Paradise Care Home

Type of visit: Case Management - Incident

On March 30, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced case management visit to follow up on an incident that occurred on 3/15/26. LPA met with Administrator, Ping Jing Zhao and explained the purpose of the visit. The Licensee reported, on 3/15/26 at approximately 11:40am, staff went to Resident 1's (R1's) room to assist him/her with lunch, however discovered that R1 was not in his/her room. Staff searched the facility but was unable to locate R1. Administrator was notified and police was contacted to report R1 missing. Staff searched the neighborhood while waiting for the police's assistance. Police called shortly after and informed facility that the emergency department reported a patient matching R1's description. According to the hospital, a passerby saw R1 kneeling on the sidewalk and called emergency medical services. R1 was evaluated at the hospital and discharged back to the community. During the visit, LPA interviewed administrator, toured the facility, and reviewed R1's file. According to R1's file reviewed, R1 has a diagnosis of dementia and is unable to leave the facility unassisted. R1's physician's report dated 4/17/25, notes that R1 does get confused/disoriented and does have a wandering behavior. According to the administrator, this is the first time R1 has eloped from the facility and neither administrator nor staff were aware that R1's physician documented R1 as having wandering behaviors. According to staff interviewed and observations, the door alarms were not working. According to staff, the receiver for the door alarms was not plugged in and has not been plugged in for a while. (continue to 809C) After the incident occurred, administrator reached out to the physician who provided facility with an updated physician's report for R1. According to R1's physician's report dated 3/21/26, it indicates R1 is now allowed to leave the facility unassisted and has occasional confusion. Nevertheless, due to the alarms not turned on and not operating, R1 who has a diagnosis of dementia, has wandering behaviors and is unable to leave the facility unassisted was able to leave the facility without supervision and was found at the hospital with minor abrasions to the knee. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. Copy of appeals rights is provided. This report is reviewed and discussed with the Administrator; a copy is provided.the state’s words, verbatim · CDSS document, Mar 30, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(d) · Plan of correction due date: Mar 31, 2026

87705 Care of Persons with Dementia: (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement... This requirement is not met as evidenced by: Based on R1's physician's report dated 4/2025, R1 has a diagnosis of dementia, has wandering behaviors and is unable to leave the facility unassisted. According to staff interviewed, they were not aware that R1's physician's report notes that R1 has wandering behaviors. Based on observations and interviews, the staff had the receiver for the auditory device turned off.the state’s words, verbatim · CDSS document, Mar 30, 2026

Plan of correction: Licensee/administrator plugged the receiver back in for the auditory device to monitor exits. LPA observed the auditory devices on both exit doors to be in good working condition. Deficiency cleared and corrected.

Type of visit: Required - 1 Year

On 03/10/2028, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required annual 1 year inspection visit. LPA met with the Administrator Lei Bi and explained the purpose of today's visit. During today's visit there are 5 residents present and 1 is in the hospital due to illness. There are 3 staff present and the administrator. This is a two level facility. Resident reside on the ground floor only. The second floor is housed only by staff at this time. There is a keypad locked door in the kitchen that leads to the second floor. This facility is licensed for 6 residents, 60 and over, whom all may be non-ambulatory. Hospice waiver on file for 2 residents. During today's visit there are 2 residents on hospice. LPA inspected the kitchen and found it clean, with breakfast preparation and cooking in progress at the time. Lunch was also being prepared for cooking. The appliances were checked and observed to be in working order. LPA inspected a locked cabinet containing knives and sharp objects below the cooking range. Resident medications are locked as well with resident files on a lower cabinet adjacent to the cooking range. The refrigerator and pantry cabinets are inspected as sufficient in supplies of fresh perishable food for (2) days and nonperishable staples for (7) days were observed. No expired food or stored medications were noted in the refrigerator. Dining table is in the kitchen. The large living room area is observed as clean, with all furniture in good repair. There was a sofa set and a television in the living room. LPA observed a fire extinguisher mounted on the wall adjacent to the living room are and found it fully charged, with the last service tag dated 01/21/2025. Facility has a hard wired combination smoke and carbon monoxide detector in the living room which is central to all resident rooms. Continued on LIC809-C Page 2 There are 6 bedrooms and four 4 bathrooms designated for residents' use. All 6 rresident rooms are single occupancy. All resident rooms are found to clean, well-lit, and equipped with the required furniture outlined in Title 22. Storage closets with incontinence supplies are in every resident room. LPA inspected bathrooms and found them clean, sanitary, and in good working condition. The bathrooms contained soap, grab bars, paper towels, a trash can, a shower chair, and non-slip flooring. Water temperature is tested in two resident restrooms at 113F. Linen closet is observed adjacent to the living room as sufficiently supplied. The garage contains the washer, dryer, a refrigerator, a freezer containing additional food supplies, a cabinet with detergents, disinfectants, and cleaning supplies are observed. A walk around of the outside perimeter and the backyard is conducted and is observed as safe with fencing in place, no hazardous items or materials, and emergency exit routes are free and clear of any obstructions. LPA reviewed resident and staff records and found both to be current and complete. Staff training is in place and first aid cards are present. Last fire drill conducted was on 12/19/2025 per records observed, which was a fire drill that took place. LPA inspected the first aid kit and found it fully stocked as well during today's visit. Medications and its records are observed to be current and logged accurately. - LIC500 Personnel Report - LIC308 Designation of Facility Responsibility - Certificate of Liability Insurance - Copy of Administrator Certificates No citations issued on this day. Report is reviewed with Lei Bi and a copy is provided.the state’s words, verbatim · CDSS document, Mar 10, 2026

Type of visit: Required - 1 Year

On April 09, 2025, at 08:40 AM, the Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. The LPA met with the Administrator, Becky Bi, and disclosed the purpose of the inspection. The Administrator informed the LPA that the facility had (5) residents in care and (2) staff members present at the time. At 9:28 AM, the LPA initiated a walk-through of the facility, accompanied by the Administrator. LPA inspected the kitchen and found it clean, with breakfast preparation and cooking in progress at the time. The appliances were checked and observed to be in working order. The LPA inspected a locked cabinet containing knives and sharp objects. The refrigerator and pantry cabinets were inspected, and sufficient supplies of fresh perishable food for (2) days and nonperishable staples for (7) days were observed. No expired food or stored medications were noted. LPA inspected the dining area adjacent to the kitchen and found it clean. The dining table and chairs were observed to accommodate the residents, and all the furniture was in good repair. Three (3) residents were observed eating breakfast. LPA inspected the living room and observed it clean, with all furniture in good repair. There was a sofa set and a television in the living room. One (1) resident was observed sitting on the sofa and drinking coffee. LPA inspected the fire extinguisher mounted on the wall in the living and found it fully charged, with the last service tag dated 01/21/2025. Continued on LIC809-C The Administrator tested the smoke and carbon monoxide detector located in the living room in the LPA's presence, and it was found to be functional. Additional smoke and carbon monoxide detectors were observed in all bedrooms and common areas of the facility during the visit. There were six (6) bedrooms and four (4) bathrooms designated for residents' use. All (6) resident rooms were single occupancy. LPA inspected all (6) resident rooms and found them clean, well-lit, and equipped with the required furniture. Storage closets with incontinence supplies were observed in every room. LPA inspected four (4) full bathrooms and found them clean, sanitary, and in good working condition. The bathrooms contained soap, grab bars, paper towels, a trash can, a shower chair, and non-slip flooring. At 9:46 AM, the hot water temperature at the sink faucet measured 140.5°F in bathroom #1 and 142.2°F in bathroom #2. The hallway closets were observed to contain clean linens and towels for residents’ use. LPA inspected the garage and found it clean. A washer, a dryer, a refrigerator, a freezer containing additional food supplies, a cabinet with detergents, disinfectants, and cleaning supplies were observed. LPA toured the backyard area and found ramps and passageways in good condition, clear of obstructions, with no blocking or tripping hazards. The backyard has a set of a patio table, chairs, and shaded areas for resident use. No bodies of water were noted. LPA inspected (1) storage shed and observed wheelchairs, walkers, and furniture items in the shed. LPA reviewed three (3) staff personnel records and five (5) resident records. At, 10:58 AM, The LPA observed that 1 of 5 residents with MCI had last annual Physician assessment done on 07-10-2015. LPA observed that 3 of 3 staff members had LIC 508 Criminal Record Statements and LIC 503 Health Screening and confirmed that 3 of 3 staff members were associated with the facility. At 11:34 AM, the LPA observed a locked centrally stored medication cabinet located inside the locked cabinets in the kitchen. Medications were organized in separate bins for each resident. 3 of 5 resident’s medication prescription names, numbers and date filled were not entered correctly in the Centrally Stored Medication Records (CSMR). 3 of 5 resident’s prescription medication labels were altered with the handwritten notes on it. LPA inspected the first aid kit and found it fully stocked. Continued on LIC809-C At 11:48 AM, the LPA reviewed Emergency Drill Logs and observed Emergency Disaster Drills were not conducted quarterly, with the most recent drill completed on 04/06/2019. The following updated forms are requested to be submitted to CCLD by 04/16/2025: LIC 500: Personnel Report LIC 308: Designation of Facility Responsibility Certificate of Liability Insurance Administrator Certificate(s) The deficiencies are being cited based on LPA observations, records reviewed, and interviews conducted in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted, and Plans of Correction were reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and provided to the Administrator, Becky Bi, whose signature on this form confirms receipt of these documents.the state’s words, verbatim · CDSS document, Apr 9, 2025

The state marks this report as 8 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Administrator Becky Bi. During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo toured the facility kitchen area and the refrigerators in the garage. LPA observed a perishable food supply of at least two days and a non-perishable food supply of at least 7 days. LPA Marrufo toured two out of two hallway bathrooms and observed the water temperatures to be at 119 F and 120 F. LPA observed each bathroom had available soap and paper towels and had working lights. LPA Marrufo tested the smoke detectors and carbon monoxide detectors in the hallways and bedrooms, and found them all to be functioning when tested. LPA Marrufo toured 6 out of 6 resident bedrooms and each bedroom had available bedding and clothing storage and had available lighting. LPA toured the outside area and observed the outdoor area to be clear of obstructions. LPA Marrufo reviewed the resident and staff records during visit. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Becky Bi and a copy of this report was provided.the state’s words, verbatim · CDSS document, Apr 15, 2024