Paradise Residential Senior Care 3

Type of visit: Required - 1 Year

On October 9, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by facility administrators (AD) Rosa Reyes and Johan Mathews. For this visit, there are two staff members on duty, both are background cleared and associated. The PUB475 ‘See Something, Say Something’ poster was observed to be located by the kitchen. LPA observed the Administrator's Certificate for Rosa Reyes, which expires on April 11, 2026. The facility is a Residential Care facility for the Elderly (RCFE) licensed for four residents, four of which may be non-ambulatory, none of which may be bedridden, and a hospice waiver for four. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of four non-ambulatory residents in care, two of which are on hospice, and none are bedridden. The facility is a two-story home. There are a total of five bedrooms, two of which are shared resident rooms on the first floor, and three as staff bedrooms on the second floor. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of three bathrooms, one is for residents on the first floor and two are for staff on the second floor. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathroom was measured to be 111.0 degrees Fahrenheit. Continued on LIC 809-C. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked in the kitchen and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. Fire extinguisher was dated and tagged on July 8, 2025. LPA observed the emergency disaster and evacuation plan, which is posted in the hallway of the first floor. Facility had back-up emergency food and water supplies located in the garage. LPA observed that the First Aid kit had all the required components. Medications are locked in the kitchen cabinet and toxins were observed to be locked in the garage, inaccessible to residents in care. A fireplace in the living room was kept covered. For the exterior portion, LPA observed patio furniture under overhead patio shading and umbrella. The grounds were free of any hazards or obstructions. There is one self-latching gate in the backyard that can be opened in case of an emergency. A body of water was observed in the backyard with appropriate fencing surrounding it. During the annual inspection, interviews were conducted with two residents. Four resident files and four staff files were reviewed during today's visit. LPA reviewed medications for all four residents. Two sets of medications were dated with incorrect start date of November 3, 2025. Based on today's observations, there is one deficiency being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Johan Mathews. This report was reviewed with the administrator and a copy was provided at the end of the visit. Appeal Right were reviewed.the state’s words, verbatim · CDSS document, Oct 9, 2025

Type of visit: Required - 1 Year

On October 31, 2024, Jessica Cho, Licensing Program Analyst (LPA) and Eboni Bentley Licensing Program Analyst (LPA) arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPAs met with Administrators Rosa Angelina Reyes and Johan Matheus and explained the reason for the visit. Certification for the administrators were verified during the visit. The facility is a two story structure located in a residential neighborhood. Facility is licensed to operate for four (4) non-ambulatory and maintains a hospice waiver for four (4). There are three residents in care during today's visit of which one is in hospice. Two caregivers are on duty during the visit. LPA observed the facility to be clean and sanitary. There are two resident bedrooms and one resident bathroom on the first floor. The second floor consists of three staff bedrooms, an office, and two bathrooms which are only utilized by two staff and administrator. All common areas were inspected including the attached two car garage. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 113.5 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPAs observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. The fireplace has a screen and is secure. LPAs toured the exterior portion of the facility. LPAs observed the outdoor passageway free of obstruction. The exit gate was self-closing and self-latching. The pool was gated and self-latching. LPAs observed sufficient seating and shading. Facility maintains two fire extinguishers one on each floor. Both were charged and serviced on July 1, 2024. The auditory devices and smoke/carbon monoxide detectors were tested and operational on both floors. LPAs observed the emergency disaster supplies including food/water in the garage. Emergency evacuation drills were conducted but not on a quarterly basis with the last drill conducted on April 2023. The first aid kit contains all necessary elements and is well maintained. LPAs observed the required 'See Something, Say Something' (PUB475) poster in the correct size. LPA conducted an audit of three residents' files and two personnel files. No discrepancies were noted. Medications were audited for three residents. No discrepancies noted. Interviews were conducted with two staff and two residents on site. Based on the observations made during today's visit, no deficiency is being cited today. A Technical Violation (TV) is being issued regarding evacuation drills. An exit interview was conducted with Administrators Rosa Angelina Reyes and Johan Matheus, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Oct 31, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.