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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500035
Report Date: 07/01/2024
Date Signed: 07/01/2024 04:01:07 PM

Document Has Been Signed on 07/01/2024 04:01 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:PARADISE HOMEFACILITY NUMBER:
191500035
ADMINISTRATOR/
DIRECTOR:
AIDA RAMIREZFACILITY TYPE:
735
ADDRESS:13350 CLOSE ST.TELEPHONE:
(562) 325-8387
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY: 6CENSUS: 3DATE:
07/01/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Aida RamirezTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Angelica Rea conducted an unannounced visit for the purpose of conducting the required annual inspection. On today's visit LPA met with Administrator, Aida Ramirez and explained the reason for the visit.

The facility currently has 3 clients in care. The facility is a single-story building in a residential area, with a kitchen, dining room, 2 living rooms, 3 client bedrooms, 1 staff bedroom, 2 bathrooms, backyard with shaded area and attached garage. Fire extinguisher observed in kitchen fully charged. There are smoke detectors/ Carbon monoxide located throughout the facility, tested and operational.

LPA, toured the facility inside and out, reviewed food supply, reviewed staff and client files, and reviewed resident medications. Bedrooms have the required furniture including bedframes, dressers, lamps, and chairs. Beds have the required linen and the linen is in good condition. Passageways and exits are free of obstruction. LPA toured the kitchen and observed 7 days of perishables and 2 days nonperishable. The front and backyard are well maintained. The resident bathrooms are clean, and showers have non-skid materials. The hot water temperature measured between 107.6 - 112 degrees F. There is sufficient lighting throughout the facility. Infection control signs were observed throughout the facility. Medications reviewed for all clients and appears to be given as prescribed. Last emergency disaster drill was conducted on 6/29/2024.

No deficiencies cited during today's visit. Exit interview conducted, copy of report provided to Ms. Ramirez.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Angelica Rea
LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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