Paradise Residential Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by Administrator (AD) Noemi Figueroa. LPA explained the purpose of the visit. LPA observed the AD certificate for AD Figueroa which expires on December 19, 2026. This is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, with a hospice waiver for four. The facility is a two-story home with three resident bedrooms, two staff bedrooms, two resident bathrooms, one staff bathroom, a living room, a dining room, a kitchen and an attached garage. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident bedrooms, and observed the following: LPA observed residents having beef skewers, macaroni and cheese, fruit and salad for lunch. LPA observed six residents in care and two staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall in the living room. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway closet. LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathroom was observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 107.0-113.3 degrees Fahrenheit. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction and hazards. LPA observed the backyard had a shaded sitting area with furniture for resident use. CONTINUED ON LIC809-C... Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Two fire extinguishers were observed to be fully charged and located in the kitchen and activity room. LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the main entrance hallway. Facility had back-up emergency food and water supply, located in the garage. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded patio and sitting area, and the grounds were free of any hazards. There are 2 gates in the backyard, which both were self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and three staff files. LPA observed that a Preplacement Appraisal for R5 was not on file; a Deficiency is being issued today. LPA interviewed residents and staff present. For today's visit one deficiency was issued. An exit interview was conducted with AD Figueroa. A copy of this report and Appeal Rights were provided at the time of exit.the state’s words, verbatim · CDSS document, Jan 28, 2026

Allegation investigated: Staff yelled at resident in care Staff spoke inapprorpriately to resident Staff hit resident in care Staff used cold water to shower resident as a form of retaliation

On this day, Licenisng Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Administrator Noemi Figueroa was available via telephone. The Department received a complaint on 08/12/2022 and LPA Quiroz conducted the initial 10 day visit on 08/17/2022. LPA Mendivil conducted interviews with staff and residents on 11/06/2025. Regarding the allegations staff yelled at resident in care, staff spoke inappropriately to resident, staff hit resident in care and staff used cold water to shower resident as a form of retaliation, the investigation revealed the following: Per interviews with 3 out of 3 staff stated they did not yell at any of the residents in 2022. Per interviews with staff they stated 1 caregiver that is no longer at the faciltiy had a loud voice but they did not yell. Interviews with 2 out of 5 residents stated the staff has not yelled at them, has not hit them, talked to them inappropriately or used cold water as retaliation. Unsubstantiated The remaining residents were not oriented to time and space the final resident was not present during today's visit Per interviews with 3 out of 3 staff deny all allegations. All 3 staff stated they have not yelled at or spoke inappropriately to a resident, hit a resident or used cold shower as retaliation. Interview with Administrator Noemi Figueroa stated that she confirmed that the staff she had in 2022 did not yell, speak inappropriately, hit a resident or use cold water as retaliation. Interviews with staff stated that there have been times when staff had to use a perineal spray after a resident soiled themselves and the spray may be cold. Therefore based on the preponderance of evidence through interviews the allegations staff yell at resident, Staff spoke inappropriately to resident , Staff hit resident in care and Staff used cold water to shower resident as a form of retaliation are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. No deficiencies cited. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 6, 2025 · control 22-AS-20220812173125

Type of visit: Case Management - Deficiencies

On this day, Licensing Program Analyst (LPA) Andrea Mendivil conducted a case management visit in conjuction with complaint control # 22-AS-20220812173125. LPA was greeted and granted entry into the facility and explained the reason for the visit. As LPA Mendivil was waiting at the door to be let into the facility LPA Mendivil heard Staff 1 (S1) yell at Resident 1 (R1) stating "I don't care" . LPA Mendivil was then greeted at the door by S1 and asked about the yelling LPA heard and S1 stated R1 was attempting to get into the bathroom while another resident was showered. S1 stated that she does not yell at residents and today was the first time. Based on observations made deficiencies are cited per Title 22. An exit interview was conducted and a copy of this report, LIC809D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Nov 6, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Nov 12, 2025

87468.(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidence by LPA observed S1 yelling at R1. This poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Administrator Noemi agreed to conduct an inservice regarding personal rights and provide LPA with proof by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by Administrator (AD) Noemi A Figueroa after explaining the purpose of the visit. LPA observed the Administrator Certificate is current and expires on December 19,2026. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents, with a hospice waiver for four. The facility is a two-story home with three resident bedrooms, two staff bedrooms, two resident bathrooms, one staff bathroom, a living room, a dining room, an activity room, a kitchen and an attached garage. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, and observed the following: LPA observed residents watching television in the living room and resting in their respective bedrooms. LPA observed four residents in care and three staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall in the living room. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway closet. LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathroom was observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 116.4 and 119.3 degrees Fahrenheit. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction and hazards. LPA observed the backyard had a shaded sitting area with furniture for resident use. Continued on LIC 809 LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke and carbon monoxide detectors tested operational. Two fire extinguishers were observed to be fully charged and located in the kitchen and activity room with a service date of September 20, 2024. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. The garage is used for storage and is kept locked and inaccessible to residents. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents under the kitchen sink, garage and an outdoor storage. LPA observed knives were stored and locked in a kitchen drawer. LPA observed the First Aid Kit had all the required components. Upon record review, LPA observed Disaster Drills are not conducted quarterly; a deficiency was cited on today’s date. During medication review, medication was observed to be centrally stored in a safe locked hallway closet located next to the kitchen. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care, however medication for two out of four residents did not have a doctor’s order; a deficiency was cited on today’s date. LPA reviewed four resident files. All the required documentation were present and current in the residents’ files reviewed. LPA reviewed three employee records. LPA observed records reviewed have a current First Aid certificate. All employee’s present have a criminal record clearance and were associated to the facility. One out of three staff were observed missing a health screening report and proof of a negative TB test; a deficiency was cited on today’s date. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility. This report was reviewed with the Administrator and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jan 27, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Administrator (AD) Noemi Figueroa. For today’s visit, LPA observed a total of 3 residents in care and 2 staff members on duty. LPA Ramirez toured the interior and exterior portions of the facility with AD Figueroa. The facility is a two level structure and is licensed for 6 non-ambulatory residents, of which 4 may be on hospice and 0 bedridden. For this visit, there are a total of 3 residents in care. There are a total of 5 bedrooms, of which 3 are private resident bedrooms, and 2 are private bedrooms for staff located in the second level. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 3 restrooms of which 1 is for staff and 2 are for residents. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 108.4-113.5 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. CONTINUED ON LIC809-C... LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the main entrance hallway. Facility had back-up emergency food and water supply, located in the garage. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded patio and sitting area, and the grounds were free of any hazards. There are 2 gates in the backyard, which both were self-closing and self-latching. No bodies of water were observed. LPA reviewed three resident files and two staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued. An exit interview was conducted with AD Figueroa. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Feb 23, 2024

Allegation investigated: Lack of care and supervision resulted in resident being sexually abused.

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to the facility to deliver findings on the allegations listed above. LPA Haley was greeted and granted entry by staff after introducing himself and stating the purpose of the visit. The initial complaint investigation visit was conducted by LPA Jerome Haley on August 10, 2023, regarding a complaint filed on August 09, 2023. The complaint was investigated by the Department and consisted of a review of resident records, a tour of the physical plant with Licensee/Administrator Neomi Figueroa, as well as interviews with Administrator Figueroa, facility residents, facility staff, and witnesses. A Police Report dated August 9, 2023, was obtained from The Orange Police Department. The investigation regarding the above allegation revealed the following: Witness interviews and documents reviewed revealed Resident 1 (R1) told a Social Worker (SW) that Individual 1 (I1) was coming into her room trying to kiss her on the lips Continued on LIC9099C Unsubstantiated and claimed this occurred more than one time. No evidence and no specific details or dates were reported. 6 of 6 individuals interviewed, including R1 could not provide any information or evidence to support the allegation. Review of the Police Report from the Orange County Police Department revealed that on August 9, 2023, an officer spoke with Administrator Figueroa, I1, and attempted to speak with R1. There was no evidence discovered and no arrests were made. During an interview with R1, details could not be provided, and it was discovered R1 previously made false statements about people coming into her room in the past. Due to the lack of details, information to support the allegation of sexual abuse, and inconsistencies discovered, there is not enough evidence to support the allegation. Based on the information gathered during the investigation through interviews and document review, the Department is unable to ascertain if the allegation: Lack of care and supervision resulted in resident being sexually abused occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegation is Unsubstantiated. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 20, 2023 · control 22-AS-20230809154540

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Jerome Haley conducted a case management visit regarding observations and information discovered during the investigation into complaint control # 22-AS-202308090154540. During the complaint investigation mentioned above, it was discovered Individual 1 (I1) was still living in the facility as of August 9, 2023. During the complaint investigation above, On August 9, 2023, Licensee/Administrator Nomei Figueroa told Orange Police officer I1 lives in the home with her. Administrator Figueroa told a Department Investigator, I1 visits her on Sundays to have dinner with her and the family. Further, during a follow up visit to the facility November 7, 2023, LPA Haley observed I1 sitting in the kitchen when LPA arrived at the facility around 11:30AM. During the visit LPA Haley interviewed I1 before the individual left the facility. I1 was previously excluded from the facility based on the individuals criminal record and is not allowed to be present in any licensed facility. As a result of today’s Case Management visit, deficiencies will be cited. An exit interview was conducted and a copy of this report, LIC809D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Dec 20, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(f)(2) · Plan of correction due date: Dec 21, 2023

87355 Criminal record Clearance (f) Violation of Section 87355(e) shall result in an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days by the department. (2) The Department may assess civil penalties for continued violations as permitted by Health and Safety Code Section 1569.49. This requirement is not being met as evidenced by the presence of Individual 1 (I1) in the facility August 9, 2023, November 7, 2023, witnessed by LPA Haley, and statements made by Licensee/Administrator Figueroa to Orange County Police August 9, 2023.the state’s words, verbatim · CDSS document, Dec 20, 2023

Plan of correction: Licensee/Administrator Figueroa agrees to read and review regulation section 87355 and send in a signed statement of acknowledgement and understanding by the POC due date. Licensee Figueroa will email the POC to LPA Haley by December 21, 2023 at 5:00PM