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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881346
Report Date: 10/09/2024
Date Signed: 10/17/2024 02:25:04 PM

Document Has Been Signed on 10/17/2024 02:25 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/
DIRECTOR:
BOWSER, JARASION C.FACILITY TYPE:
735
ADDRESS:37961 VERANDA WAYTELEPHONE:
(619) 508-3597
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 4CENSUS: 0DATE:
10/09/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:07 PM
MET WITH:ADMINISTRATOR, JARASION C. BOWSER TIME VISIT/
INSPECTION COMPLETED:
01:28 PM
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On October 09, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility to conduct the required annual inspection and met with the Administrator, Jarasion Bowser. The LPA introduced herself and stated the purpose of the visit. The facility file review was conducted at the RO. The facility is licensed for four Adult Residents and is currently serving (0).

LPA toured the facility from the outside along with the Administrator and made observations pertaining to the annual 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 residing at the location.

Administrator informed LPA they desire to keep the facility licensed with the hope of Inland Regional Center providing clients as requested.

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 Bowser.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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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