Paradise Home II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ivashia Wright conducted an unannounced visit for a required annual inspection. The LPA was greeted by caregiver Rosemary Sibayan, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Agnes Martinez the licensee arrived shortly after. Facility Overview: The facility is a single story building with five (5) residents bedrooms, three and half (3.5) bathrooms, Two(2) common areas, a kitchen area and a garage. There is no gated pool and there are no firearms on the premises. Infection Control: The LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen inaccessible to residents. The smoke detector and carbon monoxide detector were operational. The LPA observed fire extinguisher to be in compliance with the department requirements and with an expiration date of March 9, 2027. The water temperature was tested within regulations measuring at 110.6 F Continued 809-C..... Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The Administrator holds a current administrator’s certificate with expiration date of December 28th, 2027 and a CPR certification with the expiration date of August 28th, 2027 Record Review and Resident/Staff Files: The LPA reviewed files for three (3) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four (4) residents' files were reviewed and contained all required documentation. The LPA observed first aide kit to be locked and inaccessible to the residents in care. The residents and staff files were kept in a locked cabinet in the common area and inaccessible to unauthorized individuals Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the kitchen area. LPA reviewed medications for residents, confirming that all medications were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 2-25-2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Licensee Agnes Martinez.the state’s words, verbatim · CDSS document, Apr 7, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection. The LPA was greeted by Caregiver John Jacob, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Facility Overview: The facility is a single story building with five(5) residents bedrooms, three and half(3.5) bathrooms, a dinning room, a family room, a kitchen and a garage. There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked under the sing in the kitchen and inaccessible to residents. The smoke detector and carbon monoxide detector were in good working condition. LPA observed fire extinguishers to be in compliance with the department's requirements and with an expiration date of February 28, 2026. The water temperature was tested within regulations measuring at 118.9 F Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The administrator holds a current administrator’s certificate with expiration date of December 29, 2025 and a CPR certification with the expiration date of August 28, 2025 Record Review and Resident/Staff Files: LPA reviewed files for three(3) staff members, confirming criminal clearance, updated training, and CPR/First Aid certification. Three (3) residents' files were reviewed and contained all required documentation. LPA observed first kit to be locked and inaccessible to the residents in care. The residents and staff files were kept in the dining room area and inaccessible to unauthorized individuals Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the kitchen area. LPA reviewed medications for two(2) residents, confirming that all medications were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 02-06-2025, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Licensee/Administrator Agnes Martinez.the state’s words, verbatim · CDSS document, Apr 17, 2025

Type of visit: Required - 1 Year

On 4/18/2024, Licensing Program Analyst (LPA) Janette Romero arrived unannounced to conduct an annual required inspection. LPA was greeted and granted entry by Caregiver, Chantale Dargo who was informed of the purpose of the visit. Administrator, Agnes Martinez was contacted and informed of LPA's visit. The facility has a fire clearance for six (6) non-ambulatory/bedridden residents. The facility also has an approved hospice waiver for five (5) residents and LPA was informed there are currently four (4) residents receiving hospice services at the facility. During today's visit, there was six (6) residents and two (2) staff present. LPA conducted a tour of the facility's interior and exterior with Caregiver Dargo. During the tour, LPA observed the facility is made up of a one-story home with five (5) resident bedrooms, three (3) bathrooms, a kitchen, dining room, living room, laundry room and attached garage. There are no bodies of water on the premises. Indoor and outdoor passage ways were free of obstruction. Resident rooms had the required bedding, furniture and functional lighting. The facility has a fire alarm system and charged fire extinguishers serviced on 4/17/2024. Facility staff tested the smoke/carbon monoxide detectors and LPA found them to be operational. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and 7-day supply of non-perishable food items, and food is stored in a safe and healthful manner. Emergency food and water are stored in the garage. Cleaning solutions, laundry detergent and disinfectants are secured in the locked laundry room. Additional cleaning solutions and disinfectants are secured in a cabinet stored in the garage. Medication is secured in a locked dining room cabinet. LPA reviewed all resident files and all residents have updated physician's reports. The facility does not safeguard residents' cash resources. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Caregiver Dargo.the state’s words, verbatim · CDSS document, Apr 18, 2024