Paradise Quality Guest Home II

Type of visit: Required - 1 Year

On 12/11/25, Licensing Program Analyst, Kimberly Viarella, made an unannounced visit to the facility to conduct an annual inspection. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator. LPA met with Licensee/Administrator,Beatriz Afalla and a brief interview followed. Administrator's Certificate Number: 7005613740 and expires on 08/20/26. The facility tour began in the kitchen. All knives and sharps were locked and inaccessible to residents in care at the time of this inspection. LPA observed an adequate food supply for 7 day non-perishable and 2 day perishable. All food items in the refrigerator were stored and dated appropriately. LPA checked the dates printed of a sample of items from the refrigerator and pantry to ensure they had not expired. All cleansers and toxic chemicals were in locked cabinets an inaccessible to residents in care and the 2 fire extinguishers were last inspected on 09/04/25 by Jorgensen Co. LPA observed the appropriate required signage posted: Facility License, Emergency Disaster Plan, LIC 500, See Something Say Something poster, and Resident Rights. LPA then inspected the 6 resident bedrooms. LPA observed all the required furniture, furnishings and lighting required to be in compliance. LPA also observed the staff room to ensure it was being utilized for staff as indicated by the facility sketch. The facility had 2 resident bathrooms. LPA observed soap dispensers and paper towels in both, along trash cans with lids. LPA observed that one bathroom had a bath mat and the other had a shower with a non-slip/skid surface. Both had the grab bars required to be in compliance. The LPA measured the hot water temperature and found it to be 110.8 degrees Fahrenheit and in compliance at the present time. LPA inspected the medication closet which was kept locked and inaccessible to residents in care. LPA reviewed storage, dosing and destruction procedures. LPA then reviewed the first aid kit to ensure it had all of the required elements. All were in compliance at the time of this inspection. LPA then conducted an inspection of the exterior of the building. There were no bodies of water present and the yard was completely fenced in. There was a patio area with seating and shade for residents to enjoy. All gutters and window screens were in good repair at the time of this inspection. LPA observed that the walkway leading to the front entrance was covered in green outdoor carpeting. LPA could feel that the floor beneath her feet was weakening in certain spots and brought this to the attention of the Administrator/Licensee who stated that they will have it repaired within the next 3 weeks. It was not a danger to residents in care, but would become one if not addressed in a timely fashion. A file review was completed by this LPA . The LIC 500 was compared to the Guardian roster to ensure that all staff had the appropriate background clearances. LPA then reviewed 2 resident files and 2 staff files. All were in compliance at the time of this inspection. LPA provided technical assistance regarding 2 sections of the admission agreement reviewed; the first pertaining to the wording for visiting hours, the second regarding reimbursement upon termination of the agreement. LPA provided Licensee/Administrator a copy of the regulations to assist them with updating the wording to reflect best practices. According to the California Code of Regulations, no deficiencies were cited during today's visit. A copy of this report was provided and an exit interview conducted with Affala.the state’s words, verbatim · CDSS document, Dec 11, 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.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Vincent Moleski and Holly Williams arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Beatriz Afalla and explained the purpose of the visit. LPA Moleski reviewed five resident files (R1-R5) and three staff files (S1-S3). LPA Moleski observed that there was no LIC 602 present in R2's file. Afalla said it was misplaced. LPA Moleski observed in R4's file an LIC 602 dated 12/28/24, which diagnosed R4 with a "pressure ulcer of sacral region & buttock, unstageable." LPA Moleski reviewed R4's discharge paperwork from a skilled nursing facility dated 12/31/23, which was prepared prior to R4's release to this facility. The discharge paperwork stated that R4 had pressure injuries on their left heel, sacrum, and left and right buttocks. Afalla said R4 has never been on hospice. Afalla said that the wounds have since healed. LPA Moleski observed in R5's file an LIC 602 dated 11/2/23, which diagnosed R5 as bedridden. LPA Moleski observed that R5 is currently residing in room #3. This facility's fire clearance approves one bedridden resident only in room #1. LPA Moleski toured the facility with Afalla and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 70 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 110 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. [continued on 809-C] LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked closet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives. LPA Moleski interviewed one staff member (S1) and LPA Williams interviewed one resident (R1). This facility is hereby cited per 22 CCR Section 87606(c), 87615(a)(1), and 87458(a). An immediate civil penalty in the amount of $500 for a fire clearance violation is hereby assessed. An exit interview was held with Afalla. Appeal rights and a copy of this report were left with Afalla.the state’s words, verbatim · CDSS document, Nov 19, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit. LPA Moleski met with facility administrator Beatriz Afalla and explained the purpose of the visit. This facility received an updated fire clearance on 9/4/24. LPA Moleski provided Afalla with an updated facility license reflecting the updated fire clearance. No deficiencies were cited during this visit. An exit interview was held and a copy of this report was left with Afalla.the state’s words, verbatim · CDSS document, Sep 25, 2024