Paradise Valley Manor

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was allowed entry and discussed the purpose of the visit with Administrator Cecy Salomon. The facility is Licensed to serve 50 residents ages 60 and above; all of whom may be non-ambulatory. The facility also has a Hospice waiver for 3 residents and the facility's current census is 28. LPA, accompanied by Administrator toured the interior and exterior of the facility, and inspected several random rooms. 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, toilets, and showers were in working order. Both the hot water temperature and the ambient temperature were at compliant readings. 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 resident activities. 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 toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked areas. Their are no bodies of water on the premises.. Per Administrator, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [CONTINUED ON LIC 809-C] LPA reviewed multiple staff and resident records/files. LPA records review did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Cecy Salomon 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, Apr 20, 2026

Allegation investigated: Personal rights

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and discussed the allegation mentioned above with Administrator, Brianna Iammarino. During today's visit, LPA briefly toured the facility, requested records, and interviewed staff. It was alleged Resident #1's (R1) personal rights were violated. However, during the investigation, it was determined R1 was not a resident of the facility. R1 does not reside at the facility and was never admitted as a resident. This agency has investigated the complaint alleging personal rights. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator, Brianna Iammarino whose signature below confirms receipt of these rights. Unfoundedthe state’s words, verbatim · CDSS document, Nov 20, 2025 · control 08-AS-20251119161130

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Correia made an unannounced visit to the facility to conduct a case management visit to continue the annual inspection commenced on May 30, 2025. LPA identified herself, was granted entrance, and met with Wellness Director (WD) Cecy Salomon to whom she disclosed the purpose of the visit. During today’s visit, LPA, accompanied by WD Solomon conducted a tour of the interior and exterior of the facility. LPA observed the facility was clean and in good repair. Pathways were free of obstruction and slip hazards. Required postings were observed. Resident bedrooms and bathrooms contained the required furnishings and safeguards. Water taps accessible to Residents in care measured with in regulation. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were present. The facility was equipped with a back-up generator, a supply of emergency food, first-aid kit, and evacu-chairs. Medications were housed in a locked med-cart within a locked office. Cleaning supplies and other toxins were inaccessible to residents in care. There were no bodies of water on the facility property. The facility had ample space for activities, dining and visiting. Per WD Salomon, there are no firearms or other weapons on the facility premises. The facility had a large commercial kitchen with a 7-day supply of non-perishable and 2 days of perishable food. Based on today's continuation of the inspection, no deficiencies are being cited at this time. An exit interview was conducted, and this report was discussed with WD Salomon who was advise a copy of the report and Licensee Appeal Rights will be provided after the conclusion of the visit, and signature on this form acknowledges receipt of reportsthe state’s words, verbatim · CDSS document, Jul 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Debbie Correia visited the facility to conduct an annual required licensing inspection. LPA Correia was greeted by Front Lobby Receptionist Zaira Acosta, and met Wellness Director Cecy (WD) Salomon, and explained the purpose of the visit. The facility is Licensed to serve 50 residents ages 60 and above; all of whom may be non-ambulatory. The facility also has a Hospice waiver for 3 residents and the facility's current census is 29. During today's visit, LPA Correia conducted resident and staff records reviews which were complete and up to date. The facility’s last disaster drill was conducted on February 28, 2025. A review of the facility infection control was up to date and infection control practices are in place. The facility maintenance tests residents' rooms’ water and ambient temperature and maintains a log on file. The facility provides residents with a monthly activity calendar and staff conduct daily reminders for resident engagement. The facility also provides a monthly menu along with a menu of alternative choices for meals. LPA, accompanied by WD Salomon, conducted a brief tour of the facility. The facility was observed to be clean, sanitary, and in good repair. The fire extinguisher(s)/system was current. Smoke and carbon monoxide detector(s) were present and operational. The facility fire system is hard-wired to the fire department and the facility is equipped with a sprinkler system. There was a large activities room and outdoor shaded area for residents in care. Medications were in locked medication carts and housed in a locked med-tech room. Administration of medications are documented in an electronic MAR system. Due to time restraints, WD Salomon was notified that the remainder of the annual inspection will be completed at a later date. No deficiencies were cited during today’s initial Annual Inspection. An exit interview was conducted with WD Solomon and a copy of this report, along with the Licensee Rights (LIC9058 FAS 01/16) will be provided at the conclusion of the visit. The signature below confirms receipt of the reports. This is an amended version of the original report delivered on May 30, 2025.the state’s words, verbatim · CDSS document, May 30, 2025

Type of visit: Collateral

Licensing Program Analyst (LPA), Ramon Serrano, conducted an unannounced collateral visit as a follow-up for an unrelated complaint investigation for another facility. LPA was greeted by the front desk receptionist and then met with Wellness Director Cecilia Salomon, LPA then discussed the purpose of the visit. During the visit, LPA interacted with residents, interviewed staff and obtained facility records. An exit interview was conducted with Wellness Director Cecilia Salomon and copy of this report along with Licensee Rights (LIC 9058 3/22) was provided to Wellness Director Cecilia Salomon whose signature below verifies receipt of these rights.the state’s words, verbatim · CDSS document, Mar 3, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Case Management Visit. LPA met with Med Tech Monica Jacobo to discuss the purpose of the visit. Today's visit is in response to the self reported incident report Regional Office received on 9/11/2024 involving R1 [see 811 confidential names]. LPA interviewed facility staff and obtained facility records. No deficiencies were cited or observed on this date. An exit interview was conducted with Jacobo who was provided with a copy of this report and Appeal Rights. Their signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Oct 14, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst’s (LPA) Alyssa Ramirez conducted an unannounced Required Annual Inspection. Facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Wellness Director Cecilia Salomon. The facility is currently licensed for a maximum capacity of fifty (50) clients of which can be non-ambulatory. During today’s inspection, there were a total of thirty-four (34) client in care. LPA, accompanied by Wellness Director, toured the interior and exterior of the facility, and inspected resident bedrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Extra linens, hygiene supplies were present and personal protective equipment were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Hot water temperature was 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, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water on the premises. Per staff 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) and first aid kit was present. Required licensing postings were observed in visible areas of the facility.LPA interviewed staff and reviewed multiple staff and client records/files. The files which LPA reviewed contained required documents. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Wellness Director, 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, Apr 30, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Case Management - Incident visit. LPA was welcomed by and identified himself to Wellness Director Cecy Salomon. LPA then met and discussed the purpose of the visit with Wellness Director Cecy Salomon. Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office (received on 12/28/2023). According to the LIC624: on 12/26/2023, Client #1 (C1) went AWOL (absent without leave) from the facility. [See LIC 811 Confidential Names List for a description of C1.] As of today’s (12/29/2023) licensing visit, C1 has not yet returned to Paradise Valley Manor. LPA also reviewed pertinent records and interviewed relevant staff. According to C1’s latest LIC602 Physician’s Report (dated 4/24/2023): C1’s primary diagnoses were HTN, CHF and DM and difficulty walking. No Psychiatric issues are noted. Doctor determined that C1 is not able to safely leave the facility unassisted because is wheelchair dependent. Records and interviews revealed: C1 had lived at the facility for around two (2) years, and this was C1’s first AWOL incident since moving in. He is own responsible party. According to the facility’s Absentee Notification Plan/Policy: When a client such as C1 is AWOL from the facility, staff are to search the “surrounding area.” After the unsuccessful search, staff are to notify the administrator or the Wellness Director and then law enforcement. The procedure was followed. [Continued 809-C] [Continued form 809] Facility staff conducted a search of the surrounding neighborhood(s) via automobile and walking. After one and half (1 ½) hours of unsuccessful searching, the Wellness Director filed a missing person’s report with law enforcement. The National City police department called Wellness Director Salomon and asked for descriptive information. A helicopter was dispatched. Around 1:00 am the police department called to report they were unable to locate C1. CCLD concluded: Facility staff provided needed supervision to C1 leading up to the AWOL. Licensee had a written Absentee Notification Plan as part of C1’s record of care, and staff followed this plan. No deficiencies were cited at this time for the above incident. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Wellness Director Salomon, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Dec 29, 2023