Raya's Paradise Of San Clemente

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff allow residents to smoke in non-smoking areas.

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by Staff #1 (S1) at 8:05am and explained the purpose of the visit. It is alleged that Facility staff allow residents to smoke in non-smoking areas. LPA toured the facility and was told by staff that a second floor balcony, near the dining area, is designated as a smoking area. LPA did not observe any signage regarding smoking or no smoking in the patio. LPA observed the west facing, second floor patio is between two apartments on the Assisted Living floor. Beneath the patio is the patio used by Memory Care. The adjacent apartments to the patio, #202 and #210, do not have patio access and are not able to go outside. LPA toured the facility with Director of Nursing (DON) who stated there have not been any complaints received from residents regarding smoke. LPA and DON observed the patio from the first floor. There are no signthe state’s words, verbatim · CDSS document, Mar 5, 2026 · control 22-AS-20260304100703

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility did not adhere to the admission agreement Facility did not provide refund

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and witnesses as well as reviewed and obtained pertinent documentation such as billing invoices. Regarding the allegations that facility did not adhere to the admission agreement and facility did not provide refund, the investigation revealed the following: Admission agreement for Residents #1 and 2 (R1, R2) signed on 06/26/2023 indicate room rate is locked in for two years. Facility raised the room rate from $200 per day to $210 per day from August 2024 to December 2024. After Responsible Party brought it to the facility’s attention, facility adjusted the invoices. However, a refund/ credit did not appear on any of the invoices reviewed by LPA. Responsible Party adjusted paymentthe state’s words, verbatim · CDSS document, Nov 6, 2025 · control 22-AS-20250605144944

Allegation investigated: Sexual abuse

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, the Department interviewed staff, resident and witnesses as well as reviewed and obtained documentation including physician report. Regarding the allegation of sexual abuse, the investigation revealed the following: On June 06, 2025, Resident 1 (R1) was admitted to Kaiser Permanente for an unexplained fracture. Per physician report dated August 03, 2023, resident is diagnosed with Dementia with confusion. Per the hospital Social Worker, R1 is oriented to self only. On June 15, 2025, while hospitalized, R1 reported that a male caregiver had touched them; slept with them; and inserted something into their buttocks. No other details or descriptions were provided. R1 did not report the incident upon admission to the hospital butthe state’s words, verbatim · CDSS document, Nov 6, 2025 · control 22-AS-20250616105004

Allegation investigated: Facility staff did not seek medical attention for resident

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate the investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed Administrator and resident as well as reviewed and obtained pertinent documentation such as hospice notes. Regarding the allegation that facility staff did not seek medical attention for resident, the investigation revealed the following: Per physician report dated 08/21/2024, Resident 1 (R1) is diagnosed with Multiple Sclerosis. Resident is on hospice care with Acacia Hospice and has a wound on the sacrum. Per hospice documentation, R1 is being seen for wound care every 1-2 days. Interview with resident confirmed resident is being seen for wound care nearly daily and stated satisfaction with the care being provided. Per facility documentation, resident is being repositionedthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 22-AS-20251017151548

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident developed pressure injuries while in care

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff as well as reviewed and obtained pertinent documentation such as facility progress notes. Resident 1 (R1) was admitted under Geiss Hospice 10/31/2023 with a diagnosis of Alzheimer's Disease. Per hospice summary and facility progress notes, resident had no noted pressure injuries until 02/12/2025. Interview with Hospice Nurse indicated resident had some flaking on the behind which was not open or excoriated. Nurse indicated resident was clean and dry at every visit. Nurse stated training staff on repositioning at every visit. Three out of three staff interviewed confirmed resident was being repositioned every two hours however facility does not document repositioning. Resident wasthe state’s words, verbatim · CDSS document, Aug 14, 2025 · control 22-AS-20250218082756

Allegation investigated: Staff are inappropriately disposing of residents medication

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff as well as reviewed and obtained pertinent documentation such as Centrally Stored Medication and Destruction Record. Regarding the allegation that staff are inappropriately disposing of residents medication, the investigation revealed the following: Facility is using the department's Centrally Stored Medication and Destruction Record (CSMDR) however there is no documentation of two signatures observing medication destruction. Facility policy on medication disposition states medications will be destroyed by a licensed nurse or pharmacist with a witness present. Two out of two staff confirm facility LVN is destructing the medications without a witness signature. LPA observed the desthe state’s words, verbatim · CDSS document, Aug 14, 2025 · control 22-AS-20250729114024

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not safeguard residents personal items

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and witness as well as reviewed and obtained pertinent documentation such as Resident Inventory Form. Regarding the allegation that staff did not safeguard residents personal items, the investigation revealed the following: It was reported that Resident 1 (R1) put Resident 2's (R2) ring on and the ring was too tight to remove. Orange County Fire Authority was called and the ring was cut off of the resident's finger. The ring was not returned to R1's family until after the resident's death. Three out of three witnesses confirm compensation for the damaged ring was not provided to the family. Administrator indicates advising family to remove the ring from the resident's room prior tthe state’s words, verbatim · CDSS document, Aug 6, 2025 · control 22-AS-20250625143358

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident was denied visitors

Licensing Program Analyst (LPA) Kimberly Lyman and Licensing Program Manager (LPM) Alisa Ortiz conducted an unannounced complaint visit to deliver findings on the above allegation. LPA and LPM were greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff, resident and witnesses. Regarding the allegation that resident was denied visitors, the investigation revealed the following: It was reported that Resident 1's (R1) family member was denied visitation at the facility after being allowed prior visitation weekly. Interviews conducted with three out of four witnesses deny visitation was blocked for the family member. R1's family member denies being blocked from visitation; However, two witnesses state visitors in general would be prevented from visiting R1. LPA conducted interview with R1 who denied witnessing family member being turned away and had no personal knowledge of ththe state’s words, verbatim · CDSS document, Jul 22, 2025 · control 22-AS-20250318170616

Allegation investigated: Staff served as resident’s agent under a power of attorney

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff, resident and witness as well as reviewed and obtained pertinent documentation such as Durable Power of Attorney (DPOA) paperwork. Regarding the allegation that staff served as resident’s agent under a power of attorney, the investigation revealed the following: Resident 1 (R1) indicated that Facility Administrator had recommended becoming the resident's DPOA due to an upcoming surgery scheduled for the resident. Resident states declining the recommendation but eventually agreed. Resident states being very ill during the signing of the document and was surprised to subsequently see an additional person as a back-up designee and prospective conservator. The bathe state’s words, verbatim · CDSS document, Jul 1, 2025 · control 22-AS-20250303090520

Allegation investigated: Staff did not prevent resident from leaving the facility unassisted

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and witnesses as well as reviewed and obtained pertinent documentation such as physician report. Regarding the allegation that staff did not prevent resident from leaving the facility unassisted, the investigation revealed the following: On 03/04/2025, Resident 1 (R1) was picked up unaccompanied at the community by a driver for another assisted living facility, The Seville. Resident arrived at the Seville for a tour and met up with Staff 1 (S1) from Raya's Paradise. Three out of three witnesses state resident arrived unaccompanied to the Seville. Per physician report dated 02/04/2025, R1 is diagnosed with Dementia and unable to leave the facility unassisted. Based on rthe state’s words, verbatim · CDSS document, Jul 1, 2025 · control 22-AS-20250306122305

Allegation investigated: Resident is being blocked from speaking with family via telephone

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced visit to deliver findings on the above allegation. LPAs were greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and witnesses as well as reviewed and obtained pertinent documentation such as text messages. Regarding the allegation that resident is being blocked from speaking with family via telephone, the investigation revealed the following: Four out of six witnesses state Resident 1's (R1) phone had been removed by facility staff. Facility Administrator confirms removing the phone one time for a confirmation code to get electricity turned back on at the resident’s house. Upon review of R1’s admission agreement and facility program plan, the facility does not offer services to monitor/assist in resident home bills or monitoring of resident’s funds. LPA reviewed and obtained tthe state’s words, verbatim · CDSS document, Jul 1, 2025 · control 22-AS-20250228162254

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.