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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881346
Report Date: 10/13/2023
Date Signed: 10/13/2023 01:51:51 PM

Document Has Been Signed on 10/13/2023 01:51 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:PARADISE LIVING HOMESFACILITY NUMBER:
331881346
ADMINISTRATOR:BOWSER, JARASION C.FACILITY TYPE:
735
ADDRESS:37961 VERANDA WAYTELEPHONE:
(619) 508-3597
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 4CENSUS: 0DATE:
10/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:16 AM
MET WITH:ADMINISTRATOR, JARASION C.TIME COMPLETED:
12:58 PM
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On October 13, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived to the facility in order to conduct the required annual inspection and met with the Administrator, Jarasion Bowser. The LPA introduced herself, and stated the purpose of the visit.

Currently there are no residents and/or staff at the facility. LPA Mixson and the Administrator observed the facility from the outside, and inspected the outside of the facility, and there were no obstructions to the outdoor passageways at the time of this visit. The facility is a single story home, located at 37961 Veranda Way, Murrieta, CA. 92563. Physical Plant: The facility phone number is (619)508-3597, and is operable. The Facility has four bedrooms, and two bathrooms, kitchen living room and family room, two car garage. The facility currently has no staff and/or residents.

Records Review: The LPA reviewed 0 resident files, and 0 staff files. There were no Title 22, Division 6 Regulation violations observed and/or cited during todays visit.

An exit interview was conducted and a copy of this report was given to the Administrator, Jarasion.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2023
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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