Exclusive Raya's Paradise

Type of visit: Required - 1 Year

On January 8, 2026 Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Brian Rosales. LPAs explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory elderly adults ages 60 and above. The facility is approved for one (1) hospice waiver. Currently, the facility has no hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) clients' rooms, one (1) staff room, two (2) bathrooms, a living area, a dining area, a kitchen, an activity room, and an outside patio area. LPA toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. A water temperature of 110.01 and 114.8 degrees F. A comfortable temperature of 74 degrees F. was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished during the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained adequately. The fire extinguishers were charged, and smoke detectors and carbon monoxide were operable. A review of Medication Records Administration (MAR) and Fire Drills were observed to be maintained in order and accurate. The facility conducted Fire/Safety Drill on 12/18/25. The facility has a working landline telephone. The staff had all current CPR/First Aid Training on file. Evaluation Report Continues on LIC 809-C During the visit, LPA observed the facility's infection control practices. LPA observed staff followed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). Posters mandated for inspection control were posted. An audit of residents #1-#4 (R1-R4) service records and staff #1-#2 (S1-S2) personnel records revealed to be complete. The facility has current liability insurance effective with policy# PLC 7092091015 effective 07/20/25 through 07/20/26. The facility is current on CCL annual dues. The facility has a current administrator's certificate for Briana Rosales #7003524735 12/17/25 through 12/16/27. No deficiencies cited during this inspection visit. An exit interview conducted with Brian Rosales and a copy of the report is provided.the state’s words, verbatim · CDSS document, Jan 8, 2026

Type of visit: Case Management - Other

On June 12, 2025, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced case management visit at the facility. The administrator, Brian Rosales, welcomed the LPA. The LPA explained that the visit to address the increase in hospice waiver request. The facility is approved for one hospice waiver and has three hospice residents in care. The LPA audited and reviewed the service records of six residents. Residents #1, #5, and #6 receive hospice care services. During the visit, the LPA toured the facility and collected the following documents: - Resident #1-#6 Physician's Reports LIC 602A - Resident Face Sheets - Register of Facility Residents - Resident Admission Agreements - Administrative Organization documents - Personnel Reports - Designation of Facility Responsibility - Application for a Community Care Licensing Facility - Facility Plan of Operation - Video Recording & Photography Disclosure Consent - Certificate of Liability Insurance - Administrator's Certificate An exit interview was conducted with Brian Rosales, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 12, 2025

Type of visit: Required - 1 Year

On 1/23/2025, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Brian Rosales /Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) elderly adults ages 60 and above, of which (6) can be non-ambulatory. The facility has an approved hospice waiver for (1). The facility current has (3) hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of six (6) bedrooms, six (6) bathrooms, a living room, kitchen, dining room, laundry area, an outdoor shaded patio area, and a detached garage. LPA Iniguez and the Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected a total of (5) bedrooms and (5) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature ranged from 115°F to 116.2°F, and the room temperature ranged from 76°F to 78°F. The evaluation Report continues on the next page, LIC 809-C, providing further details of the inspection findings. During the visit, LPA Iniguez observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. The kitchen was inspected, and there was sufficient perishable and non-perishable food available, which was adequately maintained. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted on 1/8/25. A review of (3) residents' service files and (4) staff personnel files was maintained in order. LPA reviewed (3) Medication Administration Records (MARs) and found no discrepancies. LPA observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. A copy of liability insurance will be email to LPA. Facility Annual Fess current. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -Facility exceeded hospice waiver. -No recent reappraisal and TB test for one of the resident. -Unlocked cleaning supplies found underneath the sink. -Administrator not associated at facility at the time of visit-Civil Penalty Rendered for $500. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. * An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Brian Rosales / Administrator.the state’s words, verbatim · CDSS document, Jan 23, 2025

Allegation investigated: Staff did not ensure that resident is provided an adequate amount of food while in care.

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Tuesday, December 10, 2024. Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a risk assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker met with Licensed Vocational Nurse Arman Ahangarzadeh. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: The department interviewed staff members 1-3 (S1-S3), residents 1-3 (R1-R3), witnesses 1-2 (W1-W2), and attempts were made to interview residents 4-6 (R4-R6). The department and S1-S3 toured the facility and observed the facility's food supply. The observation confirmed an ample supply of perishable and non-perishable foods. S1-S3, R1-R3, and W1-W2 stated that residents are served three (3) meals per day plus snacks and are provided with an adequate amount of food. S1-S3 and W1-W2 stated that modified diets prescribed by a resident's physician as a medical necessity are accommodated, and the facility follows all doctor's orders. See continued LIC9099-C page 2 Unsubstantiated Continued LIC9099-C page 2 S1-S3, R1-R3, and W1-W2 also stated that residents receive plenty of food to eat, and meals are served seven days a week, Sunday through Saturday, in accordance with the physician's directions. The total quality and quantity of food are sufficient to meet the resident's needs. The department requested copies of the following documents: Personnel Report, Resident Roster, Special Incident Reports, Food Menu, Alternative Menu, Admission Agreement, Identification and Emergency Information, Physician's Report, Medical Assessment, Medication Administration Records (MARs), Medication Logs, Consent Forms, Replacement Appraisal Information, Appraisal and Needs Service Plan, Resident Progress Notes, Special Incident Reports, Guardian Angel Hospice Records, Cedar-Sinai Medical Records, In-Service Training, and any Ongoing Training. Allegation: Staff did not ensure that the resident was provided an adequate amount of food while in care. Staff members 1-3 (S1-S3), residents 1-3 (R1-R3), and witnesses 1-2 (W1-W2) were interviewed and stated that residents are adequately fed. S1-S3, W1-W2, and R1-R3 stated that residents receive three well-balanced meals per day—breakfast, lunch, and dinner—plus snacks. S1-S3 emphasized that the facility ensures residents are served a sufficient quantity of food. R1-R3 reported that the portions provided are more than enough, with additional servings available if requested. They also mentioned that they have no concerns about the quantity of food being served and had no complaints about the quality or variety of meals. S1-S3, W1-W2, and R1-R3 stated that residents have access to a variety of food options, and alternative meals are available if a resident does not want what is on the menu. R1-R3 noted that the food menu changes weekly, offering new options and that residents are not served the same meals repeatedly. LPA reviewed the December 2024 food menus, which showed a diverse selection of meal options. S1-S3 stated that the menu is regularly updated based on feedback from residents and input from their physicians to meet dietary needs and preferences. See continued LIC9099-C page 3 Continued LIC9099-C page 3 The investigation consisted of the following: S1-S3 and W1-W2 stated that the resident’s physicians provided specific instructions regarding the amount and type of food the facility should provide to the resident, and they are strictly following the physician’s directions. S1-S3 and W1-W2 confirmed that the resident is on a special modified diet requiring liquid, pureed, soft, and moist foods. S1-S3 reported that the resident’s family member visits the facility daily, feeds the resident the prescribed foods, and provides copies of the doctor’s orders. S1-S3 and W1-W2 stated that the resident has not been crying for food. They explained that the resident has dementia, is on hospice, and has not exhibited signs of crying for more food for approximately two to three weeks. S1-S3 and W1-W2 also stated that the resident has a one-on-one caregiver who provides care 24 hours a day, seven days a week. According to S1-S3 and W1-W2, the staff, the resident’s family members, and the one-on-one caregiver all contribute to feeding the resident. S1-S3 and W1-W2 stated that the staff at the facility are not intimidated by the resident’s relative or power of attorney (POA). S1-S3 and W1-W2 emphasized that they are strictly adhering to the physician’s orders according to Title 22 Regulations. Staff provided LPA with documentation outlining the resident’s modified diet recommendations as prescribed by the resident's physician. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. 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 deemed unsubstantiated. There were no deficiencies cited. An exit interview was conducted.the state’s words, verbatim · CDSS document, Dec 10, 2024 · control 11-AS-20241202105527

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced annual required visit to the above facility. LPA met with License Vocational Nurse (LVN) Arman Ahangarzadeh and the purpose of the visit was discussed. LPA was granted access to the facility. Executive Director Brian Rosales joined LPA to conduct the visit shortly after. Facility is licensed to serve six (6) non-ambulatory residents aged 60 and over. This facility has an approved hospice waiver for one (1) resident. The facility currently has six (6) residents. The facility is a single-story structure located in a residential neighborhood. It consists of six (6) bedrooms, six (6) bathrooms, a living room, kitchen, dining room, laundry area, an outdoor shaded patio area, and a detached garage. LPA and Mr. Rosales toured the inside and outside grounds of the facility. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. The water temperature measured between 105.0 F and 120.0 F in all bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Comfortable temperature was maintained in the facility. The kitchen was checked and observed to be within Title 22 regulations. Sufficient perishable and non-perishable food supply was maintained adequately. All sharps, toxins, cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. A review of Medication Administration Records was maintained in order and accurate. The facility has a landline telephone on-site in working condition. Medications were centrally stored and properly locked. Smoke detectors and carbon monoxide detectors were operational and working properly. Fire extinguisher was fully charged. Continued on LIC 809-C A stocked First Aid kit along with manual was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. There are sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved CCLD Mitigation Plan. During this inspection LPA did not observe any deficiencies, therefore no citations were issued at this time. An exit interview was conducted, and a copy of Report and Appeal Rights was provided to Executive Director Brian Rosales.the state’s words, verbatim · CDSS document, Jan 4, 2024