at 09:45 AM. Entrance interview was conducted and the reason for the visit was explained. Beginning at 09:48 AM, the LPA along with S1 toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The kitchen area was observed to be relatively clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of seven (7) days non-perishable food. LPA did not observe a perishable food supply and informed S1 that prior to the facility admitting a resident the facility would need to procure a sufficient perishable food supply. LPA observed a secured cabinet which contained knives and other sharp objects. LPA observed an additional secured cabinet designated to store resident medications. CONTINUED ON LIC 809C. COMMON AREAS: This includes the living room, entry area, and hallway. LPA observed the living room to be clean and properly furnished. The living room was observed to contain activities for resident use. The entryway was observed to be clean and contained all requires postings. The entryway contained an appropriately screened fireplace and adequate seating. LPA observed the facility hallway to contain a pantry that contained adequate emergency food supplies. The LPA observed two hallway closets to contain extra linens and space for resident storage. LPA observed the living room fire extinguisher to be fully charged and was last serviced on 09/09/2026. Combination smoke and carbon monoxide detectors were tested at 10:45 AM and all were functional at the time of the visit. One (1) fire alarm was observed to be chirping and low on battery. LPA informed S1 that prior to admission of residents all fire alarms will need to be in working order. BATHROOMS: There are two (2) bathrooms for resident use. One (1) is a shared resident bathroom and one (1) is a private resident bathroom. Bathrooms were observed to be equipped with nonskid surfaces and contain nonskid mats. Grab bars were observed in both resident showers and near one (1) resident toilet and all were secured at the time of the visit. One (1) resident toilet was observed to be missing grab bars. The water temperature was measured in both restrooms to be between 112.3 to 112.6 degrees Fahrenheit which is in compliance with regulation. BEDROOMS: There are four (4) total bedrooms in the facility. Two (2) rooms are designated as dual occupancy rooms and two (2) are single occupancy rooms. Bedroom #1 is designated as the bedridden approved room. Resident rooms were observed to be missing resident beds. Resident bedrooms contained all other required furnishings and sufficient lighting. All resident bedrooms were equipped with emergency flashlights. GARAGE: The garage was observed to be appropriately secured. The garage contained adequate emergency water, a washer and dryer, extra care supplies, and appropriately stored cleaning supplies. OUTDOOR SPACE: The backyard had patio furniture including shaded tables and chairs for resident use. The facility had clear passageways for emergency exit use. All ramps observed were secured properly and were in good repair. CONTINUED ON LIC 809C. EMERGENCY DISASTER PLAN: During today's visit LPA reviewed the facility's emergency disaster plan. The facility's policies and procedures are adequate. Due to the facility having no residents in care no interviews were conducted and no citations were issued. LPA reminded the facility Administrator to notify Community Care Licensing Division (CCLD) upon the acceptance of their first resident. This report was read to the Administrator via telephone call. The Administrator has designated S1 to sign this report on their behalf. Exit interview conducted and report was issued.the state’s words, verbatim · CDSS document, Sep 24, 2026

Allegation investigated: Staff did not prevent multiple residents from contracting scabies at the facility

Licensing Program Analyst (LPA) Trevor Byrne conducted an initial complaint visit for the above allegation. LPA arrived to the facility at 03:53 PM. LPA met with facility staff #1 (S1) and informed the Administrator Knarik Davtyan of their arrival. Entrance interview was conducted and the reason for the visit was explained. During today’s visit, the LPA conducted a physical plant tour and interviewed the Administrator between approximately 03:53 PM and 04:15 PM. CONTINUED ON LIC 9099C. Unsubstantiated The allegation of “Staff did not prevent multiple residents from contracting scabies at the facility” alleges that multiple residents at the facility had been seen with a suspicious rash that appeared to be scabies. LPA interviewed the Administrator who informed LPA that they had not had any clients in care at the facility since the last visit conducted at the facility on 09/15/2025. LPA conducted a physical plant tour of the facility and did not observe any residents present at the facility. Additionally, LPA observed no evidence to suggest that there was care and supervision being provided at this location. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff did not prevent multiple residents from contracting scabies at the facility.” Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of the report was issued.the state’s words, verbatim · CDSS document, May 28, 2026 · control 29-AS-20260527143506

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 11:28 AM. LPA contacted the facility Administrator Knarik Davtyan. The Administrator stated that they were unable to come to the facility at the time of the visit but stated that Staff #1 (S1) could conduct the annual visit with LPA. The Administrator advised LPA that the facility does not currently have residents. Beginning at 12:02 PM, the LPA along with S1 toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The kitchen was observed to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured cabinet to contain knives and other sharp objects. LPA observed an additional secured cabinet designated to store resident medications. COMMON AREAS: This includes the living room and entry area. LPA observed the living room to be clean and properly furnished. Auditory alarms on the exit door to the backyard were disabled at the time of the visit. The living room was observed to contain activities for resident use. The entryway was observed to be clean and contained all requires postings. The entryway contains an appropriately screened fireplace and adequate seating. LPA observed the facility hallway to contain a pantry that contained adequate emergency food supplies. The LPA observed two hallway closets to contain extra linens and space for resident storage. LPA observed the fire extinguisher to be fully charged and was serviced on 10/01/2024. Combination smoke and carbon monoxide detectors were tested at 12:22 PM and all were functional at the time of the visit. No fire clearance concerns were observed. Continued on LIC 809C. BATHROOMS: There are two (2) bathrooms for resident use. One (1) is a shared resident bathroom and one (1) is a private resident bathroom. Bathrooms were observed to be equipped with nonskid surfaces and contain nonskid mats. Grab bars were observed in the resident bathrooms and all were secured at the time of the visit. The water temperature was measured in both restrooms at 108.5 degrees Fahrenheit which is in compliance with regulation. BEDROOMS: There are four (4) total bedrooms in the facility. Two (2) rooms are designated as dual occupancy rooms and two (2) are single occupancy rooms. Bedroom #1 is designated as the bedridden approved room. Resident rooms were observed to be missing resident beds. Resident bedrooms contained all other required furnishings and sufficient lighting. All resident bedrooms were equipped with emergency flashlights. GARAGE: The garage was observed to be appropriately secured. The garage contains adequate emergency water, a washer and dryer, extra care supplies, and appropriately stored cleaning supplies. OUTDOOR SPACE: The backyard has patio furniture including shaded tables and chairs for resident use. The facility has clear passageways for emergency exit use. All ramps observed were secured properly and were in good repair. EMERGENCY DISASTER PLAN: During today's visit LPA reviewed the facility's emergency disaster plan. The facility's policies and procedures are adequate. LPA did not observe when the plan was last reviewed/updated by the facility's Administrator. Due to the facility having no residents in care no interviews were conducted and no citations were issued. LPA reminded the facility Administrator to notify Community Care Licensing Division (CCLD) upon the acceptance of their first resident. This report was read to the Administrator via telephone call. The Administrator has designated S1 to sign this report on their behalf. Exit interview conducted and report was issued.the state’s words, verbatim · CDSS document, Sep 15, 2025

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff accepted a resident that required a higher level of care

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced complaint investigation visit at the facility at 8:59 a.m. LPA met with the facility administrator Knarik “Nar” Davtyan (S1) the reason for the visit was explained and entrance interview was conducted. During today’s visit the LPA conducted a physical plant tour and interviewed the facility administrator between 09:04 a.m. and 09:50 a.m. There are currently no residents residing at the facility. The allegation of “Staff accepted a resident that required a higher level of care” alleges that S1 accepted R1 into their care despite R1 requiring a higher level of care than the facility was able to provide. S1 stated during the interview that R1 was transferred to their facility through a placement agency from a skilled nursing facility (SNF) seventy-five (75) miles away. S1 stated that they had not conducted a pre-admission appraisal of R1 prior to accepting R1 into their care and took the word of others and the placement agency that this resident would be a good fit for their facility. Report Continued on LIC 9099-C Substantiated Continued from 9099. S1 described R1 having a violent outburst and stated that the resident eloped after only one (1) to two (2) hours. S1 also could not recall R1’s diagnosis. Based on the information obtained during the interview there is sufficient evidence to support the allegation of Staff accepted a resident that required a higher level of care. Therefore, the allegation is deemed Substantiated at this time. The following deficiencies were cited (refer to LIC 9099Ds). A copy of the report was printed, appeal rights were provided, and exit interview was conducted. Continued from 9099. S1 stated that once R1 arrived at the facility via a private transport R1 refused to hand over their paperwork to S1. R1 then grew combative towards S1 and began verbally assaulting them and throwing furniture. S1 stated that R1 eloped from the facility after only one (1) to two (2) hours. S1 stated they were fearful for their safety and did not stop R1 from leaving the facility on their own volition. S1 confirmed that at no point had they initiated eviction procedures for R1 or asked R1 to leave the facility. S1 stated that they did not report the incident to Community Care Licensing Division or the authorities because they did not have any information on R1, which will be addressed under separate cover. Based on the information obtained, although the allegation may have happened or is valid, there is not sufficient evidence to support the allegation of staff illegally evicted resident occurred. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Oct 2, 2024 · control 29-AS-20240925162510

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87457(c)(1) · Plan of correction due date: Oct 16, 2024

87457 Pre-Admission Appraisal General (c) Prior to admission a determination of the... resident's suitability for admission shall be completed... (1) The appraisal shall include... an evaluation of the... resident's...mental condition and...social factors... This requirement is not met as evidenced by: Based on interview the licensee failed to comply with the section cited above as no preadmission appraisal was conducted for R1 which poses a potential halth, safety, and personal rights risk to clients in carethe state’s words, verbatim · CDSS document, Oct 2, 2024

Plan of correction: Licensee will submit a statement of understanding confirming that they have reviewed and understand the entirety of CCR 87457 to CCL no later than POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87464(d) · Plan of correction due date: Oct 16, 2024

87464 Basic Services d) ...if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs... providing the other basic services specified below, either directly or through outside resources. This requirement is not met as evidenced by: Based on interview the licensee stated R1 is not fit for a board and care facility and requires a higher level of care which poses a potential halth, safety, and personal rights risk to clients in carethe state’s words, verbatim · CDSS document, Oct 2, 2024

Plan of correction: Licensee will submit a statement of understanding confirming that they have reviewed and understand the entirety of CCR 87464 to CCL no later than POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced Case Management – Deficiencies inspection to issue citations observed during a complaint investigation. The LPA met with Administrator Knarik “Nar” Davtyan. LPA conducted an interview with facility administrator Knarik “Nar” Davtyan (S1) between 09:04 a.m. and 09:50 a.m. During the interview S1 stated that Resident 1 (R1) had eloped from the facility on 09/05/2024 after a violent outburst. S1 stated that they were fearful for their safety at the time. S1 stated that they had not reported to Community Care Licensing Division (CCLD) that they had accepted a resident into their care. S1 also stated that after the elopement incident of R1 they failed to alert local law enforcement or report to CCLD. LPA confirmed that no incident report was submitted for this incident. When asked why no reports were made S1 stated, “I was fearful for my safety, I had no information on the resident what would I have to report?” LPA informed S1 on the reporting requirements for a resident eloping from a facility. S1 acknowledged that they should’ve called to report to CCLD and the police. Pursuant to Title 22 of the CA Code of Regulations and Health and Safety Code, the following deficiencies were cited (refer to LIC 809-Ds): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, Oct 2, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Oct 16, 2024

87211(a)(1)(D) Reporting Requirements (a) Each licensee shall...including...the following: 1) A...report...within seven days...include...nature of event. (D) Any incident which threatens the welfare, safety or health of any residen...or unexplained absence of any resident This requirement is not met as evidenced by: Based on interview the licensee failed to comply with the section cited above as no special incident report was submitted for the elopment of R1 which poses a potential halth, safety, and personal rights risk to clients in carethe state’s words, verbatim · CDSS document, Oct 2, 2024

Plan of correction: Licensee will submit a statement of understanding confirming that they have reviewed the entirety of CCR 87211. Aditionally, Licensee will submit a statement confirming that they understand the importance of timely reporting to CCL no later than POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: HSC1569.317 · Plan of correction due date: Oct 16, 2024

§1569.317 Absentee notification plan for missing residents. Every residential care facility for the elderly...shall...develop...an absentee notification plan...shall include...a requirement that an administrator... shall notify local law enforcement when a resident is missing from the facility. This requirement is not met as evidenced by: Based on interview the licensee failed to comply with the section cited above as no report was made to law enforcement for the elopment of R1 which poses a potential halth, safety, and personal rights risk to clients in carethe state’s words, verbatim · CDSS document, Oct 2, 2024

Plan of correction: Licensee will submit a statement of understanding confirming that they have reviewed the entirety of HSC 1569.317. Aditionally, Licensee will submit a statement confirming that they understand the importance of timely reporting tolaw enforcement no later than POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 11:55 AM. LPA met with facility administrator Knarik Davtyan. The facility administrator advised LPA that the facility does not currently have residents. Beginning at 11:56 AM, the LPA along with the facility administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: Fire extinguisher was fully charged and was serviced on 09/01/2023. Combination smoke and carbon monoxide detectors were tested at 12:11 PM and all were functional at the time of the visit. No fire clearance concerns were observed. KITCHEN: The kitchen was observed to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured cabinet to contain knives, lighters, and other sharp objects. LPA observed a secured cabinet designated to store resident medications and 1st aid supplies. COMMON AREAS: This includes the living room and entry area. LPA observed the living room to be clean and properly furnished. Auditory alarms on the exit door to the backyard were functioning at the time of the visit. The living room was observed to contain activities for resident use. The entryway was observed to be clean and contained all requires postings. The entryway contains a fireplace and adequate seating. LPA observed the facility hallway to contain a pantry that contained adequate emergency food supplies. The LPA observed two hallway closets to contain extra linens and space for resident storage. Continued on 809C. BATHROOMS: There are two (2) bathrooms for resident use. One (1) is a shared resident bathroom and one (1) is a private resident bathroom. Restrooms were observed to be equipped with nonskid surfaces and contain nonskid mats. Grab bars were observed in the bathrooms and all were secured at the time of the visit. The water temperature was measured in both restrooms between 111.2 and 112.6 degrees Fahrenheit which is in compliance with regulation. GARAGE: The garage was observed to be appropriately secured. The garage contains adequate emergency water, a washer and dryer, extra care supplies, and appropriately stored cleaning supplies. BEDROOMS: There are four (4) total bedrooms in the facility. Two (2) rooms are designated as dual occupancy rooms and two (2) are single occupancy rooms. Bedroom #1 is designated as the bedridden approved room. Resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. All resident bedrooms were equipped with emergency flashlights. OUTDOOR SPACE: The backyard has patio furniture including shaded tables and chairs for resident use. The facility has clear passageways for emergency exit use. No bodies of water were noted at the facility. All ramps observed were secured properly and were in good repair. Due to no residents in care no citations were issued. LPA reminded the facility administrator to notify CCL upon the acceptance of their first resident. Exit interview conducted and report was issued.the state’s words, verbatim · CDSS document, Sep 20, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.