Paradise in the Valley

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:30 a.m., the LPA met with staff and explained the reason for the visit. At 9:38 a.m., the Administrator Yehuda Cohen met with the LPA. RECORD REVIEW: Between 9:47 a.m. and 12:00 p.m., the LPA conducted a file review for five (5) residents and five (5) staff. Resident records were reviewed for, but not limited to: care plans, medical assessments, admissions agreement, consent forms. Resident records were in order. Five (5) personnel records were reviewed for, but not limited to: health assessments, criminal record clearances, first aid/CPR training, and training documentation. Personnel files were in order. The LPA spoke with the Administrator regarding required annual training and provided additional information. Facility fire and disaster drill was last conducted on 01/24/2026. The LPA observed documentation for the Infection Control Plan and Emergency and Disaster Plan. Administrator certificate is current and valid until 05/26/2026. During today’s visit, the LPA obtained a copy of the facility’s LIC 500, emergency disaster plan, resident roster, surety bond and liability insurance. At 12:50 p.m., the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards. The facility's smoke alarms are hard wired, and the facility is equipped with sprinkler system. The fire sprinkler inspection (5-Year) was completed on 02/16/2022. Annual fire alarm test was conducted on 04/21/2025 and passed. During the time of the visit, the LPA and Administrator tested carbon monoxide alarms, which functioned properly. Continued on LIC 809-C. KITCHEN: The LPA observed the kitchen and dining area. Knives are stored in the kitchen area and remain inaccessible to residents. The LPA observed sufficient seating for all residents. A waiver was granted on 02/28/2025 for the food to be prepared in the neighboring facility, Grand Valley Health Center. The LPA observed snacks and beverages being available to residents. BEDROOMS: The LPA observed five (5) randomly selected resident rooms throughout facility. Rooms were furnished with clean linens, appropriate furniture and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: The LPA observed restrooms in five (5) resident units and common area restroom. All restrooms were fully stocked with supplies. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces in the bathing units. Water temperature was tested throughout the visit and measured within the required range, ranging between 113.5 and 118.4-degree F. COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguishers to be fully charged and last serviced on 09/10/2025. The LPA observed required postings on the wall near the entrance. The LPA observed cameras installed in the hallways, and at exterior of the building. The Administrator explained that the facility is going to update the cameras. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the janitor closet. The laundry units are located inside near the Administrator’s office. OUTDOOR SPACE: The LPA observed the courtyard, which has a covered outdoor area for residents’ use. There are multiple emergency exits located throughout the facility. Passageways were free and clear from obstruction. There were no bodies of water noted. The LPA observed a locked shed in the courtyard area. Additionally, there is a detached building used for storage containing a supply of emergency water, food, Personal Protection Equipment (PPE), first aid kits and other emergency supplies. Starting at 1:07 p.m., the LPA conducted a review of medication and medication documentation with staff for four (4) residents and observed that medications were properly documented and assisted with as prescribed. Medications and first aid kits are located in a locked medication room. No deficiencies cited. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 18, 2026

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: Case Management - Health Checks

Licensing Program Analyst (LPA) Zabel Chochian conducted a Case Management visit at the above facility at approximately 2:45pm to verify the relocation of Resident #1 (R1) to this facility and to confirm their health and safety following the transition. LPA met with staff Abriiana Thomas. Staff contacted the Executive Director (ED) Yehuda Cohen. LPA spoke with ED and explained the purpose for the visit. At approximately 3pm, LPA Chochian and staff conducted a tour of the physical plant to ensure compliance with Title 22 regulations, which included a tour of R1’s room. During the tour, R1 was observed to be in the activity room. The LPA met with R1 privately in their respectful room. R1 appeared groomed, alert and happy at the time of LPA's visit. No immediate health or safety concerns were observed during the visit. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 28, 2025

Allegation investigated: . Staff are not meeting resident's dietary needs 2. Staff are not serving residents food of good quality 3. Staff spoke inappropriately to resident

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegations and was let into the faciity by Abriiana Thomas, Business Office Manager. Judah Cohen, Administrator, was contacted by telephone and he arrived at 11:13am to conduct the visit. The reason for today's visit was explained On today's visit, LPA Yee conducted an interview with the Administrator at 11:18am, Staff #1 at 11:45pm, Resident #1 at 12:26pm, Resident #2 at 1:11pm, Resident #3 at 1:55pm, Resident #4 at 2:22pm, Resident #5 at 2:37pm and reviewed this week's menu. LPA Yee also reviewed the food supply at the skilled nursing facility locate next door at 2:05pm. Per interviews conducted regarding allegation #1, Staff are not meeting resident's dietary needs, Unsubstantiated Resident #1 who is diabetic, is supposed to be on special diet consisting of low fat, low carbohydrate and low sugar. Per interview with the Administrator, he has had multiple discussions with Resident #1 about the resident's special diet option but resident #1 has continued to choose the regular meal offered to all residents. Per the Administrator, they had and have offered Resident #1 a special diet option but cannot stop a resident from eating what they want. Per interview with Resident #1, they do no not like some of the food that they serve, especially pasta and won't eat it. Resident #1, who loves fruits, would order a fruit plate as a replacement meal for dinner. Per the Administrator, he will speak with the food director next door about adding more alternatives for those on special diets and those who do not like the featured meal being offered. Per the Administrator, in addition to the 3 meals, the facility also serves 3 snacks to residents. Based on the information received, there is insufficient evidence to support the allegation that staff are not meeting resident's dietary needs, therefore the allegation is deemed to be unsubstantiated at this time. Regarding allegation #2, staff are not serving residents food of good quality, per information received from interviews conducted, on 4/8/25, the day before the complaint was filed, Resident #1 had requested a plate of fruits for dinner at lunch time since they did not like the featured dinner. Per Resident #1, the fruit tasted old and had no flavor. They ate the cantaloupe and gave away the watermelon to Resident #2. Per Resident #2, they ate the watermelon but it was old. Per interview with Resident #4, who was present at dinner, they stated that the rinds were still on the melon but, it was not juicy and it looked okay to her. The facility meals are prepared in the skilled nursing facility located next door and delivered to the facility for plating. LPA Yee reviewed the food supply at the nursing home at 2:05pm and observed frozen meats, frozen vegetables in the freezer and canned foods in the pantry. Fresh vegetables and fruits were observed stored in the refrigerators. LPA Yee did not observe any spoiled vegetables or fruits during the review of the food supply. Based on interviews conducted and review of the food supply, LPA Yee was not able to obtain sufficient evidence to support the allegation that staff are not serving residents food of good quality. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated at this time. Per investigation into Allegation #3, staff spoke inappropriately to resident, Staff #1 denies speaking inappropriately or yelling at the Resident 1 to "get out of my kitchen" Per Staff #1, she asked the resident to step out of the kitchen as the resident could slip in the kitchen. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated at this time. Exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Apr 15, 2025 · control 29-AS-20250409105136

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA)s Valeria Conway and Martha Arroyo arrived at the facility at 9:15 A.M., for an unannounced annual inspection. Upon arrival, LPAs met with Evelyn Pena, Wellness Director and at this time the reason for the visit was explained. Administrator Yehuda Cohen was contacted via telephone and arrived at 10:20 A.M. Entrance interview conducted. Beginning at 11:05 A.M., the LPAs along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: Initial test (5-Year) fire sprinkler inspection was completed on 02/16/2022. Fire permit completed on 1/4/2025 and valid through 12/31/2025. Fire safety concerns were noted by Fire Inspector Benjamin Guzman on 01/29/2025. Facility is licensed for 46 ambulatory residents, of which 10 may be bedridden. Fire extinguishers throughout the building were observed to be fully charged and last serviced on 09/09/2024. At 11:10 A.M., dining room carbon monoxide alarm was tested but not functioning; at 11:35 A.M. hallway carbon monoxide alarm was tested and properly functioned at the time of the visit. Technical violation (TV) issued. The Facility does handle cash resources for some of the clients. Surety Bond is current. This facility doesn’t have a staff room, facility will provide 24/7 care. Continued on LIC 809-C Continued from LIC 809 BEDROOMS: A random selection of 6 (six) resident rooms were observed. All rooms were furnished appropriately with clean linens, and sufficient lighting. LPA Conway observed a bed not to have fitted sheets. Technical violation (TV) issued. LPAs observed bathrooms with grab bars and slip resistant mats. LPAs observed one shared bathroom not to have a shower head and shower curtain. Between 11:41 A.M. and 12:00 P.M. hot water temperature was checked in multiple randomly selected rooms and measured within the required range of 105 to 120 degrees Fahrenheit. COMMON AREAS: The facility is a one-story building. The facility contains multiple common areas, which were all observed to be clean, furnished appropriately and in good condition at the time of the visit. There were no obstructions and/or tripping hazards throughout the facility. All required postings were observed in the common area. The facility maintained a comfortable temperature of 73 degrees. LPAs observed cameras throughout the common areas only. Administrator states that cameras are not functioning at the time of the visit. Additionally, next to the dining room, LPAs tested a delayed egress system at 12:10 P.M. which functioned properly at the time of the visit. Facility provides sufficient space to accommodate both indoor and outdoor activities. OUTSIDE AREA: The LPAs and Administrator toured the outside areas of the facility. The LPAs observed appropriate outdoor furniture, with a covered shaded area for resident use. LPAs observed a locked shed containing emergency food. LPAs inspected can foods for expiration dates. LPAs observed expired food items. Expired items were discarded at the time of the visit. Additionally, there is a detached building belonging to the skilled nurse facility next door where a sufficient supply of emergency water was observed. LPAs observed a fenced back patio with a double locked gate. There were no bodies of water noted. KITCHEN AND DINING ROOM: LPAs observed the kitchen and dining room. Food is prepared in the neighboring facility, Grand Valley Health Center. On 03/05/2024, Administrator submitted an offsite kitchen waiver to LPA Yee, which is still under review. Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. Continued on LIC 809-C Continued from LIC 809-C RECORD REVIEW: Starting at 12:07 P.M., LPAs reviewed 6 (six) staff files and 6 (six) resident files. Files were reviewed for, but not limited to: Physician's Reports, Personal Rights, Admission Agreements, staff training records, health screenings, TB tests, and background clearance. Record review of resident files revealed that Resident #1’s (R1)’s physicians report, dated 02/12/2025 indicating R1 not having capacity for selfcare and R1 is neither under hospice care nor have an approved exception on file with the Department. Additionally, LPAs observed two (2) out of six (6) residents to be non-ambulatory. MEDICATIONS: Medication review began at 1:30 P.M. Medications are stored a locked med room inside the medication cart. LPA Conway observed medications for 7 (seven) residents. During medication audit it was observed that five (5) out of seven (7) medication bubble packs contained extra doses of medication. The Wellness Director was unable to provide an explanation as to why the medications were not administered to residents at the prescribed times. Furthermore, the Wellness Director confirmed that there are currently no residents refusing their medication. LPAs also reviewed the facility's Emergency Disaster Plan, which was observed to be complete and updated on 2/3/2025. Emergency Disaster drills are conducted quarterly, with the last drill documented on 12/14/2024. During today’s visit LPAs obtained a copy of the facility’s LIC 500, resident roster, surety bond and liability insurance. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 20, 2025

Allegation investigated: Staff handle residents in a rough manner. Staff yell at residents in care.

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to the facility. The purpose of the visit is to deliver investigation finding. Upon arrival LPA met with Mr. Yehuda Cohen, Executive Director and explained the reason for the visit. Entrance interview conducted. On 05/20/2024, Community Care Licensing Division received the above complaint allegations. Information was provided that the staff (names unknown) are pulling residents and cursing at the residents. Following is a summary of the investigation finding: On 05/28/2024, between 3:40pm-5pm, LPA toured the facility physical plant areas, interviewed four (4) staff and eight (8) residents. Staff interviewed denied the allegation and stated that they have not handled any resident roughly or witnessed any resident being handled roughly at the facility. (Continue to Lic9099c) Unsubstantiated Staff reported that no resident made such allegations of “staff handle residents in rough manner or staff yelling/cursing at residents in care. Residents interviewed did not report any mistreatment by any staff. Residents interviewed denied being handled roughly by staff and denied being yelled at by staff. Resident also reported that no staff have ever cursed at them. Residents interviewed also reported that they have not witnessed any staff yell/curse at any other resident or handle any resident roughly. residents interviewed reported being satisfied with the services provided by the caregiving staff. Several attempts were made to contact reporting party on 05/28/2024, 05/30/2024 and 05/31/2024, however no response was received. Based on the above information gathered, although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the above allegations “Staff handle residents in a rough manner” and “Staff yell at residents in care” are deemed unsubstantiated at this time. Exit interview conducted. A copy of the report was emailed.the state’s words, verbatim · CDSS document, Jul 17, 2024 · control 29-AS-20240520170140

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced subsequent required Annual Inspection and used the complete CARE Inspection Tool. LPA Yee met with Yehuda Cohen, Administrator and the reason for the visit was explained. On today's visit the following domains of the Care Inspection Tool were reviewed: Infection Control, Operational Requirement, Staffing, Resident Rights/Information, Planned Activities, Food Service, Incidental Medical and Dental, Resident Records/Incident Reports and Disaster Preparedness. The following areas are pending clarification: the facility fire clearance and the liability insurance coverage limits. Deficiencies observed during the review were cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Any deficiencies not addressed on today's visit will be addressed on a return visit. Exit interview was conducted, Appeals Rights were discussed and a copy was provided.the state’s words, verbatim · CDSS document, Feb 15, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and initially met with Abriiana Thomas, Staff. Yehuda Cohen, Administrator was contacted by staff and he arrived at 10:11am to conduct the visit. The reason for today's visit was explained. The facility is a single storey commercial building consisting of a industrial sized kitchen, dining room, a library/activities room, a front office, a medication room and 28 resident rooms. Each of the resident rooms are equipped with a toilet and some rooms have showers. There is a total of 2 common bathrooms. The facility is fire cleared for 36 AMBULATORY and 10 BEDRIDDEN. The facility also has a sprinkler system. On today's visit, LPA Yee reviewed 10 residents files, 6 staff files, Emergency Disaster Preparedness Plan, and completed the Resident Record-Incident Report domain. Due to time constraints a return visit is needed to complete the other 11 domains not reviewed. Deficiencies cited California Code of Regulations, Title 22, Division 6, Chapter 8. Immediate Civil Penalties were assessed. Any deficiencies not cited on today's visit will be addressed on the return visit. Exit interview was conducted APPEALS RIGHTS discussed and a copy was given.the state’s words, verbatim · CDSS document, Feb 12, 2024