Paradise Residential Senior Care 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) William Vanegas made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by care giving staff after explaining the purpose for the visit. Administrator (AD) Johan "Alex" Mathews was notified via telephone and later arrived to assist with the inspection. LPA observed that Administrator Johan Mathews has a valid Administrator certificate which expires on June 13, 2026. LPA began a tour of the facility and observed the following. The facility is a two story home with five resident bedrooms, one of which is shared, one staff room, two resident bathrooms, one of which is shared, a living room, a dining room, a kitchen, and an attached two car garage. LPA observed six residents in care and two care giving staff present. LPA observed residents lounging in their respective bedrooms and in the dining room. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected the five resident bedrooms, and they were observed to be free of any hazards. LPA observed the resident bedrooms had the required furnishings of a bed with clean linens in good repair; meaning no strains or tares, a chair, a chest of drawers, a reading lamp, and enough storage space to store personal belongings. LPA observed additional linens are stored in a closet in a resident bedroom. LPA observed Oxygen signs posted in the appropriate areas. LPA inspected resident bathrooms. Resident bathrooms are clean. Bathrooms are equipped with grab bars, slip resistant floor matts, and a shower chair. Faucets and toilets were operational. Hot water temperature measured between 114.7 and 118.6 degrees Fahrenheit. LPA observed the second story of the home is off limits to residents in care and is used for storage. LPA observed the kitchen area to be clean and free of any mildew or debris. LPA observed for the facility to have a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives are stored in a locked kitchen cabinet. CONTINUED ON LIC809-C LPA Conducted a tour of the outside of the facility and observed the following. LPA observed an outdoor shaded sitting area, side doors are self latching and unlocked. LPA observed the backyard to be clean and free of any hazards and debris. Backyard is large enough to participate in outdoor activities upon resident request. LPA observed all smoke detectors and carbon monoxide detectors to be in good repair and tested operational. LPA observed all fire extinguishers to be fully charged and up to date. LPA observed first aid kit to have all required items such as a thermometer, bandages, scissors, tweezers, adhesive tape, and a first aid manual. LPA reviewed medication administration record and medications with AAD and observed all medications to be documented, and per LPA review medications are being administered per physicians orders, no discrepancies were noted. LPA reviewed two staff files, and six resident files. All files (staff and resident) have all required documents staff annual training was up to date, and documented. Based on observations made during today's inspection no deficiencies will be issued. An exit interview was conducted with AD Alex Mathews and a copy of this report was provided to the facility, and a copy will be mailed to the facility as well.the state’s words, verbatim · CDSS document, Feb 6, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by care giving staff after explaining the purpose for the visit. Administrator (AD) Johan Mathews was notified via telephone and later arrived to assist with the inspection. LPA observed that Administrator Johan Mathews has a valid Administrator certificate which expires on June 13, 2026. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents with a hospice waiver for six. The facility is a two story home with five resident bedrooms, one of which is shared, one staff room, two resident bathrooms, one of which is shared, a living room, a dining room, a kitchen, and an attached two car garage. LPA accompanied by the AD conducted a tour of the interior portion of the facility. On today's visit, LPA observed five residents in care and two care giving staff present. One resident was away at the time of visit. LPA observed residents relaxing in their respective bedrooms and in the dining room. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected the five resident bedrooms, and they were observed to be free of any hazards. LPA observed the resident bedrooms had the required furnishings of a bed, a chair, a chest of drawers, and a lamp. All resident beds had clean linens and blankets. LPA observed additional linens are stored in a closet in a resident bedroom. LPA observed Oxygen signs posted in the appropriate areas. LPA inspected the two resident bathrooms. Resident bathrooms are clean. Bathrooms are equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 111.7 and 119.6 degrees Fahrenheit. LPA observed the second story of the home is off limits to residents in care and is used for storage. LPA observed the kitchen has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives are stored in a locked kitchen cabinet. CONTINUED ON LIC809-C A fire extinguisher is located in the kitchen and in a hallway on the second story of the home. Fire extinguishers were observed the be charged and serviced as of July 1, 2024. LPA tested the wired smoke detectors and carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on December 20, 2024. The centrally stored medication is kept in a locked closet in the kitchen. The First Aid kit is stored in the locked closet and it was observed to have all the required components. The door leading to the attached two car garage is kept locked and inaccessible to resident in care. The garage is used for storage and laundry. LPA observed chemicals and toxins to be stored in the garage. LPA observed the facility has an three day emergency food and water supply stored in the garage. LPA and AD conducted a tour of the exterior portion of the facility. LPA observed the exterior portion to be clear of obstructions and hazards. LPA observed a shaded outdoor seating area with furniture for resident use. The perimeter gates on the north side and southside of the facility are self-latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all six resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed six residents’ medication and medication records. LPA reviewed two staff files. All staff are background cleared and associated to the facility. Based on today's observations, there are no deficiencies being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Johan Mathews and a copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Paradise Residential Senior Care 2. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the home and met with Caregiver Israel Arce. Facility is licensed for 6 non-ambulatory residents with hospice waiver for 6. Facility has 6 residents with 1 on hospice care. Rosa Reyes has an Administrator Certificate expiring on 04/11/2024. Administrators Alex Matthews, Diana Manzano and Rosa Reyes arrived during the visit. LPA Lyman along with Administrators toured the facility at 9:54 AM. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of five resident bedrooms, one resident bathroom, one staff room, one shared hall bathroom, living room, dining room, and kitchen. Facility has a second story with no current occupants. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPA observed two residents with a half bed rails. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 108.9 and 119.3 degrees F in all facility bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Resident hygiene supplies are locked and inaccessible to residents. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors. During today's visit, auditory door alarms are operational. LPA observed cleaning supplies/ toxins are secured. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. Smoke detectors and Carbon Monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for residents. LPA observed emergency food and water supply in the garage. LPA reviewed the emergency disaster plan as well as the infection control plan during the visit. Plans are thorough and complete. Facility provided documentation of last fire drill conducted on 12/01/2023. Facility provides activities in the form of exercise. CONTINUED ON 809C DATED 02/28/2024 At 10:35 AM, LPA reviewed six resident files and three staff files. Resident files contained required documents including admission agreements, current physician reports, resident appraisals and orders for half bed rails as indicated. Staff files reviewed contained required documentation of annual training, health screen/TB, and criminal record clearance. At 11:20 AM, LPA reviewed medication storage and administration. Medications are stored in a locked closet and are audited monthly by staff. Medications are being administered per physician order. Based on the observations made during today's visit, no deficiencies are being cited. Exit interview conducted and a copy of this report was given at time of visit.the state’s words, verbatim · CDSS document, Feb 28, 2024