Exclusive Raya's Paradise

Type of visit: Case Management - Health Checks

At approximately 1:30 p.m. on 04/08/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with the assistant administrator and disclosed the reason for the visit. Today’s case management visit was conducted to ensure the health and safety of all residents. LPA toured the facility inside and out at 1:35 p.m. today, attempted interviews with three (03)-out of three (03) residents between 1:40 p.m. and 2:00 p.m., and requested pertinent records, including but not limited to admission agreements, medical assessments, care plans, and staff and client rosters at 3:00 p.m. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Apr 8, 2026

Type of visit: Case Management - Health Checks

On 12/01/25, at 11:01am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Kevin Moscoso, Scheduling Coordinator and explained the purpose of the visit. 1. LPA conducted a physical tour-living/dining room, resident rooms, bathrooms, kitchen area checked facility temperature which was set at 72 and 74 degrees. 2. There are cameras in the common areas of the facility. 3. There was two (2) staff providing care and supervision. 4. Some residents were on one (1) side of the facility sleeping and the others were around the dining hall waiting for lunch. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to the Scheduling Coordinator.the state’s words, verbatim · CDSS document, Dec 1, 2025

Type of visit: Case Management - Health Checks

On 11/10/25, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Kevin Moscoso, Scheduling Coordinator and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. LPA conducted a physical tour-living/dining room, resident rooms, bathrooms, kitchen area checked facility temperature which was set at 68 degrees. 2. There are cameras in the common areas of the facility. 3. There was two (2) staff providing care and supervision. 4. All residents were on one (1) side of the facility watching a television show. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to the Scheduling Coordinator .the state’s words, verbatim · CDSS document, Nov 10, 2025

Type of visit: Case Management - Health Checks

On 10/29/25, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Daniela Blanco, Caregiver and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. LPA conducted a physical tour-living/dining room, resident rooms, bathrooms, kitchen area checked facility temperature which was set at 72 and 73 degrees. 2. There are cameras in the common areas of the facility. 3. There was two (2) staff providing care and supervision. 4. Some residents were on one (1) side of the facility watching a television show, some residents were eating breakfast and one (1) resident was sleeping. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to the Caregiver.the state’s words, verbatim · CDSS document, Oct 29, 2025

Type of visit: Case Management - Health Checks

On 10/20/25, at 8:55am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Kevin Moscoso, Scheduling Coordinator and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. LPA conducted a physical tour-living/dining room, resident rooms, bathrooms, kitchen area checked facility temperature which was set at 68 and 69 degrees. 2. There are cameras in the common areas of the facility. 3. There was three (3) staff providing care and supervision and cleaning. 4. The residents were on both sides of the facility some were watching a television show and some were eating breakfast. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to Kevin Moscoso, Scheduling Coordinator .the state’s words, verbatim · CDSS document, Oct 20, 2025

Type of visit: Case Management - Health Checks

On 10/14/25, at 11:05am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Daniela Blanco, Caregiver and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. LPA conducted a physical tour-living/dining room, resident rooms, bathrooms, kitchen area checked facility temperature which was set at 72 and 74 degrees. 2. There are cameras in the common areas of the facility. 3. There was one (1) staff providing care and supervision and cleaning. 4. All residents were on one (1) side of the facility watching a television show and one (1) resident was in their room. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to Daniela Blanco, Caregiver.the state’s words, verbatim · CDSS document, Oct 14, 2025

Type of visit: Case Management - Health Checks

On 10/08/25, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Daniela Blanco, Caregiver and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. LPA conducted a physical tour-living/dining room, resident rooms, bathrooms, kitchen area checked facility temperature which was set at 68 and 69 degrees. 2. There are cameras in the common areas of the facility. LPA observed current administrator license, Theft and Loss sign, resident rights sign and Ombudsman sign against the facility walls, Mandated Reporter, several Evacuation plans and an October Activities Schedule. 3. There was one (1) staff providing care and supervision and cleaning. 4. All residents were on one (1) side of the facility watching a television show. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to Daniela Blanco, Caregiver.the state’s words, verbatim · CDSS document, Oct 8, 2025

Type of visit: Case Management - Health Checks

On 09/30/25, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Daniela Blanco, Caregiver and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. Emergency Preparedness and Disaster Plan was reviewed. The last emergency evacuation drill was conducted on 08/28/25 the Facility Safety Assessment was also conducted on 08/28/25. 2. LPA conducted a physical tour-living/dining room, resident rooms, bathrooms, kitchen area checked facility temperature which was set at 68 degrees and two (2) bathroom's water temperatures within 116 and 120 degrees. 3. There was one (1) staff providing care and supervision and cleaning. 4. Interview Staff No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to Daniela Blanco, Caregiver.the state’s words, verbatim · CDSS document, Sep 30, 2025

Type of visit: Case Management - Health Checks

On 09/24/25, at 9:05am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Administrator, Brian Rosales and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. Interviewed Staff 2. LPA conducted a physical tour-living/dining room, resident rooms, bathrooms, kitchen area and pulled random emergency/pull alarms that were functional. 3. There was one (1) staff providing care and supervision and cleaning. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to Administrator, Brian Rosales.the state’s words, verbatim · CDSS document, Sep 24, 2025

Type of visit: Case Management - Health Checks

On 09/15/25, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Kevin Moscoso, Scheduling Coordinator and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. Interviewed Staff 2. Reviewed staff and resident files 3. There were two (2) staff providing care and supervision. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to Kevin Moscoso, Scheduling Coordinator.the state’s words, verbatim · CDSS document, Sep 15, 2025

Type of visit: Case Management - Health Checks

On 09/10/25, at 8:55am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Daniela Blanco, Caregiver and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. Interviewed Staff 2. Conducted a Physical Tour-bathrooms, bedrooms and living room area. 3. There were two (2) staff providing care and supervision. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to the Daniela Blanco, Caregiver.the state’s words, verbatim · CDSS document, Sep 10, 2025

Type of visit: Case Management - Health Checks

On 09/03/25, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Brian Rosales, Administrator and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. Interviewed Staff 2. Conducted a Physical Tour-There was two (2) staff providing care and supervision. 3. LPA reviewed and observed the medication cart that is shared for both facilities. The medication system the facility uses is called Yardi EHR. Let it be noted, there is one (1) telephone line for both facilities. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to the Brian Rosales, Administrator.the state’s words, verbatim · CDSS document, Sep 3, 2025

Type of visit: Case Management - Health Checks

On 08/26/25, at 8:15am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety. LPA met with Kevin Moscoso, Scheduling Coordinator and explained the purpose of the visit. During this visit, LPA obtained the following information: 1. Resident Roster 2. Staff Roster 3. Interviewed Staff 4. Conducted a Physical Tour-Three (3) bedroom and two (2) bathroom facility facility is divided by a door arch. It has a kitchen and living room area. The medication cart is kept on this side of the facility. The staff is shared between two (2) facilities. There is a patio area. This side of the facility has a garage. No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to the Scheduling Coordinator.the state’s words, verbatim · CDSS document, Aug 26, 2025

Type of visit: Required - 1 Year

On 08/21/25, 10:30 am, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced annual inspection visit at the facility. LPA met with the Administrator, and reason for the visit was discussed. Facility is licensed as a single-story residence, fire clearance for five (5) non-ambulatory. Hospice waiver for five (5). Facility has three (3) total bedrooms, and two (2) bathrooms. LPA conducted a tour of the physical plant with the Administrator and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Auditory alarm sensors are present on all exits. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Room temperature is comfortable; wall thermostat displays a setting of 72.0°F., within the required range. An approved Mitigation and Infection Control plan is on file. Hand washing, coughing etiquette, and other necessary signage are prominently displayed throughout the facility. Required postings observed to be current. Disaster drills were last conducted: July 2025. KITCHEN area is clean and clear of clutter. LPA observed refrigerator, microwave, stove/oven, dishwasher and sink to be operational. Knives/Sharps are stored in a locked top kitchen drawer inaccessible to residents. A two-day supply of perishable food was observed as properly stored and labeled. A seven-day supply of nonperishable food is stored and available to residents. Dish Soap, cleaning solutions, and toxins are stored in a locked shed near the kitchen. [LIC 809C-continued]--- Fire Detection/Protection system is present in the facility. Multiple dual smoke alarm/ carbon monoxide detectors are installed, hardwired, and interconnected. Detectors were tested and function properly. LPA observed two (2) fire extinguishers located at front and rear exits. Extinguishers display a full charge; Service date: 01/07/2025. Medications are stored in a secured medication cart near the kitchen area and are inaccessible to residents. Medications are listed on a centrally stored medication and destruction record log. A First Aid kit is complete and stored inside the living room cabinet. Laundry: LPA observed laundry area, located in room adjacent to the kitchen. Laundry soaps, and other cleaning agents, are stored and inaccessible to residents. Hallway area storage cabinets contain fresh towels, linens and blankets, sufficient for residents. Commons: LPA observed living room, and dining area, finding them clean, organized, and clear of obstruction. Furnishings observed to be in good condition and provide adequate seating for residents. Activities were observed stored in living room cabinet, with contains arts and crafts, board games, puzzles etc. Bedrooms are observed as clean with sufficient lighting, properly furnished with sufficient closet space, bedding, linens, at least one chair, and night stand. Bathrooms were observed to be clean and sanitary with necessary personal hygiene supplies and required safety fixtures (grab bars, anti-slip floor striping). Hot water temperature measured at 117°F. Within the required range. Towels and washcloths are not shared. Garage is detached from the house and observed to be inaccessible to residents. Garage is also used as storage, extra water and PPE supplies. [LIC 809C-continued]--- Outdoor (backyard) area observed to have a shaded patio, with tables and seating sufficient for residents and visitors. Outdoor furniture was observed to be in good condition. There are no bodies of water in the facility. Resident records are stored in staff office and inaccessible to residents. Records were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be complete and current. Staff records are stored in staff office and inaccessible to residents. Staff files contain criminal record clearances and are associated to this facility. Staff records appear to be complete and current. There were no health and safety hazards observed during the day of inspection. Exit interview conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Aug 21, 2025

Type of visit: Case Management - Other

Licensing Program Analysts (LPAs) Angela Panushkina and Perchui Milena Khurshudyan conducted an unannounced site visit at this facility for the purpose of obtaining records. LPAs met with Administrator, Brian Rosales and Owner Moti Michael Gamburd and explained the purpose of the visit. During this visit, LPAs obtained the following information: 1. Census 2. Personnel Report (LIC500) 3. Identification and Emergency Information (LIC601) 4. Physician’s Report (LIC602) 5. Admission Agreement (LIC604A) 6. Register of Facility Clients/Resident (LIC9020) 7. Power Of Attorney (POA) or Conservator (Contact Information) 8. Rent Payment Source Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jun 11, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Arman Ahangarzadeh for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 1:30 PM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of three (03) bedrooms and two (02) bathrooms. The facility is fire cleared for five (05) non-ambulatory. The facility is currently occupying three (03) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 76°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located in the kitchen, observed to be fully charged and last inspected on 02/01/2024. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 111.3°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Sep 8, 2024