raw_content:
Narrative:
Client subsequently contacted 911 and requested to be taken to the hospital for evaluation even though staff at the facility were making attempts to advise the client that pain in the surgical area was normal. While at the hospital, client was administered pain medication. Lastly, 4 inconsistent staff members interviews indicated that it was unclear how the staff did not meet minor's medical needs, and why the hospital staff never contacted the facility to inquire about the medication list. As it relates to the allegation of staff not meeting minor's dietary needs, LPA conducted a review of the discharge paperwork/postoperative instructions and learned that the client was supposed to be on a soft diet which includes no sharp foods/chips. Client was given options by staff which included soft diet foods in the form of soups, popsicles, and ice cream which were declined. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted, and appeal rights were given. A copy of this report was provided to Supervisor, Chelsea Dailey.

Investigation Findings:
13On June, 24, 2024 at approximately 10: AM, Licensing Program Analyst (LPA) Farhaan Sarangi arrived unannounced at Paradise Adolescent Homes and met with Supervisor, Chelsea Dailey for the purpose of delivering findings. During the investigation, LPA Sarangi reviewed the agency's file at the licensing office, including the complaint history, criminal background check and facility personnel report summary. LPA conducted interviews with all appropriate parties. Based on interviews conducted, the allegations above cannot be substantiated because there were inconsistent statements made throughout the course of the investigation process. LPA conducted a confidential interview on June 17, 2024, and learned that after the surgery the doctor warned pain to the surgical area. In addition, during the interview, it was disclosed that smoking took placed which irritated the surgical wound and led to the discomfort. (Report continued on LIC 9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Farhaan Sarangi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE ADOLESCENT HOMESFACILITY NUMBER: VISIT DATE: 06/24/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Supervisor, Chelsea Dailey


state: CA

facility_name: PARADISE ADOLESCENT HOMES

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above cannot be substantiated due to conflicting statements. 6 out of 7 confidential interviews stated that the client is provided adequate food services and that meals are prepared for the client at scheduled times and whenever they are ready to eat. 5 out of 7 confidential interviews stated staff do not open clients mail if it is addressed under the clients' name. 7 out of 7 confidential interviews also state that the facility does ensure that it is free of pests by having a pest control service visit the home every 2 months. Receipts were received for that service. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee. Based on evidence obtained and confidential interviews conducted during the investigation process the allegation above has been substantiated. 4 out of 7 confidential interviews stated that a former client residing in the home was able to obtain the other client's package, open it, and keep the phone that was inside. Staff were unable to retrieve the phone due to the client keeping it on their person. During that time the staff office was accessible to the client and that is how they were able to obtain the package that didn't belong to them. Based on LPAs observations and interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards are being cited on the attached LIC 9099D. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On November 15, 2024 at 11:32am Licensing Program Analysts (LPAs) Tatyana Shulz made an unannounced visit to deliver findings to the above Short Term Residential Therapeutic Program (STRTP) and met with Administrator, Carol Ayers. Prior to the meeting LPA Buchannan, conducted the 10-day inspection of the facility on 8/23/2024. No deficiencies were cited during that inspection. LPA Buchannan requested, the staff roster, staff schedule, staff training hours, pest control work orders, grocery receipts, and a copy of the food menu for the month of August. LPA Shulz requested resource contacts for staff and other parties involved. LPA Buchannan conducted 1 interview and LPA Shulz attempted 2 interviews and conducted 7 interviews between 8/23/2024-11/06/2024. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE ADOLESCENT HOMESFACILITY NUMBER: VISIT DATE: 11/15/2024

report_type: Complaint Investigation

met_with: Adminisrator- Carol Ayers

complaint_status: unsubstantiated


raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above cannot be substantiated due to conflicting statements. 4 out of 5 confidential interviews stated that the client was never touched and that they did not sustain any injuries. 3 out of 5 confidential interviews also stated that the client did not have their nose piercing in that day for it to be ripped out. Also, while LPA was conducting the 10-day inspection, there were no marks or injuries observed on the client in care. Lastly, staff members denied the allegations and no clients witnessed the incident. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On February 6, 2025 at 10:00am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Short Term Residential Therapeutic Program (STRTP) and met with House Manager, Chelsea Dailey who granted LPA access. Prior to the meeting LPA Shulz, conducted the 10-day inspection of the facility on 11/15/2024. No deficiencies were cited during that inspection. LPA Shulz requested the Staff Roster, Staff Schedule, Staff Training Hours, Needs and Services Plan for client in the home and contact information for the client's authorized representatives, as available. LPA Shulz attempted 2 interviews and conducted 5 interviews between 11/15/2024-2/03/2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE ADOLESCENT HOMESFACILITY NUMBER: VISIT DATE: 02/06/2025

met_with: House Manager- Chelsea Dailey


raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the allegation above cannot be substantiated due to conflicting statements. 5 out of 5 confidential interviews stated that the client is always transported to medical appointments when they request to go. 3 out of 5 confidential interviews also stated that the client retracted their previous statement of wanting to go to the hospital. LPA received hospital documentation showing that the client was taken to the hospital the next day even after retracting their previous request. LPA was unable to confirm or deny these claims after attempting to obtain further details from the client, who was reluctant to share information about the incident. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On February 28, 2025 at 10:03am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Short Term Residential Therapeutic Program (STRTP) and met with Faith Tupin, Designated Mental Health Worker who granted LPA access. Prior to the meeting LPA Shulz, conducted the 10-day inspection of the facility on 12/16/2024. No deficiencies were cited during that inspection. LPA Shulz requested the Needs and Service Plan for the client, Case Notes, Medical Records (hospital and dental appointments) and contact information for the client's authorized representatives, as available. LPA Shulz attempted 2 interviews and conducted 5 interviews between 12/16/2024-2/24/2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE ADOLESCENT HOMESFACILITY NUMBER: VISIT DATE: 02/28/2025

met_with: Faith Tupin- Designated Mental Health Worker


raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above cannot be substantiated due to conflicting statements. 4 out of 6 confidential interviews stated that the client was not hit by staff but rather the client was the one hitting staff during a behavioral episode. Further, staff attempted to use de-escalation techniques and leave the premises in order to create the distance needed to de-escalate the situation, causing the staff not to handle the minor roughly. 2 out of 6 confidential interviews stated that the client followed the staff member outside and continued to threaten the safety of facility personnel. Lastly, 3 out of 6 confidential interviews stated that the other staff on shift had to intervene once the client began hitting and pulling the hair of the staff member. LPA received a case number for the incident documented by Officer Demello and was informed that the client has since been discharged from the facility on March 24, 2025. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On May 8, 2025 at 10:09am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Short Term Residential Therapeutic Program (STRTP) and met with Designated Mental Health Worker, Faith Tupin who granted LPA access. Prior to the meeting LPA Shulz, conducted the 10-day inspection of the facility on 1/29/2025. No deficiencies were cited during that inspection. LPA Shulz requested the Needs and Service Plan for the client, Case Notes for the day of the incident and contact information for the client's authorized representatives, as available. LPA Shulz conducted 6 interviews between 1/29/2025-5/01/2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE ADOLESCENT HOMESFACILITY NUMBER: VISIT DATE: 05/08/2025

met_with: Designated Mental Health Worker-Faith Tupin


raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process the allegations above cannot be substantiated due to conflicting statements. 5 out of 6 confidential interviews stated that the clients personal belonging were located and that they were temporarily misplaced within the home. The clothing was found in the garage near the washer and dryer unit, while the headphones were found on the couch. 2 out 6 confidential interviews stated that the staff will assist to keep the clients room clean without clients permission and the client felt that staff didn't respect their private space. 5 out of 6 confidential interviews also stated that the client is allowed to do their own laundry, and that staff are there to assist when the laundry begins to pile up. LPA was informed that the client has since been discharged from the facility on March 24, 2025. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On May 8, 2025 at 10:09am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Short Term Residential Therapeutic Program (STRTP) and met with Designated Mental Health Worker, Faith Tupin who granted LPA access. Prior to the meeting LPA Shulz, conducted the 10-day inspection of the facility on 2/13/2025. No deficiencies were cited during that inspection. LPA Shulz requested the Case Notes for January and February, Clients most recent Needs and Services Plan and contact information for the client's authorized representatives, as available. LPA Shulz conducted 6 interviews between 2/13/2025-5/01/2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Tatyana Shulz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE ADOLESCENT HOMESFACILITY NUMBER: VISIT DATE: 05/08/2025


raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process, the allegation above cannot be substantiated due to lack of evidence. 2 out of 5 confidential interviews stated that the altercation that took place between the two clients lasted roughly 5-10 seconds which did not give staff enough time to intervene. LPA was unable to confirm or deny these claims due to the other client in care that was involved in the altercation being AWOL. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On October 23, 2025, at 11:15am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Short Term Residential Therapeutic Program (STRTP) and met with Cherrell Bryant, Direct Care Staff. Prior to the meeting LPA Shulz conducted the 10-day inspection of the facility on 7/18/2025. No deficiencies were cited during that inspection. LPA Shulz requested the Case Notes for the day of the incident, Needs and Services Plan for all clients in the home, Client Schedules, Staff Schedules and Contact information for all parties involved. LPA Shulz conducted 5 interviews and attempted 2 interviews between 7/18/2025-10/20/2025. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Tatyana Shulz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE ADOLESCENT HOMESFACILITY NUMBER: VISIT DATE: 10/23/2025

met_with: Cherrell Bryant, Direct Care Staff


summary: Facility Evaluation

raw_content:
Narrative:
On 07/08/2021, at approximately PM, Licensing Program Analyst (LPA) Chad Cabigon arrived at this facility to conduct a case management inspection, the purpose of which was to assess the facility's readiness to have its license be taken off "Provisional" status. LPA was met and let in the facility by Administrator Carol Ayers through the front door which appeared to be its one central entry point. Ms. Ayers checked this LPA's temperature and proceeded to give a tour of the interior and exterior areas of the facility's physical plant: there is an office area where locked cabinets were located, one for confidential client and personnel records, within which the facility's 'sharps' were also housed, one for medications, and one for miscellaneous personal supplies for clients. The kitchen refrigerator contained perishable food items sufficient for at least three days, and next to it was a pantry cabinet stocked with non-perishable goods. Snack items were observed to be readily accessible for clients. An additional refrigerator/freezer was located in the garage area which had locked access from the dining area-this refrigerator/freezer contained more perishable food items. Also in the garage area were more non-perishable items sufficient for at least seven days along with additional emergency supplies. The common bathroom's toilet, sink, and bathtub/shower were in working order. The clients' bedrooms were equipped with appropriate furnishings and sufficient storage spaces for personal possessions. The pathways and egresses were unobstructed and the facility's front and back yards were free of clutter. There is a locked shed in the backyard that mostly housed personal belongings of previous clients-no potentially hazardous gardening or yard maintenance equipment was observed on the premises, and there were no indications that the facility has any firearms. The facility's license was posted in an accessible area along with the Emergency Disaster Plan. The property has no bodies of water. The facility is clean, sanitary, and in good repair. Staff files were reviewed and found to contain the following: Background Check Status Results including CACI (Child Abuse Central Index) clearances. Training records included documentation showing completion of Mandated Reporter training. Also present in personnel files were signed Statements Acknowledging Requirement to Report Child Abuse, and documentation of performance evaluations. (, 809-c) Client records included current Needs & Services Plans, medical records including Physician's Reports or documentation showing attempts to obtain said report(s), Admission Agreements, medication records or logs, and JV-223's (Orders on Applications for Psychotropic Medications) where needed. Interviews were conducted with the two current clients, both of whom indicating in their respective statements that the facility is providing adequate services and personal provisions to meet their needs, and that they feel safe in the facility. Neither client expressed any grievances against the facility. Based on these interviews, the following were also indicated: the administrator is onsite for a sufficient amount of time during the week, the staff-to-client ratio is adequate, the quality and quantity of food for the clients is acceptable, direct-care staffers utilize trauma-informed care practices including de-escalation techniques to address crisis situations, the clients receive mental health services, the clients are afforded the opportunity to participate in Child & Family Team meetings and in their own case plans, and that the clients were advised of their personal rights and of the house rules. No citations were issued as a result of this inspection; the facility is found to be in substantial compliance with the Interim Licensing Standards and/or Title Regulations. The facility is therefore considered to be in good standing in regards to the following: -there are no health or safety concerns with the facility -the facility has obtained its Mental Health Approval from DHCS (Dept. of Health Care Services) -the facility has Medi-Cal Certification -the facility has a Mental Health Contract -the facility has been accredited by CARF (Commission on Accreditation of Rehabilitation Facilities) A non-provisional license will be issued to this facility. Exit interview conducted; a copy of this report is being provided to this facility.

report_type: Facility Evaluation

visit_type: Annual

met_with: Carol Ayers


summary: Facility Evaluation

raw_content:
Narrative:
On 7/13/21, Licensing Program Analyst, (LPA) Jean Stidman met with Carol Ayers, Administrator for the purpose of conducting an SB Psychotropic Medication inspection. The inspection was rescheduled due to an unexpected emergency. LPA Stidman printed the facility permanent license and left it with the Administrator.

visit_type: Case Management

met_with: Carol Ayers, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 3/28/2022 at 9: AM, Licensing Program Analyst (LPA) Tina Rivera met with Carol Ayers,Administrator. Administrator assisted with the inspection. There were no children or any other staff present at the facility. At 10: AM, LPA completed a walk-through of the facility, inside and out. LPA observed 3 bedrooms and 2 bathrooms. There is a working washer and dryer in the garage. There is a staff office and two living rooms. The backyard is fenced, clear, and clean. LPA inspected and reviewed the following: Physical Plant License and Personal Rights posted COVID-19 information is posted, along with a check-in area by the front door that has a sign-in log, thermometer, sanitizer, and disinfectant wipes. Disinfectants/cleaning solutions are inaccessible Nonperishable Foods more than one week and fresh perishable foods two days minimum Menu present and posted Carbon monoxide detector and Smoke Detector fully functioning First Aid Kit fully stocked Common Room available and Dining area with enough seating, furniture in good condition Medication centrally stored and locked Staff Office is located in the home with locked staff and client files 2 fully charger Fire Extinguishers Toilets, sink, bath and shower fixtures in good repair, there is soap and paper towels Bedrooms have required linen and furnishings are in good repair Motor Vehicle properly maintained, lights and working seat belts. Facility free of vermin Continued on page LIC 809-D Disaster Preparedness Disaster and mass casualty plan updated and available Monthly Drills conducted and documented Staffing Records Staff files reviewed Criminal record clearances verified First Aid Certificates are current Certified Administrators certificate valid and current, job title/qualification verified, Hours required training verified. Hours required annual training verified Client Records Clients files reviewed 1 out of Needs and Services Plans were not signed and will be corrected. Centrally Stored Medication and log reviewed Psychotropic Medication and log reviewed Cash Resources and Personal Property reviewed Core/Therapeutic Services Trauma Informed Practices are implemented as needed (including specialty mental health services and extracurricular activities and social supports). An exit interview was conducted with Carol Ayers and a copy of this report was provided via email. Appeal rights were discussed and provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/14/23 at 11:25 a.m. Licensing Program Analyst (LPA), Jacqueline Carmona made an unannounced visit to conduct a case management to the above Short Term Residential Program (STRTP) regarding information obtained that the facility does not have a Head of Service on site. It was also disclosed that a staff member hit a client in care. LPA met with Chelsea Dailey (who assisted with the inspection). STRTP/ consists of 3 bedrooms, 2 bathrooms, 2 living rooms, a kitchen, and a staff office. The backyard is free of debris. The facility is in compliance at the time of the inspection. LPA conducted an interview with House Manger and gathered contact information for the Head of Service. An exit interview was conducted with Chelsea Dailey, House Manager and a copy of this report was provided to the Administrator. This case management investigation needs further investigation.

met_with: Chelsea Dailey, House Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 3/23/23 at 8:45 a.m. Licensing Program Analyst (LPA), Jacqueline Carmona made an unannounced visit to conduct a case management to the above Short Term Residential Program (STRTP) regarding information obtained that the facility does not have a Head of Service on site. It was also disclosed that a staff member hit a client in care. LPA met with Carol Ayers, Administrator (who assisted with the inspection). STRTP/ consists of 3 bedrooms, 2 bathrooms, 2 living rooms, a kitchen, and a staff office. The backyard is free of debris and there are no bodies of water. The facility is in compliance at the time of the inspection. LPA Carmona conducted 9 confidential interviews and obtained the following documents for review: Job offer letter dated 10/28/21 and 10/31/22, Staff schedules for the month of January, Staff training logs, Communication logs and Virtual Therapy session dated 1/17/23, Progress notes for the months of March 2022, November 2022 and December 2022. Based on interviews conducted and documents reviewed LPA Carmona was able to confirm the facility does have a Head of Service. There were conflicting statements given during the confidential interviews about the allegation staff hit client in care. An exit interview was conducted and a copy of this report was provided to the Administrator. This case management investigation is closed. There were no citations issued.


summary: Facility Evaluation

raw_content:
Narrative:
On 3/23/23 at 8:45 a.m. Licensing Program Analyst (LPA) Jacqueline Carmona made an unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools and met with Administrator, Carol Ayers. LPA toured the interior and exterior of the facility during the inspection today. The facility consists of 3 client bedrooms, which had all the furniture, linens and lighting as required. LPA observed 2 bathrooms available to clients which were appropriately equipped with toilet paper, paper towels and running warm water as required. LPA observed that the shower and toilet were in working condition as required. The kitchen had a adequate supply of perishable and nonperishable food for the client in care. LPA observed that the facility appliances, refrigerator, and freezer to be clean and function as required. LPA observed that sharps, disinfectants, and cleaning supplies were appropriately stored and were not accessible to clients in care. LPA observed a menu posted in the facility. LPA observed the laundry services available for the youth to complete their own laundry which is in the garage. LPA observed working carbon monoxide detectors and a fully charged fire extinguisher. LPA observed that the facility has a functioning telephone in the facility. The 2 living rooms and dining room were free of obstruction and had furniture in good repair. The office used by clinicians and administrator has a locked cabinet for client's files and a locked cabinet for medication. All the posting requirements were available in a visible area. First aid kit was fully stocked and available. LPA observed that the facility vehicle appeared to be in good operating condition. The back yard and front yard were free of debris and in compliance. There are no bodies of water located on the property. Currently the facility has one client in care. LPA reviewed 1 client file and 5 staff files. A review of the staff files indicated the staff have current CPR and First Aid training. They also have DOJ, FBI, and Child Abuse check clearances. The client's file contained all required documentation. LPA interviewed 2 staff and will return to interview 1 client. A review of the Licensing Information System indicates the facility is current with their facility fees at the time of the inspection. Continue to page Exit interview was conducted. No deficiencies were cited during the inspection today. A copy of report was provided to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/08/23 at 10:30 a.m. Licensing Program Analyst (LPA), Jacqueline Carmona made an unannounced visit to conduct a case management to the above Short Term Residential Program (STRTP) regarding an incident report received by the Department. LPA met with Carol Ayers,Administrator (who assisted with the inspection). STRTP/ consists of 3 bedrooms, 2 bathrooms, 2 living rooms, a kitchen, and a staff office. The backyard is free of debris and there are no bodies of water. The facility is in compliance at the time of the inspection. On 12/01/23 the Department received an incident report regarding a client driving the facility vehicle onto the street and returning to the facility. The client was able to access the facility vehicles keys by entering the staff office and opening the desk drawer where the keys were stored. Based on interviews conducted it was confirmed there were 2 staff members present as the incident unfolded. The facility staff have put a plan in place where all keys are locked in a cabinet. In addition, the clients will not be allowed to be in the staff office moving froward even if staff are present. An exit interview was conducted, and a copy of this report was provided to Carol Ayers, Administrator. This case management investigation is closed. An advisory note was given during this visit.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Michelle P. Kyane conducted a case management inspection on 03/07/2024 based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 3 out of Direct Care Staff and 2 out of 2 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 2 youth were interviewed. (See the Confidential Names List, LIC 811, dated 03/07/2024). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Kyane observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee contacts law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Carol Ayers, the facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 3/14/24 at 11:58 a.m. Licensing Program Analysts (LPAs) Jacqueline Carmona and Tatyana Shulz made an unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools and met with Administrator, Carol Ayers. LPAs toured the interior and exterior of the facility during the inspection today. The facility consists of 3 bedrooms. 2 client bedrooms had all the furniture, linens and lighting as required. Bedroom 3 has been converted into an office and furniture is in good repair. LPAs observed 2 bathrooms available to clients which were appropriately equipped with toilet paper, paper towels and running warm water of 110 degrees as required. LPAs observed that the shower and toilet were in working condition as required. The kitchen had a adequate supply of perishable and nonperishable food for the client in care. LPAs observed that the facility appliances, refrigerator, and freezer to be clean and function as required. LPAs observed that sharps, disinfectants, and cleaning supplies were appropriately stored and were not accessible to clients in care. LPAs observed a menu posted in the facility. LPAs observed the laundry services available for the youth to complete their own laundry which is in the garage. LPAs observed working carbon monoxide and fire detectors and a fully charged fire extinguisher. LPAs observed that the facility has a functioning telephone in the facility. The 2 living rooms and dining room were free of obstruction and had furniture in good repair. The office used by clinicians and administrator has a locked cabinet for client's files and a locked cabinet for medication. All the posting requirements were available in a visible area. First aid kits were fully stocked and available. LPAs observed that the facility vehicle appeared to be in good operating condition. The back yard and front yard were free of debris and in compliance. There are no bodies of water located on the property. Continue to page Currently the facility has 2 clients in care. LPAs reviewed 2 client files and 5 staff files. A review of the staff files indicated the staff have current CPR and First Aid training. They also have DOJ, FBI, and Child Abuse check clearances. The client's file contained all required documentation. LPA interviewed 3 staff and 2 clients. A review of the Licensing Information System indicates the facility is current with their facility fees at the time of the inspection. Exit interview was conducted. During todays visit the facility was cited 87075.1(g)(1) and 87075.1 (e) (Refer to the LIC809D). A copy of this report and appeal rights was provided to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On August 23, Licensing Program Analyst (LPA) Sarina Buchannan arrived at the Paradise Adolescent Homes. LPA was greeted by Cherrell Bryant who granted LPA access. LPA conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. One bottle of cleaning product was left under the sink unlocked and another bottle of cleaning product was left the living room unlocked. Clients shower spout is jammed making it difficult for client to use the facilities and also adversely affecting the water pressure. One outlet in the clients bedroom was not properly working. (See LIC TV) LPA observed Cherrell Bryant move the cleaning products to a locked area while LPA was present. LPA Buchannan requested work orders be placed and copies of the work orders. This case management will remain open, until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report was left with Cherrell Bryant.

met_with: Cherrell Bryant


summary: Facility Evaluation

raw_content:
Narrative:
On September 12, 2024 at approximately 10:00am Licensing Program Analysts (LPAs) Tatyana Shulz and Zaria Turner made an unannounced inspection to close a case management at Paradise Adolescent Homes. LPAs were greeted by Cherrell Bryant, Direct Care Staff who granted LPAs access. Prior to the meeting LPA Buchannan conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. One bottle of cleaning product was left under the sink unlocked and another bottle of cleaning product was left the living room unlocked. Clients shower spout is jammed making it difficult for client to use the facilities and also adversely affecting the water pressure. One outlet in the clients bedroom was not properly working. LPA observed Cherrell Bryant move the cleaning products to a locked area while LPA was present. LPA Buchannan requested work orders be placed and copies of the work orders. LPAs conducted a walk through of the facility and observed that all of the issues noted on the August 23, 2024 inspection has been fixed, the facility is in full compliance. This case management is now closed. An exit interview was conducted and a copy of this report will be sent to Administrator, Carol Ayers.

met_with: Mental Health Worker- Faith Tupin


summary: Facility Evaluation

raw_content:
Narrative:
On September 12, 2024 at 10:00am Licensing Program Analysts (LPAs), Tatyana Shulz and Zaria Turner made an unannounced visit to conduct a case management regarding an incident report received by The Department on 6/16/2024 regarding Lack of Supervision. LPAs met with Faith Tupin, Mental Health Worker who assisted with the inspection. Based on interviews conducted with parties involved it was confirmed that the minor in care was left unsupervised for approximately 5 minutes, allowing them to access the keys to the facility van without staff's knowledge. The facility has since stored keys in a secure filing cabinet. LPA Shulz confirmed the use of the filing cabinet during today's visit. An exit interview was conducted, and a copy of this report and appeal rights were discussed and will be provided to Administrator, Carol Ayers . This case management investigation is closed, and the facility has been given an LIC TV for Personnel Duties 87065.2 (b)(1) (See LIC TV).


summary: Facility Evaluation

raw_content:
Narrative:
On November 15, 2024 at approximately 11:32am Licensing Program Analysts (LPAs) Tatyana Shulz arrived at the Paradise Adolescent Homes for the purposes of a case management review. LPA was greeted by Mental Health Staff, Faith Tupin who granted LPAs access. LPA conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. Thermostat is malfunctioning. Home warranty will be at the facility to fix the issue on 11/19/2024. Work order placed on 11/13/2024. Master bathroom screen is detached. Work order placed on 11/13/2024. Front office screen door is detached from the track. Work order placed on 11/13/2024. This case management will remain open, until a follow up inspection is conducted to ensure the facility is in full compliance. (See LIC TV) An exit interview conducted and a copy of this report was left with Administrator, Carol Ayers.

met_with: Administrator- Carol Ayers


summary: Facility Evaluation

raw_content:
Narrative:
On December 16, 2024 at approximately 1:45pm Licensing Program Analysts (LPAs) Tatyana Shulz and Orlando Areizaga made an unannounced inspection to conduct a case management at Paradise Adolescent Homes. LPAs were greeted by House Manager, Chelsea Dailey, who granted LPAs access. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. Holes in the wall leading towards the clients bedroom. LPA Shulz received a copy of the work order that was placed. LPAs conducted a walk through of the facility and observed that the deficiencies noted on the November 15, 2024 inspection is still underway. The facility has put in 4 requests to get the deficiencies fixed but the contractor has yet to arrive. This case management will remain open until a follow up inspection is conducted to ensure the facility is in full compliance. (See LIC TV) An exit interview was conducted and a copy of this report was left at the facility.

met_with: Chelsea Dailey-House Manager


summary: Facility Evaluation

raw_content:
Narrative:
On January 9, 2025 at approximately 10:07am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced inspection to close a case management at Paradise Adolescent Homes. LPA was greeted by Faith Tupin, Designated Mental Health Worker who granted LPA access. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. · Holes in the wall leading towards the client's bedroom. · A malfunctioning thermostat. · The master bathroom screen being detached. · Front office screen door being detached from the track. LPA conducted a walk through of the facility and observed that all of the issues noted on the November 15, 2024 and December 16, 2024 inspection has been fixed, the facility is in full compliance. This case management is now closed. An exit interview was conducted, and a copy of this report was left at the facility with Mental Health Worker, Faith Tupin.


summary: Facility Evaluation

raw_content:
Narrative:
On January 29, 2025 at approximately 9:58am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced inspection to conduct a case management at Paradise Adolescent Homes. LPA was greeted by House Manager, Chelsea Dailey, who granted LPA access. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiency. The bedroom door leading to the back office is split in half. LPA Shulz received a copy of the work order that was placed. This case management will remain open until a follow up inspection is conducted to ensure the facility is in full compliance. (See LIC TV) An exit interview was conducted and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On February 13, 2025 at approximately 10:26am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced inspection to close a case management at Paradise Adolescent Homes. LPA was greeted by Faith Tupin, Designated Mental Health Worker who granted LPA access. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiency. The bedroom door leading to the back office is split in half. LPA conducted a walk through of the facility and observed that the deficiency noted on the January 29, 2025 inspection has been fixed, the facility is in full compliance. This case management is now closed. An exit interview was conducted, and a copy of this report was left at the facility with Mental Health Worker, Faith Tupin.


summary: Facility Evaluation

raw_content:
Narrative:
On May 8, 2025 at approximately 10:35am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced inspection to conduct a case management at Paradise Adolescent Homes. LPA was greeted by Designated Mental Heather Worker, Faith Tupin, who granted LPA access. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiency. The screen on clients bedroom was missing and needs to be replaced. This case management will remain open until a follow up inspection is conducted to ensure the facility is in full compliance. (See LIC TV) An exit interview was conducted and a copy of this report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On May 23, 2025 at approximately 11:17am Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced inspection to close a case management at Paradise Adolescent Homes. LPA was greeted by Faith Tupin, Designated Mental Health Worker who granted LPA access. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiency. The screen on clients bedroom was missing and needs to be replaced. LPA conducted a walk through of the facility and observed that the deficiency noted on the May 8, 2025 inspection has been fixed, the facility is in full compliance. This case management is now closed. An exit interview was conducted, and a copy of this report was left at the facility with Faith Tupin, Designated Mental Health Worker.

met_with: Faith Tupin-Designated Mental Health Worker


summary: Facility Evaluation

raw_content:
Narrative:
On November 4, 2025 at approximately 12:32pm Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced inspection to conduct a case management at Paradise Adolescent Homes. LPA was greeted by Chelsea Dailey, Facility Manager who granted LPA access. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. The sliding glass screen door is falling off of the track in the office area. There is a missing drawer in the kitchen. This case management will remain open until a follow up inspection is conducted to ensure the facility is in full compliance. (See LIC TV) An exit interview was conducted and a copy of this report was left at the facility.

met_with: Chelsea Dailey-Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jean Stidman on 7/28/21 at 11:45AM. During the inspection, LPA Stidman met with Chelsea Dailey House Manager and inspected the facility inside and out. All files and medication documents were reviewed and a medication count was conducted during the inspection. LPA reviewed two child's records on site on 7/28/2021 at 11:45am. LPA interviewed two children currently taking psychotropic medication at 2:00pm. LPA reviewed one staff personnel file on site on 7/28/2021 at 11:45am. LPA interviewed one staff on site at 11:45am. Facility cited for Short Term Residential Therapeutic Program Interim Licensing Standards (ILS) Training Requirements 87065.1(d)(3)(F) Annual Training. Staff training must include oversight and monitoring of psychotropic medications for children in foster care. Staff file review is missing this documentation. Facility cited for California Code of Regulations, Title Regulation Health Related Services )Clients shall be assisted as needed with self-administration of prescription according to the physician's directions. The medication count showed the facility was not administering medication according to the physician's directions. Facility cited for California Code of Regulations, Title Regulation Health Related Services 80075(k)(7). The licensee shall ensure for each client, of a record of centrally stored prescription medications. The facility did not have a Psychotropic Medication Administration Record (PMAR) for C Aripiprazole started 7/20/ One Advisory Notes for Technical Assistance was given for California Code of Regulations, Title Regulation Health Related Services 80075(k)(4) No person other than the dispensing pharmacist shall alter a prescription label. Staff used a red marker to write the start date on the prescription bottle. LPA conducted exit interview with Chelsea Dailey House Manager at 4:30 pm. LPA provided the Summary Report to Chelsea Dailey House Manager upon completion.

met_with: Chelsea Dailey House Manager


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
This amended report supersedes report dated 07/15/22. Licensing Program Analyst Dawn Eunice (LPA) conducted a case management inspection to the above facility for the purpose of ensuring compliance with Interim Licensing Standards, Health and Safety Code and Title 22 regulations regarding criminal record clearances. On 7-15- LPA Euince discovered none of those five staff were/are properly associated. When LPA arrived on 7-15-22, to deliver reports regarding the previously identified people, there three additional staff, present and caring for children, who are not properly cleared/associated. All eight staff without clearances/associations are identified on the confidential names list; those identified 7-13-22, then the three additional staff/individuals present on 7-15-22. LPA discovered one of those eight staff have been working/present/taking care of children since August 2021. Based on documentation received it was confirmed that the staff members were associated to facility # 075600345 in San Ramon. On 7/19/ LPA Eunice replied to the email stating the staff needed to be associated to the proper facility #487003584 subject to the citations and civil penalties. On 7/25/22 the Department received a letter stating all eight staff had been properly associated to the correct facility #487003584. In addition, it was asserted that Antinia Gregory personally called Guardian on a recorded call on 05/05/22 and received confirmation that three of the eight staff members who were recently hired were properly cleared and eligible for employment. Lastly, details were provided that proved that two staff members in question who were assured had no physical contact with clients until 06/01/22. The Department has thoroughly reviewed all the information provided to support your appeal. We reviewed emails, licensing investigative reports, and checked clearance for the eight staff members on Guardian. As of August 23, Guardian reflects all eight staff members to be properly associated to Paradise Adolescent Homes #487003584. Therefore, your appeal to overturn the citations and civil penalties was granted. Exit interview conducted with the administrator and a copy of this report was provided.

Deficiencies:
80054(b): An immediate penalty of $100 per cited violation per day for a maximum of five (5) days shall be assessed if any individual required to be fingerprinted under Health and Safety Code Section 1522(b) has not obtained a California clearance or a criminal record exemption, requested a transfer of a criminal record clearance or requested and be approved for a transfer of an exemption.  After a review of facility records and a review of the Department's Guardian website, 8 individuals do not have these mandated clearances and/or the proper associations.

title:
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780054(b) - Penalties


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 2/16/ Licensing Program Analyst (LPA) Jean Stidman met with Melissa Williams Direct Care Staff for the purpose of a Plan of Correction (POC) inspection. LPA requested documentation to clear the POC from the SB Psychotropic Medication Inspection on 7/28/21.The facility was unable to produce any documentation after Melissa Williams Direct Care Staff made several attempts to reach other staff for assistance. Facility is cited on the LIC809D page under the Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (iLS) regulation 87044(a) Inspection Authority. In addition to California Code of Regulations, Title 22, Section 80044, the following shall apply. Title 22, Division 6, Chapter 1, Article 04. Administrative Actions, Title 22 regulation 80044(c)(1) states The licensing agency shall have the authority to inspect, audit, and copy client or facility records upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the requirements specified in Sections 80066(c) and 80070(d). The licensee shall ensure that provisions are made for the examination of all records relating to the operation of the facility. A copy of this report was reviewed with Melissa Williams Direct Care Staff and emailed to the facility as LPA was unable to print due to technical difficulties.

Deficiencies:
87044(a): 1
2
3
4
5
6
7

met_with: Melissa Williams Direct Care Staff

title:
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787044(a) Inspection Authority.   In addition to California Code of Regulations, Title 22, Section 80044, the following shall apply...The licensee shall ensure that provisions are made for the examination of all records relating to the operation of the facility. This requirement is not met as evidenced by

description:
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summary: Facility Evaluation

raw_content:
Narrative:
On 9/07/23 at 1:15 p.m. Licensing Program Analyst (LPA), Jacqueline Carmona made an unannounced visit to conduct a case management regarding an incident report received by The Department on 09/05/23 dated 8/28/23. LPA met with Chelsea Dailey, Facility Manager. STRTP/ consists of 3 bedrooms, 2 bathrooms, 2 living rooms, a kitchen, and a staff office. The backyard is free of debris. The facility is in compliance at the time of the inspection. The Department received an LIC 624-LE on 09/05/23 which was dated 8/28/23. The client C1 was assaulted by a school peer on a school bus on the way to the facility and was taken to the Emergency Room to be treated per client's request. Law Enforcement was contacted by hospital staff. On 9/05/ LPA Carmona contacted the Facility Manager, and it was confirmed the Department was not notified the following business day of the incident that took place on 8/28/23. An exit interview was conducted and a copy of this report was provided to the Facility Manager. This case management investigation is closed, and the facility has been cited for Reporting Requirements 87061 (j)(1) (See LIC 809D).

met_with: Chelsea Dailey, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On September 12, 2024 at approximately 10:00am Licensing Program Analysts (LPAs) Tatyana Shulz and Zaria Turner arrived at the Paradise Adolescent Homes for the purposes of a case management review. LPAs were greeted by Cherrell Bryant who granted LPAs access. LPAs conducted a tour of the inside and outside of the facility where LPAs observed the following deficiencies. Holes in the hallway leading towards clients bedroom were made on September 8th. Side paneling on the side of the home is detaching. LPAs requested work orders be placed and copies of the work orders. This case management will remain open, until a follow up inspection is conducted to ensure the facility is in full compliance. An exit interview conducted and a copy of this report will be sent to Administrator, Carol Ayers. The facility has been cited for Buildings and Grounds 80087 (a) (See 809-D for plan of corrections).


summary: Facility Evaluation

raw_content:
Narrative:
On January 23, 2026 at approximately 2:45pm Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced inspection to close a case management at Paradise Adolescent Homes. LPA was greeted by Carol Ayers, Administrator who granted LPA access. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiency on the November 4, 2025 visit. The sliding glass screen door is falling off of the track in the office area (a magnet screen will be installed) There is a missing drawer in the kitchen. LPA conducted a walk through of the facility and observed that the deficiency noted on the November 4, 2025 inspection has been fixed, the facility is in full compliance. This case management is now closed. An exit interview was conducted, and a copy of this report will be sent to Carol Ayers, Administrator.

met_with: Carol Ayers-Administrator


raw_content:
Narrative:
Based on evidence obtained and confidential interviews conducted during the investigation process, the allegations above cannot be substantiated due to lack of evidence. 6 out of 8 confidential interviews stated that staff follow the clients care plan by maintaining a set phone and television schedule to help the clients with their ongoing behaviors. The clients are also allowed to use the phone during their designated phone times and can contact their authorized representatives outside of those set times whenever needed. 6 out of 8 confidential interviews stated that the staff speak to the clients in an appropriate matter and that appropriate staff and client boundaries are constantly kept. 5 out of 8 confidential interviews stated that the staff do not sleep while on shift due to the high level of activity during the night shift and are told to have one staff member stationed in the office area and the other in the living room near the front door. There were inconsistent statements made by two interviewees on the allegation. 4 out of 8 confidential interviews stated that the facility bought a new dryer due to a suspected malfunction of the older unit, it was later discovered that the hose was not attached to the outflow therefore, unable to dry the client's clothes adequately. Other interviewees were unaware of the dryer issue. 6 out of 8 confidential interviews stated that the facility provides adequate meals for the clients in care. During visits to the home on 10/23/2025, 11/04/2025 and 1/23/ LPA observed enough food in the home for both clients. LPA received documentation showing the facility vehicle driver side window control panel was disconnected but operable. The picture of the control panel being in poor condition was taken on October 10, 2025, with the repairs being made to the facility vehicle on November 6, 2025, once the facility was able to be seen by a mechanic. Lastly, LPA was unable to speak to the other client in care due to them awoling from the facility on multiple occasions and was unable to confirm or deny the allegations. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On February 6, 2026, at 3:15pm Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced visit to deliver findings to the above Short Term Residential Therapeutic Program (STRTP) and met with Tia Cooper, Mental Health Rehabilitation Specialist. Prior to the meeting LPA Shulz conducted the 10-day inspection of the facility on 10/23/2025. No deficiencies were cited during that inspection. LPA Shulz requested the most recent Needs and Services Plan for all clients in the home, Medication Logs for September and October, TV and telephone schedules, Staff Schedules, Client Safety Plan and Contact information for all parties involved. LPA Shulz conducted 8 interviews and attempted 1 interview between 10/23/2025-1/26/2026. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Connie Goldie LICENSING EVALUATOR NAME: Tatyana Shulz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PARADISE ADOLESCENT HOMESFACILITY NUMBER: VISIT DATE: 02/06/2026

met_with: Tia Cooper- Mental Health Rehabilitation Specialist


summary: Facility Evaluation

raw_content:
Narrative:
On March 11, 2026 at 10:30 a.m. Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools and met with Facility Manager, Chelsea Dailey. Physical Plant LPA toured the interior and exterior of the facility during the inspection today. The facility consists of 3 bedrooms. 2 client bedrooms had all the furniture, linens and lighting as required. Bedroom 3 has been converted into an office with a locked cabinet for client's files and a locked cabinet for medication and furniture is in good repair with an attached bathroom in working condition. LPA observed 1 client bathroom available which is appropriately equipped with toilet paper, paper towels and running warm water of 141 degrees with adequate warning labels. LPA observed that the shower and toilet were in working condition as required. The kitchen had a adequate supply of perishable and nonperishable food for the client in care. LPA observed that the facility appliances, refrigerator, and freezer to be clean and function as required. LPA observed that sharps, disinfectants, and cleaning supplies were appropriately stored and were not accessible to clients in care. A menu is posted in the facility. There are laundry services available for the youth to complete their own laundry in the garage. There is a working carbon monoxide and fire detectors and a fully charged fire extinguisher. There is a functioning telephone in the facility available for client use. The 2 living rooms and dining room were free of obstruction and had furniture in good repair. The office used by clinicians and administrator has two desks, a couch and storage cabinets. All the posting requirements were available in a visible area. First aid kits were fully stocked and available. LPA observed that the facility vehicle appeared to be in good operating condition. The back yard and front yard were free of debris and in compliance. There are no bodies of water located on the property. Continue to 809-C Currently the facility has 1 clients in care. LPA reviewed 1 client files and 5 staff files. A review of the staff files indicated the staff have background check clearances. LPA interviewed 1 staff and 1 client. A review of the Licensing Information System indicates the facility is current with their facility fees at the time of the inspection. The facility has been cited during today's inspection (Refer to the LIC809D and LIC TV) for further information. Exit interview was conducted and a copy of this report and appeal rights will be provided to the Administrator.

met_with: Chelsea Dailey- Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On April 7, 2026 at approximately 1:15pm Licensing Program Analyst (LPA) Tatyana Shulz made an unannounced inspection to close a case management at the above Short Term Residential Therapeutic Program. LPA was greeted by Chelsea Dailey, Facility Manager, who granted LPA access to the facility. Prior to the meeting LPA Shulz conducted a tour of the inside and outside of the facility where LPA observed the following deficiencies. Missing window screens in one client bedroom and the staff bathroom. A hole in the wall leading to the clients bedroom. LPA conducted a walk through of the facility and observed that the deficiency noted on the March 11, 2026 inspection has been fixed, the facility is in full compliance. This case management is now closed. An exit interview was conducted with Chelsea Dailey, Facility Manager and a copy of this report will be sent to the licensee.


facility_name: PARADISE HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
In an interview with W1 on 02/24/2021, W1 stated that during a recent provider meeting for C1 on 02/17/2021, W8 had reported that C1 was regularly smoking marijuana as part of their coping skills when they were depressed or feeling anxious. Per W1, W8 continued by saying C1 was allowed to take daily 10 minute walks in the neighborhood to smoke marijuana outside, and didn't see a need to make C1 stop because it was the only coping skill C1 had. In interviews with C1, C2, W2, W3, W4, W5, W6, W7, W8, and W9, all interviewees stated that smoking was never allowed inside or outside of the facility, and that staff would never grant permission for a client to smoke marijuana as a coping mechanism. C2 stated they had never seen C1 smoking in the home, has never heard of it being an issue at the home, and stated the clients were not allowed to smoke as a coping skill. W2 and W3 both stated they had never heard of any complaints of inappropriate behavior or drug use at the home. W2, W7, and W8 all stated they were aware that C1 smokes marijuana, but that C1 had never done it on facility property and it would not be permitted. C1 denied this allegation, stating they never smoked inside or outside of the facility. In regard to W1's statement that W8 reported C1 was smoking in the facility as a coping skill, W8 stated this was false, that smoking was not allowed even for coping. W8 denied telling anyone they had given C1 permission to smoke, and that C1 was allowed to go on walks but not for the purpose of smoking. W7 and W4 both stated that marijuana paraphernalia had been found once during a room search of C1's room, but confirmed C1 had never smoked in the home. W5 also conducted an investigation into this incident for their own agency, and found the allegation to be unfounded based on interviews with staff and clients. During this investigation, there was insufficient evidence to substantiate that staff allowed C1 to smoke marijuana. C1 initially disclosed that facility staff allowed them to smoke in the backyard, but later declined to speak further on the matter because they stated it was untrue. Although the allegation "Staff is allowing a minor to smoke marijuana while in care" may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. At this time, no deficiencies were observed or cited. An exit interview was conducted, and a copy of this report was emailed to Sabrina Shelton, whose signature on this form confirms receipt.

Investigation Findings:
13At 11:01AM, Licensing Program Analyst (LPA) Madi Fremont traveled to Paradise Home STRTP for the purpose of conducting an unannounced Complaint Investigation Inspection. LPA met with Care Coordinator Sabrina Shelton, who helped facilitate this inspection. Currently in care are 3 ambulatory clients. (Please reference LIC811 - Confidential Names dated 09/10/2021) On 02/19/2021, the San Jose Children's Residential Program Regional Office received a complaint for Paradise Home with one allegation: "Staff is allowing a minor to smoke marijuana while in care." This complaint was assigned to LPA Fremont and was investigated by Investigator Dinah Watkins of Community Care Licensing's (CCL's) Investigations Branch (IB). (CONTINUED ON LIC9099-C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Madeleine Fremont LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: PARADISE HOMEFACILITY NUMBER: VISIT DATE: 09/10/2021

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

visit_type: Complaint Investigation

met_with: Care Coordinator Sabrina Shelton


raw_content:
Investigation Findings:
13At 11:46AM, Licensing Program Analyst (LPA) Madi Fremont traveled to Paradise Home to conduct an unannounced Complaint Investigation Inspection and to deliver findings for a complaint received on 05/11/2021. (See LIC811 - Confidential Names dated 11/24/2021). On 05/11/2021, the San Jose Children's Residential Program Regional Office received a complaint for Paradise Home with two allegations: (1) "Staff mishandled a minor while in care," and (2) "Staff did not seek timely medical attention for a minor while in care." On 06/04/2021, LPA AmyLe Tran traveled to the home to notify the licensee of these allegations and to request relevant documentation. LPA Fremont returned to the home on 11/18/2021 to collect additional documentation and to conduct interviews with staff and clients. Regarding these allegations, LPA Fremont conducted interviews with 2 clients and 5 staff. LPA obtained the following information: According to all those who were interviewed, if a client expresses to staff that they are feeling sick or injured, the staff protocol is to immediately offer the client medical attention, either by making an appointment at the nearest urgent care during normal business hours or by taking the client to the closest emergency room if no appointments are available. All those interviewed stated there was no reason that staff would ever deny a client medical attention, although clients were able to refuse treatment if they wanted. Neither of the clients who were interviewed were living at the home when these allegations were reported, and could not speak to the incident in question. All staff who were interviewed stated that the client named in this complaint (C1) had a history of aggression and making false allegations about staff. All staff stated that C1 had been the aggressor for the duration of the incident on 05/07/2021, and had been making verbal threats and exhibiting physical aggression toward the staff involved. It was reported that San Ramon Police responded to this incident after C1 called 911, and both officers agreed with staff that the client had been the aggressor, and they did not feel the need to make a report for the incident. It is noted in the incident report dated 05/07/2021 and in staff shift notes for the same day that C1 had taken a video of the incident, but upon showing the video to the police, C1 was told that it only showed her being the aggressor toward staff, and that she needed to go to bed. All staff interviewed corroborated this information, but did not know where a copy of this video could be found as it was never provided to the licensee. All staff stated that the client had reported their foot was injured during the incident, but the client did not report this to the responding officers, and the client did not mention an injury or request medical attention at all in the days following the incident. The staff involved stated they would have offered the client medical attention if they had requested it, but did not because the client did not show any observable signs of injury. These statements are corroborated by an incident report dated 05/07/2021, as well as the staff shift notes for the day of the incident. LPA Fremont attempted to contact the client involved, the responding officers, and the complainant several times over the course of this investigation, but was ultimately unsuccessful in getting a response. This agency has investigated the allegations (1) "Staff mishandled a minor while in care," and (2) "Staff did not seek timely medical attention for a minor while in care," and has found that althought the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, appeal rights discussed, and a copy of this report was emailed to the licensee. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Madeleine Fremont LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Facility Manager Ashaki Gregory


summary: Complaint Investigation - Substantiated - 1 allegation

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Investigation Findings:
13On 9/21/22 at 12:30, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Paradise Home and spoke with Sabrina Shelton, Care Coordinator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During investigation, interviews were conducted, and incident reports were reviewed, and it was determined that a minor attacked another minor while in care. Based on LPA's interview with staff, clients, and record review(s), the preponderance of evidence standard has been met, therefore the above allegations, Minor attacked minor while in care is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 1: 80078(a) Responsibility for Providing Care and Supervision. Please refer to attached 9099D. At this time, one deficiency was given. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Sabrina Shelton, Care Coordinator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: PARADISE HOMEFACILITY NUMBER: 075600345

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Sabrina Shelton

complaint_status: SUBSTANTIATED


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Investigation Findings:
13On 11/3/22 at 3: PM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at Paradise Home and spoke with Ashaki Gregory, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegations. During investigation, interviews were conducted, photos obtained, and incident reports were reviewed, and it was determined that facility did not provide proper supervision and the facility menu was not being followed. Based on LPA's interview with staff, clients, and record review(s), the preponderance of evidence standard has been met, therefore the above allegations, Facility not providing proper supervision and Facility menu is not being followed is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 1: 80078(a) Responsibility for Providing Care and Supervision and 80076 (a)(5) Food Services. Please refer to attached 9099D. At this time, two deficiencies were given. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Ashaki Gregory, Facility Manager. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, TRAEGER AVE., SUITE FACILITY NAME: PARADISE HOMEFACILITY NUMBER: 075600345

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Ashaki Gregory


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Investigation Findings:
13On 9/20/23 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng conducted a complaint inspection at listed facility and spoke with Ashaki Gregory, Facility Manager. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA Ng reviewed documents and conducted interviews with clients and staff. In addition to the confidential interviews, LPA also reviewed incident reports and shift notes, and found no evidence of staff not providing adequate supervision to minor(s) in care. Although, the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that facility staff are not providing adequate supervision to minor(s) in care. Therefore, the above allegation are unsubstantiated. Exit interview was conducted and a copy of the report will be emailed to Ashaki Gregory, Facility Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Carolyn Flynn LICENSING EVALUATOR NAME: Alyssa Ng LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


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Investigation Findings:
13On 1-12-24 1:19PM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Paradise Home, and met with Ashaki Gregory, Facility Manager, who helped with the inspection. The purpose of the inspection was to deliver the complaint findings. The complaint alleged that staff are not providing adequate supervision to the youths while in care. During the course of the investigation, LPA conducted confidential interviews and document research, which provided conflicting information. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove staff are not providing adequate supervision to the youths while in care. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was given to Ashaki Gregory, Facility Manager. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lidia Tinoco LICENSING EVALUATOR NAME: George Karkazis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Ashaki Gregory, Facility Manager


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Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Ava Ballard, Shift Supervisor


investigation_findings: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

allegations: UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


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Narrative:
Based on record review and confidential interviews obtained, LPA found that a staff member witnessed a physical altercation between clients that led to one of the clients being assaulted and did not attempt to prevent or de-escalate the situation prior to calling 911. The preponderance of evidence standard has been met, and therefore the above allegation(s) are found to be substantiated. This is a violation of the Interim Licensing Standards, Personal Rights(c)(1). The facility is being issued a citation on the attached page LIC 9099-D. Based record review and confidential interviews obtained, LPA found that the facility did not send Incident Reports to the Department between October 2023 and February 2024. The preponderance of evidence standard has been met, and therefore the above allegation(s) are found to be substantiated. This is a violation of Title 22, Division 6, Chapter 1, Article 06, Reporting Requirements 80061(b). The facility is being issued a citation on the attached page LIC 9099-D. Based on record review and confidential interviews obtained, LPA found that a client was not taken to get medical care after expressing they had injured themselves and that the client took themselves to the hospital to get care a few days later. The preponderance of evidence standard has been met, and therefore the above allegation(s) are found to be substantiated. This is a violation of Title 22, Division 6, Chapter 1, Article 06, Health Related Services 80075(a). The facility is being issued a citation on the attached page LIC 9099-D. An exit interview was conducted, appeal rights discussed and a copy of this report was left with Shift Supervisor whose signature on this form confirms receipt.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


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Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


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Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Shift Supervisor - Ava Ballard


investigation_findings: SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


met_with: Ava Ballard - Facility Manager


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Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Ava Ballard - Shift Supervisor


met_with: Evette Watts - Direct Care Counselor


summary: Facility Evaluation

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Narrative:
At 10:48AM, Licensing Program Analyst (LPA) Madi Fremont traveled to Paradise Home for the purpose of conducting a Post Licensing Inspection. LPA met with Residential Counselor Sabrina Shelton, who helped facilitate this inspection. Currently in care are 4 ambulatory clients. At the time of this visit, one client and two staff were present in the home. (Please reference LIC811 - Confidential Names dated 06/29/2021) LPA toured the facility inside and out. The home was observed to be clean and free from hazards. The home is one story, with a kitchen, living room, family room, staff office, two full bathrooms, and 3 bedrooms which each house 2 clients. One bathroom is shared by the clients, and one bathroom is located in the staff office. Each room was observed to be well lit and all light bulbs functional. Each bedroom was equipped with 2 twin beds and ample storage space for clients' belongings. All hallways and passageways were observed to be free from obstruction. LPA toured the backyard, which was free from hazards. The backyard is surrounded by a fence on 3 sides. No bodies of water on the premises. LPA observed at least 7 days of nonperishable food and at least 2 days of perishable food in the kitchen refrigerator. The facility license, weekly menu, activities calendar, and client Personal Rights were posted prominently in the home. Sharps and chemicals are kept locked and inaccessible to clients. Medications are centrally stored in the staff office. During this inspection, LPA reviewed 3 client records and 3 staff records. All client records were complete with all required elements. For S3, the LIC503: Health Screening is missing a signature from a healthcare professional. An LIC9102 - Advisory Note was issued to the home for Title 22, Division 6, Chapter 1, Article 6, Section 80065(g)(2) - Personnel Requirements. Please see the attached LIC9102 for details. (Continued on Lic809-c) The home's thermostat was set to 72 degrees Fahrenheit. The kitchen faucet and client bathroom faucets measured 117.2 degrees Fahrenheit. All smoke and carbon monoxide detectors are functional. LPA observed hygiene items in the bathroom for each client. Handwashing and COVID-19 safety posters were posted throughout the home. No firearms on the property. LIC610 - Emergency Disaster Plan was observed in the staff office. At this time, no deficiencies were observed or cited. One LIC9102 - Advisory Note was issued for 80065(g)(2) - Personnel Requirements to communicate best practice for staff record keeping. At this time, Paradise Home has been approved to transition from a Provisional License to a regular STRTP License. LPA Fremont will issue a new license once the change has been processed. An exit interview was conducted, and a copy of this report was emailed to Residential Counselor Sabrina Shelton, whose signature on this form confirms receipt.


summary: Facility Evaluation

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Narrative:
--------------The original document was amended due to LPA making an error regarding temperature reading ------------------- On 3/18/22 at 10:00AM, Licensing Program Analyst (LPA) Alyssa Ng made a visit to the facility for a required annual inspection. LPA met with Ashaki Gregory, Facility Manager and Sabrina Shelton, Care Coordinator and informed of the purpose of the visit. A screening call was conducted with Maritza Jefferson, Licensee prior to visit. Safety precautions taken including mask-wearing and social distancing. The facility is clean, safe and sanitary and in good repair. All passageways are unobstructed. There are three bedrooms and two bathrooms. One bathroom is for clients and one is for staff use. There are no pools or bodies of water. All disinfectants, cleaning solutions and poisons are located in the garage and are not accessible to the residents. There are no firearms in the facility and all sharps are inaccessible to clients in care. The inspected bedrooms were furnished accordingly. The kitchen is clean and sanitary. Water temperature measured 112. F. The facility has sufficient two day perishable and seven day nonperishable food supply. Medications are located in the staff office and are locked. Medication that needed refrigeration was locked as well. Medication binder was inspected and LPA Ng let Care Coordinator Sabrina know that some boxes were left empty and signatures were missing. See attached LIC9102 for more details. The facility has Personal Rights and Emergency Disaster Plans are posted and in clear view. Licensee Maritza Jefferson came by to introduce herself to LPA Ng. LPA Ng introduced herself and assured Martiza to contact LPA for any questions or concerns. LPA Ng reviewed all 4 client files and were found to be complete. LPA Ng interviewed two clients. All Staff training hours meet the minimum requirements, A review of Guardian Background Check System indicate that all facility staff have DOJ, FBI and child abuse index check clearances (CAIC). One technical advisory was given today and no deficiencies were cited today. A copy of this report has been given to Sabrina Shelton, Care Coordinator.


summary: Facility Evaluation

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Narrative:
On 3/13/23 at 10: AM, Licensing Program Analyst (LPA) Alyssa Ng made a visit to the facility for a required annual inspection. LPA met with Ashaki Gregory, Facility Manager and Sabrina Shelton, Care Coordinator and informed of the purpose of the visit. During this inspection, 1 client and 2 staff were present in the home. Safety precautions taken including mask-wearing and social distancing. At 1: PM, a client came home from school. The facility is clean, safe and sanitary and in good repair. All passageways are unobstructed. There are three bedrooms and two bathrooms. One bathroom is for clients and one is for staff use. There are no pools or bodies of water. All disinfectants, cleaning solutions and poisons are located in the garage and are not accessible to the residents. There are no firearms in the facility and all sharps are inaccessible to clients in care. The inspected bedrooms were furnished accordingly. The kitchen is clean and sanitary. Water temperature measured 116. F. The facility has sufficient two day perishable and seven day nonperishable food supply. Medications are located in the staff office and are locked. Medication that needed refrigeration was locked as well. The facility has Personal Rights and Emergency Disaster Plans are posted and in clear view. At 11: AM, LPA Ng observed the backyard. LPA observed it to be free from hazards. The backyard is surrounded by a wooden fence with locked gates. The facility has a centralized AC unit in the side yard which is inaccessible to clients. LPA Ng reviewed all 4 client files and were found to be complete. LPA Ng interviewed 2 staff and 2 clients. ------------Cont. ON 809C--------------- At 12: PM, LPA Ng reviewed 3 staff files. All three staff files were complete except for the following: One staff member did not have a Tuberculosis test in their file. Facility was cited under California Code Of Regulations, Title 22, Chapter 6, Section 80066(a)(11) Personnel Records. Lastly, Out of the three staff files reviewed, all three staff did not have an active CPR/First Aid Certification. Facility was cited under California Code Of Regulations, Title 22, Chapter 6, Section 80075(f) Health- Related Services. All Staff training hours meet the minimum requirements, A review of Guardian Background Check System indicate that all facility staff have DOJ, FBI and child abuse index check clearances (CAIC). At 2: PM, an exit interview was conducted, appeal rights were provided, and a copy of this report was left with Ashaki Gregory, Facility Manager.


summary: Facility Evaluation

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Narrative:
On 12/4/2023 at 9:54AM, Licensing Program Analyst (LPA) Selena Hood and LPA Brenda Rodriguez conducted an unannounced visit to the licensed facility. The purpose of this visit was to conduct the psychotropic medications inspection. LPA met with Ava Vallard, Shift Supervisor. Prior to the visit, LPA Hood was provided the LIC500, client roster, and list of clients currently prescribed psychotropic medications. The current census of the home is four clients, three clients were prescribed psychotropic medications. Of those three clients, two clients were eligible for psychotropic medications inspection review. LPAs reviewed two eligible client files. LPAs found that one youth had a parental consent document for psychotropic medications; however, not all psychotropic medications currently being prescribed were listed. LPAs delivered a Technical Violation for Interim Licensing Standards (ILS) 87070(b)(13). LPAs reviewed six staff files. LPAs observed no deficiencies in the staff files. LPAs conducted three confidential interviews at the facility. LPAs conducted a walk through of the facility of the facility and observed no deficiencies. LPAs observed Ava Vallard, Shift Supervisor, conduct a medication count of four psychotropic medications. There were no issues with the medications count. LPA conducted an exit interview with Ava Vallard, Shift Supervisor, at 2:12PM whose signature confirms the receipt of this document.

met_with: Ava Vallard


summary: Facility Evaluation

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Narrative:
On 07/11/2024, Licensing Program Analyst (LPA) Mona Lam visited the facility listed above. The purpose of the visit was to conduct a case management regarding the facility and informed Shift Supervisor, Ava Ballard. During an investigation at the facility, LPA Lam noticed a bag of powdered laundry detergent was open and placed on top of dryer machine in the garage. Staff member reported that garage is always locked and inaccessible to clients. When clients enter the garage for laundry or therapy sessions, the clients are supervised. Staff member informed LPA that previous visits this was not an issue to leave powdered laundry detergent out in a locked garage. LPA Lam observed a broken chair in the garage. The leg of the chair is broken. LPA asked staff member when did it occur. Staff member informs it may have happened several months ago. LPA observed a broken bathroom sink counter inside the bathroom. Broken piece was removed, however edges of the counter is sharp and in access to clients. Staff member informs the incident happened recently and maintenance is supposedly coming to the facility 07/11/2024 to fix the broken counter. LPA observed broken door knob for one of the client's bedrooms. Staff member informs incident occurred 07/10/2024 overnight. Staff member informs LPA that door knob is supposed to fix the broken door knob as well. If maintenance does not come, staff member said another staff member will put on the door knob as of 07/11/2024 overnight. During the inspection of clients' safeguards for cash resources, LPA observed inaccurate records of accounts pertaining to cash resources. Staff member explains process of recording cash records were: client was to ask and receive a certain amount of cash (recorded under Amount Received), client was to spend the certain amount of cash (Amount Spent), hence Balance results in $0. However, transactions were solely recorded of how much money was given and used to clients. It does not overall reflect allowance earned and saved by client. No citations were issued at this visit. An exit interview was conducted and appeals rights was discussed to Shift Supervisor Ava Ballard. A copy of the report was emailed to the facility.

met_with: Shift Supervisor, Ava Ballard