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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191500035
Report Date: 07/14/2023
Date Signed: 07/14/2023 05:11:47 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/10/2023 and conducted by Evaluator Angelica Rea
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20230710153425
FACILITY NAME:PARADISE HOMEFACILITY NUMBER:
191500035
ADMINISTRATOR:AIDA RAMIREZFACILITY TYPE:
735
ADDRESS:13350 CLOSE ST.TELEPHONE:
(562) 325-8387
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY:6CENSUS: 3DATE:
07/14/2023
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Anabella Serrano TIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Administrator is not providing facility staff with required training
Administrator is not complying with required continuing education training
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Rea conducted an initial complaint visit in response to the allegations listed above. LPA met with Staff, Anabella Serrano who allowed entry into the facility. Administrator, Aida Ramirez was not at the facility at the time of the visit. LPA called Administrator via telephone and explained the reason for today's visit. Ms. Ramirez stated that she was unable to come to the facility.

Regarding the allegation that : Administrator is not providing facility staff with required training. The investigation consisted of review of Corrective Action Report issued by the Eastern Los Angeles Regional Center dated 3/24/23. LPA also interviewed Administrator, Staff #1, and Staff #2, and reviewed files for Staff #1- Staff #3. Administrator admitted that staff are currently not up to date in their required training(s). She stated that staff #1 - staff #3 are in the process of completing their required training(s). Staff #1 and Staff #2 stated that they are in the process of completing their required training(s).
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 28-AS-20230710153425
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 HOME
FACILITY NUMBER: 191500035
VISIT DATE: 07/14/2023
NARRATIVE
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Regarding the allegation that : Administrator is not complying with required continuing education training. Investigation consisted of review of Corrective Action Report issued by the Eastern Los Angeles Regional Center dated 3/24/23, review of Administrator's file, and interview with Administrator. Administrator stated that she has completed her required training, however she was unable to show proof of training at the time of the visit.

Based on interviews, observation, and document review conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Tittle 22, Division 6 and Chapter 1 are being cited.

Copy of report, and appeal rights were provided to Ms. Serrano.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20230710153425
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 HOME
FACILITY NUMBER: 191500035
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2023
Section Cited
CCR
80065(f)(1-6)
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All personnel shall be given on-the-job training or shall have related experience which provides knowledge of and skill in the following areas, as appropriate to the job assigned and as evidenced by safe and effective job performance. (1) Principles of nutrition, food preparation and storage and menu planning.
(2) Housekeeping and sanitation principles. (3) Provision of client care and supervision, including communication...
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Administrator will ensure that the facility is in compliance with regulations. Administrator will ensure that all staff are being provided with the required training(s). Administrator will provide proof of training by POC due date.
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This requirement is not being met as evidenced by: Administrator stated that staff #1 - staff #3 are in the process of completing their required training. LPA observed that staff #1 - staff #3 have not completed the required on the job training.
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Type B
08/14/2023
Section Cited
CCR
85064.3(a)(1)
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a) Administrators shall complete at least forty (40) classroom hours of continuing education during each two-year certification period, including: (1) At least four (4) hours of instruction in laws, regulations, policies, and procedural standards that impact adult residential facilities, including but not limited to the regulations contained in this Chapter.
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Administrator will ensure that the facility is in compliance with regulations. Administrator will provide proof of continuing education training to LPA by POC due date.
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This requirement is not being met as evidenced by: Administrator was not able to show proof of required training during today's visit.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3