Paradise Seniors Living Valley

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Angelica Boyles and Leticia Arroyo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with Caregiver Eliza Cardona. LPAs also spoke with licensee Brenda Cardona over the phone. According to the facility’s license, the facility is approved for residents age range 60 and over with a maximum capacity of 4, all of whom may be non-ambulatory. The facility has an approved hospice waiver for 2. LPAs, accompanied by caregiver, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was comfortable and complaint. Hot water temperatures at taps accessible to residents were all compliant. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Medications were labeled, as required, and stored in locked areas. LPAs audited medications and found medication which was to be discarded on 9/18/26. (CONTINUED ON LIC 809C) (CONTINUED FROM LIC 809) No pools or bodies of water were observed on the premises. Per the caregiver, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPAs reviewed multiple staff and resident records/files. The reviewed files did not contain required documents. Resident #1 (R1) and Resident #2 (R2) did not have updated record of their Centrally Stored Medication and Destruction Record. Additionally, R2's Physician's Report was not signed by a physician. Staff #1 (S1) did not have an updated first aid training certificate. Staff #2 (S2) did not have record of annual required training. Confidential records were stored in locked areas. Five deficiencies were observed and being cited during today's annual inspection per California Code of Regulations, Title 22 (refer to the attached LIC 809 D pages). A plan of correction was jointly developed with facility staff. An exit interview was conducted with caregiver Eliza Cardona, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Sep 28, 2026

Allegation investigated: Facility staff did not provide a full refund

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Licensee Brenda Cardona. On June 22, 2026 the Department received this complaint which alleged facility staff did not provide a full refund. The Department’s investigation included record reviews, as well as interviews with staff and outside sources. (Continued on LIC9099-C) Substantiated (Continued from LIC9099) Based upon records and interviews, the following timeline was revealed: Resident #1 (R1) passed away at the facility on 10/11/25. [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] R1’s responsible party removed R1’s personal belongings on 10/12/25. On 10/17/25 a medical supply company removed an electrical hospital bed that was used by R1. The facility issued a check of $4,290.00 on 11/21/25. This amount is reflective of the amount from date 10/17/25, however, the hospital bed is not a personal belonging of R1’s and belongs to the medical supply company. R1’s personal belongings were removed on 10/12/25. Therefore, the difference of $1,532.55 is owed to R1’s responsible party. Additionally, the facility did not issue the refund within 15 days, as required. The Department has investigated the allegation that facility staff did not provide a full refund. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was met to support or corroborate this allegation and therefore deemed substantiated. One deficiency is being cited (see attached LIC9099-D) and a plan of correction was jointly developed with the Licensee. An exit interview was conducted with Licensee Brenda Cardona, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Aug 13, 2026 · control 08-AS-20260622160555

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.652(c) · Plan of correction due date: Aug 21, 2026

1569.652 Termination of admission agreement upon death of resident; removal of resident's property; refund of fees paid... (c) A refund of any fees paid in advance covering the time after the resident's personal property has been removed from the facility shall be issued...within 15 days This requierment was not met as evidenced by: Based on records reveiwed and LPA interviews, Licensee did not issue a full refund within 15 days of R1's personal belongings being removed. This poses a personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 13, 2026

Plan of correction: Licensee agreed to pay R1's responsible party the remaining amount owed of $1,532.55 and submit proof to LPA by POC due date.

Allegation investigated: Staff did not provide resident medications as prescribed. Staff did not seek medical attention to resident. Staff wrongfully evicted resident. Staff did not provide resident's responsible party an itemized list.

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to investigate the above-mentioned complaint allegations. LPA identified herself and discussed the purpose of the visit with Administrator Ms. Cardona. On July 10, 2025, the Department received a complaint alleging that facility staff failed to administer medications to Resident 1 (R1) as prescribed. Staff 1 (S1) reported that R1 was admitted on May 19, 2025, and exhibited confusion and resistance to care. S1 acknowledged that R1 did not receive all prescribed medications and that missed or refused doses were not documented. Additionally, no physician was contacted regarding the missed medications. Substantiated (Continued from LIC9099) R1’s physician confirmed that the lack of medication could have contributed to R1’s condition and documented this in the resident’s medical file. Records review revealed no documentation of medication refusals, no physician contact logs, and an incomplete Medication Administration Record (MAR). LPA observations confirmed that the facility did not maintain complete and accurate medication records. The complaint also alleged that staff did not seek medical attention for resident. Outside Source 1 (OS1) observed that R1 appeared physically weak, disoriented, and unable to walk. OS1 conducted a medication count and determined that prescribed medications had not been administered. Records review confirmed the absence of documentation indicating that medical attention was sought or that the physician was notified. LPA observations supported that the facility did not respond appropriately to R1’s condition. The Department also received a complaint alleging that R1 was wrongfully evicted from the facility. S1 stated that the decision to discharge R1 was based on her being “disruptive.” OS1 reported being contacted by S1 on May 22, 2025, and was instructed to immediately pick up R1 from the facility. Records review confirmed that no formal eviction notice was issued to the resident, the responsible party, or Community Care Licensing. LPA observations confirmed that the facility did not follow proper eviction procedures. The complaint further alleged that the responsible party did not receive an itemized list of R1’s belongings upon discharge.S1 confirmed that no personal property inventory or itemized list was created for R1. OS1 reported that, despite multiple written requests, no itemized list of belongings or charges was provided. Records review confirmed the absence of documentation related to R1’s personal property. A licensed facility requires licensees to maintain and provide an itemized list of personal property and financial transactions upon discharge. Based on interviews, observations, and records reviewed, a preponderance of evidence supports the allegations. Therefore, the allegations are SUBSTANTIATED.Deficiencies are cited in accordance with California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A plan of correction was developed in consultation with the Administrator. An exit interview was conducted with Brenda Cardona, Administrator. A copy of this report, along with the Licensee/Appeal Rights (LIC 9058, 03/22), was provided. The signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Feb 12, 2026 · control 08-AS-20250710140105

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569,683 · Plan of correction due date: Feb 13, 2026

Requirement: Licensees must provide a written 30-day eviction notice with specific reasons and notify the Department. This requirement was not met as evidenced by; Based on interviews, and records reviewed: The licensee did not provide a written 3 day notice to one of four residents in care which posed an immediate Health and Safety risk to person in care.the state’s words, verbatim · CDSS document, Feb 12, 2026

Plan of correction: Administrator agrees to be retrained on Eviction notices. Inform LPA of training registration date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(6) · Plan of correction due date: Feb 13, 2026

The licensee shall ensure that medications are given according to the physician's instructions. This requirement was not met as evidenced by; The licensee shall ensure that medications were given according to the physician's instructions in one of four persons in care which posed an immediateHealth and Safety risk to person in care.the state’s words, verbatim · CDSS document, Feb 12, 2026

Plan of correction: Administrator agrees to conduct a medication training for all staff and administrator, Inform LPA of training registration date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(g) · Plan of correction due date: Feb 13, 2026

The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis This requirement was not met as evidenced by; Based on observations, interviews, and records reviewed: The licensee shall seek medical attention for one of four residents in care, which posed a potential Health and Safety risk to person in care.the state’s words, verbatim · CDSS document, Feb 12, 2026

Plan of correction: Administrator agrees to conduct a medical emergency training for all staff and administrator, Inform LPA of training registration date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87218(a)(1) · Plan of correction due date: Feb 27, 2026

Theft and Loss. The initial personal property inventory shall be completed by the licensee, and the resident, or the resident's representative. Based on interviews, and records reviewed: The licensee did not provide or complete a resident belongings list to one of four residents in care which posed a potential Health and Safety risk to person in care.the state’s words, verbatim · CDSS document, Feb 12, 2026

Plan of correction: Administrator agrees to conduct a new admission training for all staff and administrator, Inform LPA of training registration date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA Domingo was welcomed by, identified herself to, and discussed the purpose of the visit with Administrator, Brenda Cardona. According to the facility’s license, the facility's license shows a maximum capacity of 4 (four) and the facility is approved for four (4), age sixty (60) and over, non-ambulatory and a hospice waiver for two (2). LPA, accompanied by licensee’s staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was 68 F. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 102 F, Bathroom #1 sink was 106 F, and Bathroom #2 sink was 106 F. Refrigerator temperature was 31 F and freezer temperature was 0 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. [CONTINUED ON LIC 809C] [CONTINUED FROM LIC 809] No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPAs interviewed multiple staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet resident’s needs. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee's staff also presented proof of current/active business liability insurance and surety bond. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Brenda Cardona, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Nov 25, 2025

Type of visit: Post Licensing

Licensing Program Analysts (LPA) Arian Golbakhsh and Amy Rodgers conducted an unannounced, Required Post Licensing Inspection. The facility file and personnel report was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit to Licensee Brenda Cardona. The facility's license shows a maximum capacity of 4 and the facility is approved for 4. During today’s inspection there was 1 resident in care. LPAs and Licensee Cardona toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedroom contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors and emergency lighting were all in working order. Fire extinguishers were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility.LPA interviewed one staff and one client, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Licensee Brenda Cardona to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Dec 18, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Amy Rodgers conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified herself to, and explained the purpose of the visit to Licensee Brenda Cardona. The facility fire clearance was granted on 06/13/24 and reflected that the facility was approved for 4 non-ambulatory residents aged 60 and above. The facility's fire clearance did not include endorsements for delayed-egress doors or secured perimeter. The submitted facility sketch was consistent with the current layout of the facility. LPA Rodgers toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order. During today’s visit, LPA, accompanied by Licensee Brenda Cardona, checked Hot water temperature at taps accessible to residents were also compliant: Bathroom #1 sink was 113 F, Bathroom #2 sink was 113.0 F The facility’s ambient internal temperature was complaint at 75 degrees.. The facility has enough linens, hygiene supplies, cooking and dining supplies, and perishable and non-perishable food for future resident use. All kitchen appliances were in working order. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of sharp objects, medication, and confidential resident and staff records. (CONTINUED ON LIC 809-C, NEXT PAGE) (CONTINUED FROM LIC 809) No bodies of water were observed at the facility. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per Licensee Cardona, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. All fire extinguisher(s) were serviced within the last twelve months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility. The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The applicant passed the pre-licensing inspection. LPA also reviewed the Component III Training with Cardona on 08/22/24. Cardona was advised that the facility’s application is pending management final review and approval. An exit interview was conducted with Cardona, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Aug 22, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 4 Census (if any clients in care): 0 COMP II Participants: Name, Title Interview Method: Telephone interview On 0801/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Aug 1, 2024