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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700226
Report Date: 06/18/2025
Date Signed: 06/18/2025 11:01:13 AM

Document Has Been Signed on 06/18/2025 11:01 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:PARADISE VILLAGE HOME CAREFACILITY NUMBER:
374700226
ADMINISTRATOR/
DIRECTOR:		WILLIAM H. LAWSONFACILITY TYPE:
300
ADDRESS:2700 EAST 4TH STREETTELEPHONE:
(619) 399-5423
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: CENSUS: DATE:
06/18/2025
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Tara Long, Resident Care DirectorTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On June 18, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst (EA), Adrian Mangina arrived at the business office of Paradise Village Home Care for a biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Senior Executive Director William Lawson. Designee Tara Long participated in the inspection. Analyst Mangina observed the proper posting of business hours and license. Analyst was provided with an area in which the review of personnel and administrative files could be performed. Designee provided Analyst with proof of valid professional liability policy, worker's compensation, and dishonesty bond.

Upon completion of the file review Analyst discussed the findings of the inspection with Ms. Long and informed Designee that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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