Paradise Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Administrator Remedios Inocencio. The facility has a licensed capacity of 6 non-ambulatory residents and has a hospice waiver for 2 residents. During today’s visit, the facility had a census of 5 residents, 4 were non-ambulatory. The Administrator for the facility is Remedios Inocencio and their certificate was valid and current. During today’s visit, LPA inspected each room of the facility, including resident rooms, private and common bathrooms, kitchen, garage, common areas, and outside space. No bodies of water, delayed egress, or secured perimeter were observed on the premises. The facility was found to be clean, safe, and in good repair. LPA observed linens and hygiene products for resident use. The facility’s ambient temperature was measured within regulatory requirements. The hot water temperature in private and common bathrooms were measured at 124.0 and 128.7 degrees Fahrenheit. Administrator turned down the hot water heater during the visit. LPA observed locked storage for resident medications and hazardous and/or toxic chemicals, both of which were stored separately from food supplies. According to Remedios Inocencio, no firearms or weapons are stored on the premises. LPA observed a minimum supply of 2-days of perishable food and 7-days of non-perishable food. The refrigerator and freezer temperatures were kept within requirements. Staff present at the facility had a criminal background clearance and association. LPA reviewed multiple resident and staff records. The following deficiency was cited for water temperature and noted on the attached LIC809-D page. Additionally, an LIC9102TV Technical Violation regarding evacuation drills and LIC9102TA Technical Advisories regarding resident annual visits and facility maintenance were provided. An exit interview was conducted with Administrator Remedios Inocencio, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Dec 10, 2025

The state marks this report as 6 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 Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Administrator Remedios "Remy" Inocencio. The facility is licensed for a maximum capacity of 6 non-ambulatory residents. The facility has a waiver for 2 hospice residents. During today’s visit, the facility had a census of 5 residents, 3 ambulatory and 2 non-ambulatory. The Administrator for the facility is Remedios Inocencio and their certificate was valid and current. During today’s visit, LPA toured the facility and inspected each room of the facility, including resident rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed on the premises. LPA did not observe any aspects of delayed egress or secured perimeter. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 108.9 and 119.5 degrees Fahrenheit in common bathrooms for resident use. The facility’s internal temperature was measured at 73 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Remedios "Remy" Inocencio, no firearms or weapons are stored on the premises. LPA also observed locked storage for resident medications and resident and staff files. Resident medications are stored in their original container and labelled. LPA observed a minimum of a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 33 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. Continued on LIC809-C page… LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, initial physician’s report and updated assessment, documents regarding safeguarding personal property, and personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPA spoke with staff and residents present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. LPA was away from the facility for approximately one hour between 12:20pm and 1:20pm. LPA provided Administrator with an LIC9102TA Technical Assistance regarding documentation of staff training and an LIC9102TV Technical Violation regarding medication storage. No deficiencies were cited on today’s date. An exit interview was conducted with Administrator Remedios "Remy" Inocencio, whose signature below confirms receipt of a copy of this report, the LIC9102TA, LIC9102TV, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Jan 8, 2025

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.

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit to conduct follow up regarding a self-reported incident report. LPA was greeted by, identified herself to, and explained the purpose of the visit to Administrator Remedios "Remy" Inocencio. During today's visit, LPA observed residents in care. On 3/29/2024, the Department received a self reported incident report dated 3/28/2024 that described that on 3/18/2024, Resident 1 (R1) had eloped from the facility without staff supervision and returned the same day. During a case management visit on 4/30/2024, LPA conducted a health and safety check, observed residents in care, reviewed records, and interviewed residents and staff. Interviews and review of facility's sign in sheet revealed that immediately prior to the elopement on 3/18/2024, R1 signed the facility's sign out sheet and indicated where R1 would be during their elopement. Interviews with the Administrator revealed that upon discovering that R1 had eloped from the facility, the Administrator contacted law enforcement to report that R1 had eloped from the facility. The Administrator also contacted R1's responsible party to notify them of R1's elopement. R1's responsible party was able to locate R1 and notified the Administrator of R1's location. Interviews with R1 and the Administrator revealed that R1 returned to the facility unharmed at around 1:00pm. Review of R1's medical assessment records revealed that R1 was not allowed the leave the facility unassisted. Review of the facility's absentee notification plan confirmed that the facility followed their absentee notification plan. LPA provided Administrator with technical assistance regarding absentee notification plans on an LIC9102TA form. No deficiencies were cited on today's date. An exit interview was conducted with Administrator Remedios "Remy" Inocencio, whose signature below confirms receipt of a copy of this report, the LIC9102TA, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, May 13, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit to conduct follow up regarding a self-reported incident report. LPA was greeted by, identified herself to, and explained the purpose of the visit to Administrator Remedios "Remy" Inocencio. On 3/29/2024, the Department received a self reported incident report dated 3/28/2024 that described that on 3/18/2024, Resident 1 (R1) had eloped from the facility without staff supervision and returned the same day. During today's visit, LPA observed residents in care, conducted a welfare check, reviewed facility records, and interviewed residents and staff. Additional follow up is required and will be completed on a subsequent visit. No deficiencies were cited on today's date. An exit interview was conducted with Administrator Remedios "Remy" Inocencio, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 30, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Regino Inocencio. Administrator Remedios "Remy" Inocencio arrived during the visit. The facility is licensed for a maximum capacity of 6 residents, all of which may be non-ambulatory. The facility has a waiver for 2 hospice residents. During today’s visit, the facility had a census of 3 residents, 1 of which was non-ambulatory. LPA did not observe any aspects of delayed egress or secured perimeter. The Administrator for the facility is Remedios Inocencio and their certificate was valid and current. During today’s visit, LPA toured the facility and inspected each room of the facility, including resident rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed near or on the premises. According to Remedios Inocencio, no firearms or weapons are stored on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 109.8 degrees Fahrenheit in a common bathroom. The facility’s internal temperature was measured at 70 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. LPA also observed locked storage for resident medications and resident and staff files. Resident medications are stored in their original container and label. LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 40 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the clients that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. Continued on LIC809-C page... LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, updated physician’s report and medical assessment, documents regarding safeguarding personal property, and personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPA spoke with staff and residents present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. The Administrator will submit copies of the LIC500 Personnel Report, LIC610E Disaster Plan, and current liability insurance to the Department within 15 business days. LPA provided technical assistance regarding storing dangerous and/or hazardous items inaccessible to residents. No deficiencies were cited on today’s date. An exit interview was conducted with Administrator Remedios Inocencio, whose signature below confirms receipt of a copy of this report, an LIC9102TV, and the Licensee Appeal Rights (LIC9058 01/16).the state’s words, verbatim · CDSS document, Jan 29, 2024

Allegation investigated: Administrator did not provide written admission agreement. Administrator did not allow resident to have access to personal possessions. Staff did not treat the residents with dignity.

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Caregiver Iluminada Newton. On March 22, 2022, Community Care Licensing (CCL) received a complaint alleging administrator did not provide written admissions agreement to Resident 1 (R1), administrator did not allow R1 to have access to personal possessions and staff did not treat multiple residents with dignity. During investigation, LPA Strong collected pertinent resident records as well as facility documentation, conducted interviews and made observations. According to allegation, R1 was not allotted a copy of admissions agreement. Records revealed R1 moved into facility on February 21, 2022, and LPA Strong viewed a signed admissions agreement from February 27, 2022. Interview with R1 on April 1, 2022, revealed that R1 had not yet signed or received an admissions agreement. Continue on LIC9099-C Unsubstantiated Interview with administrator revealed R1 was issued a copy of the admissions agreement. Interview with an outside source revealed there were no issue with other admissions agreements and/or receiving copies of resident records when requested. It was also alleged that R1 was not allowed to move in personal possessions into bedroom. Interview with staff revealed that R1 had items that were not able to be stored inside the facility without safety hazards. Interview with R1 revealed R1 then invested in a storage unit to safeguard personal property that did not fit into the facility. During April 1, 2022, facility inspection, LPA Strong observed R1’s room with a closet, drawers as well as multiple bedside tables with personal possessions. Interview with outside source did not reveal any issues with residents not being able to access their personal possessions on the facility property. Lastly, it was alleged that Staff 1 (S1) yelled at R1 and other residents. Interviews with S1 revealed that S1 has not raised their voice towards any resident. Interview with staff established that there have been no witnessed incidents between S1 and residents. Interview with residents did not corroborate that S1 is treating residents rudely. Interview with an outside source revealed no issues with staff not treating residents without dignity. Based on LPA's interviews, observations, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Caregiver Iluminada Newton, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.the state’s words, verbatim · CDSS document, Nov 29, 2023 · control 08-AS-20220322154451