Paradise Residential Senior Care

Type of visit: Required - 1 Year

On September 2, 2025, Licensing Program Analysts (LPAs) Brandon Lopez and Garlli Tat made an unannounced visit to conduct the required annual inspection. LPAs were greeted and granted entry by care giving staff after explaining the purpose for the visit. Administrators (ADs) Rosa Reyes and Johan Mathews were notified via telephone and later arrived to assist with the inspection. LPAs observed that Rosa Reyes has a valid Administrator certificate which expires on April 11, 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 single story home with five resident bedrooms, one of which is shared, one staff room, five resident bathrooms, a living room, a dining room, a kitchen, a family room, a laundry room, and an attached two car garage. LPAs accompanied by the ADs conducted a tour of the interior portion of the facility. On today's visit, LPAs observed six residents in care and two care giving staff present. LPAs observed the See Something, Say Something poster (PUB 475) mounted on the wall by the kitchen. LPAs inspected the five resident bedrooms, and they were observed to be free of any hazards. LPAs 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. LPAs observed additional linens are stored in the laundry room. LPAs inspected the five 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 109.4 and 110.4 degrees Fahrenheit. LPAs observed the staff bedroom can be kept locked. 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 Fire extinguisher are located in the kitchen and in the laundry room. Fire extinguishers were observed the be charged and serviced as of July 8, 2025. LPAs tested the wired smoke detectors and carbon monoxide detectors which tested operational. LPAs observed the facility conducted their last emergency disaster drill on June 5, 2025. The centrally stored medication is kept in a locked closet by 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 laundry room was kept locked and inaccessible to residents in care. LPAs observed the door leading to the attached two car garage is kept locked and inaccessible to resident in care. The garage is used for storage. LPAs observed chemicals and toxins to be stored in the garage. LPAs observed the facility has an three day emergency food and water supply stored in the garage. LPAs and ADs conducted a tour of the exterior portion of the facility. LPAs observed the exterior portion to be clear of obstructions and hazards. LPAs observed a shaded outdoor seating area with furniture for resident use. The perimeter gate is self-latching and can be opened in an evacuation. There are no bodies of water on the premises. LPAs reviewed all six resident files. All the required documentation were present and current in the resident files reviewed. LPAs reviewed six residents’ medication and medication records. LPAs 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 Administrators Rosa Reyes and Johan Mathews and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 2, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Maria Cosio Bazan. Administrator Johan Mathews arrived after being notified of the visit. The facility is a single story structure located in a residential neighborhood. Facility is licensed to operate for six non-ambulatory and maintains a hospice waiver for six residents. There are six residents in care with one receiving hospice care and two caregivers on duty during today's visit. LPA observed the facility to be clean, sanitary, and operational. There are five resident bedrooms and five resident bathrooms. There is one additional bedroom occupied by two live-in staff. All common areas were inspected including the attached two car garage and laundry room. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 111.7, 106.8, 106.5, 105.0, and 105.0 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available. The fireplace was screened. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gate was self-closing and self-latching. LPA observed sufficient seating and shading. Facility maintains two fire extinguishers which were observed mounted, charged, and serviced on July 1, 2024. The auditory devices and smoke/carbon monoxide detectors were tested and operational. LPA observed the emergency disaster supplies including food/water in the laundry room and garage. Emergency evacuation drills are being conducted quarterly. The first aid kit contains all necessary elements. The first aid manual is available. The facility land line number, 949-446-6085, was tested and remains available. The liability insurance is also current. LPA observed the required 'See Something, Say Something' poster (PUB475) in the correct size. The Administrator's Certificate for Johan Mathews expires on June 13, 2026 and April 11, 2026 for Rosa Reyes. LPA conducted an audit of six residents' files and two personnel files. No discrepancies noted. Medications were audited for three residents. No discrepancies noted. Staff and resident interviews were conducted. The following items were noted and discussed with Admin Mathews: to amend the Emergency Disaster Plan (LIC610E) and to ensure timely payment of the annual licensing fee due February 22, 2025. Based on the observations made during today's visit, no deficiencies are being cited. An Advisory Note (LIC9102) is being issued. An exit interview was conducted with Administrator Johan Mathews, and a copy of this report and the LIC9102 were provided at the end of the visit.the state’s words, verbatim · CDSS document, Jan 22, 2025

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.