Office review·August 5, 2025

On 08/5/2025, an informal office visit was held at the Fresno Regional Office. The purpose of the informal meeting was to discuss recently identified issues/concerns associated with the operation of the facility. The informal meeting process was explained during this meeting. The following were in attendance at this meeting: License, Linda Boden BY PHONE Administrator, Margaret Gardea Direct Care Staff, Alfredo Benavides Licensing Program Manager I, Sergiy Pidgirny Licensing Program Manager I, Alexandria Walton Licensing Program Analyst, Daiquiri Boyd Licensing Program Analyst, Melinda Medina (continued on next page) During this meeting the following topics were discussed: - Incident reporting - Staffing Concerns - Administrator Qualifications - Client Records - Food Service - Buildings and Grounds - Fingerprint Clearance - Accountability of licensee as a governing body Licensee and Administrator stated: Licensee stated that she was willing to assist the Administrator as much as she is able by phone, during this meeting. In addition, on 06/30/2025 during an annual inspection at Paradise Gardens, it was noted that the Administrator reported not having sufficient time to complete administrative duties due to performing caregiving duties. As a result, the facility has not been in compliance in multiple areas including resident and personnel records, buildings and grounds, insufficient staffing, and absent hospice care plans. During this meeting, deficiencies are being cited in accordance with California Code of Regulations, Title 22, Division 6 on the attached 809D. The Licensee and Administrator were informed that continued non-compliance may necessitate the Department to seek Administrative Actions. The Licensee and Administrator were notified that the hospice wavier for the facility has been reduced to two (2) residents due to non-compliance. Exit interview conducted. Plan of Correction was developed and reviewed. A copy of this report and appeal rights were discussed and provided to the Administrator during this meeting.