Paradise Hills Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Liliana Silveira, conducted an unannounced visit to conduct an annual inspection. LPA disclosed the purpose of the visit and was allowed entry into the facility by care staff Denisse Ramirez. During the visit, LPA provided consultation to the Licensee, who reported that starting today, May 8th, 2026, that she will close the facility. LPA toured the facility and verified that there is one (1) resident in care. LPA discussed the facility closure requirements with the Licensee. LPA will return to the facility to conduct a final closure visit to verify the relocation of the resident. An exit interview was conducted, and a copy of this report and Licensee's Rights (9058 03/22) were provided to the Licensee. Signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, May 8, 2026

Type of visit: Case Management - Annual Continuation

Licensing Program Analysts (LPA) Liliana Silveira conducted an unannounced visit to continue a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Administrator Rosemary Landa. According to the facility’s license, the facility has a maximum capacity of 6 non-ambulatory residents, age range of 60 and over. 1 may be bedridden and hospice waiver is granted for 4. During today’s inspection, there were a total of 3 residents in care. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by the Administrator, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining,laundry,visitation, meetings, and client activities. The facility’s ambient internal temperature was 68 F. Hot water temperature at taps accessible to clients were all compliant: Bathroom #1 sink was 116 F, and Bathroom #2 sink was 115.4 F. No pools or bodies of water were observed on the premises. Per Licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. First aid kit(s) were complete and readily accessible. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. Required licensing postings were observed in visible areas of the facility. LPA interviewed multiple staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee's staff also presented proof of current/active business liability insurance and surety bond. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Rosemary, to whom a copy of this report, Licensee/Appeal Rights (LIC9058 03/22) and LIC 9172-TA were provided.the state’s words, verbatim · CDSS document, May 28, 2025

Allegation investigated: Staff speaks to resident in an inappropriate manner. Staff threatened resident.

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced complaint investigation visit to deliver findings. LPA Silveira introduced themselves, disclosed the purpose of the visit and was granted entry by caregivers Adrian Guzman Medina and Alexandra Fonseca. Administrator Rosemary Landa arrived shortly after. The Department’s investigation consisted of observations, interviews and a records review. On May 7, 2025, it was alleged that a facility staff member, Staff #1 (S1), spoke inappropriately to Resident #1 (R1). It was also alleged that Staff #1 threatened R1, specifically with an eviction. A record review of R1’s medical report revealed that R1’s main diagnosis is dementia. An interview with R1 revealed that R1 was cognizant during the interview and understood the questions being asked. R1 atated that they did not have issues with any staff members speaking to them inappropriately and have no recollection of being threatened with an eviction by S1. R1 also indicated that they like living at the facility.(CONTINUED ON NEXT PAGE, LIC 9099C) Unsubstantiated (CONTINUED FROM PAGE 1, LIC 9099) Interviews with two (2) other residents also revealed that they do not believe S1 speaks to residents in an inappropriate manner. The other (2) residents also stated that they have never witnessed that S1 threaten any resident with an eviction. Interviews with Staff #2 (S2) also revealed that they have never witnessed S1 speaking inappropriately to residents or threatening any resident with eviction. An interview with outside source #1 (OS1), who advocates for R1, also revealed that they have never witnessed S1 or other staff speaking to R1 in an inappropriate manner. OS1 also stated that they did not believe that S1 threatened R1 with an eviction. An interview with outside source #2 (OS2), who also advocates for R1,revealed that OS2 believes that all staff treat the resident with respect and R1 has thrived at this facility. Even though an interview with Outside Source #3 (OS3) revealed that they believed R1 had been treated with disrespect by S1, OS2 and OS3 stated that they believed there may have been a misunderstanding. There is insufficient evidence to support this allegation. Due to a lack of corroborating evidence, the allegation that S1 speaks inappropriately to R1 and that S1 threatened R1 are unsubstantiated. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation occurred, therefore, the allegation is unsubstantiated. A copy of this report, along with Licensee/Appeal Rights LIC 9058 (03/22) were provided to Rosemary.the state’s words, verbatim · CDSS document, May 15, 2025 · control 08-AS-20250507154939

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced visit to commence a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Caregivers Alexandra Fonseca and Adrian Guzman. Administrator Rosemary Landa arrived shortly after. During today’s visit, LPA briefly toured the facility and interviewed staff and residents. No deficiencies were cited during today’s visit. Due to time constraints, a return visit on a subsequent day is needed to complete the annual inspection. An exit interview was conducted with Rosemary Landa, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, May 15, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an announced Pre-Licensing visit. LPA was met by Applicants Annie Nazarian, Emmanuel Hernandez, Anna Petrosyan, and Rosemary Landa and was granted entry into the facility. The purpose of today's visit is to inspect the facility to ensure that the facility is in compliance with California Code of Regulations, Title 22, Division 6. The fire inspection was completed on 6/5/2023 and the facility is approved for 6 non-ambulatory residents, 1 of which may be bedridden in bedroom #1. The facility has requested a hospice waiver for 4 residents. During today's visit, LPA toured the facility and inspected every room. The facility was found to be clean, safe, and in good repair with no pathway obstructions. Resident bathrooms were observed to be clean and the toilets and showers were found to be in working order. The facility's water temperature in a private bathroom was measured at 105.3 degrees Fahrenheit. LPA observed locked storage areas where all hazardous and/or toxic chemicals were stored and secured. LPA observed locked storage for resident medications. Fire extinguishers were observed throughout the facility and found to be in compliance. A functioning carbon monoxide detector and smoke detectors were observed in the facility. No bodies of water were observed near or on the premises. LPA observed 7-day supply of non-perishable food and a 2-day supply of perishable food. Required postings were observed in a common area of the facility. LPA reviewed facility’s Infection Control Plan and Emergency Disaster Plan. LPA conducted Component III with the applicants Nazarian and Hernandez. The topics discussed were continuing operation requirements, record keeping/reporting, and physical plant compliance. Pre-licensing is complete, and this facility has no deficiencies. It is recommended that this facility be licensed pending final review and approval. An exit interview was conducted with the applicants, 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 23, 2024

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Annie Nazarian, Emmanuel Hernandez Interview Method: Telephone interview On February 13, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Feb 13, 2024