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Inspection visit

Complaint

EXCLUSIVE RAYA'S PARADISE, INC.License 1976085213 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Upon inspection of the facility, LPA observed that the facility has different type of alarms on main entrance and all other exit doors. A main door alarm that sounds whenever a door is opened or closed cannot be turned off manually and staff could not explain how R1 left and which exit door was used. A review of records conducted at 12:15pm revealed that R1 is diagnosed with Dementia and leaving the facility unassisted may pose a hazard to R1’s health and safety. Due to health conditions and medical diagnoses, R1 has wandering behaviors. Based on inspection, observation and interviews, there is sufficient information to support the allegation. Therefore, allegation is deemed SUBSTANTIATED at this time. Staff did not report resident's AWOL To investigate the above allegation, LPA conducted an interview with ED and it was confirmed that the facility did not report the incident to Community Care Licensing (CCL) because “they didn’t consider an incident of elopement because R1 was found on the property. Upon record review conducted at 12:15pm, R1 is not able to leave the facility unassisted. Based on LPAs Inspection and observation, R1 was found unassisted outside of the property line at Exclusive Raya’s Paradise, INC located at 849 N Gardner St. Los Angeles, CA 90046, which has a different address. The incident could pose a hazard to R1’s health and safety. Therefore, it should have been reported to the Licensing Office. Based on observations, and record review, there is sufficient information to support the allegation. Therefore, allegation is deemed SUBSTANTIATED at this time. Exit interview conducted, Deficiencies cited, copy of report and appeal rights issued.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87464(d)Type B

    Acceptance obligations tied to pre-admission appraisal needs

    87464 Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal... This requirement is not met as evidenced by: Based on interviews, observations and record review, the licensee did not ensure that R1 was assisted while leaveing the facility. This may pose a potential Health and Safety risk to clients in care.

  • 87705(k)(8)Type B

    87705 Care of Persons with Dementia (k) The following initial and continuing requirements must be met for the licensee...(8)Delayed egress devices shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents...This requirement is not met as evidenced by: Based on interviews, observations and record review, the facility did not ensure not to subsitite sufficient quantity of qualified personnel. This may pose a potential Health and Safety risk to clients in care.

  • 87211(a)(1)(D)Type B

    87211Reporting Requirement(a) Each licensee shall furnish to the licensing agency...(1)A written report shall be submitted...within seven days of the occurrence...(D)Any incident which threatens the welfare, safety or health of any resident...This requirements is not met as evidenced by: Based on observations, and interviews the facility failed to report that R1 was found outside the facility unassisted in the driveway of property 849 N. Gardner St. This may pose a potential Health and Safety risk to clients in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 21, 2022 inspection of EXCLUSIVE RAYA'S PARADISE, INC.?

This was a complaint inspection of EXCLUSIVE RAYA'S PARADISE, INC. on April 21, 2022. 3 citations were issued: 3 Type B.

Were any citations issued to EXCLUSIVE RAYA'S PARADISE, INC. on April 21, 2022?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87464 Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to a..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.