Routine inspection·July 24, 2025

Licensing Program Manager (LPM) Alisa Ortiz and Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Raya's Paradise of San Clemente. The purpose of today’s visit was to conduct the Annual Required inspection. LPM and LPA were allowed entry into the facility and explained the reason for the visit. Facility is licensed for 80 bedridden residents. Facility has an approved hospice waiver for 40 residents and the facility currently has 2 residents on hospice care. Administrator Monica Westphaln has an administrator certificate valid until 11/08/2026. LPM and LPA met with Vladimir Estrin to gather staff and resident documents. Vladimir indicated being a third party vendor. Upon record review, there is no fingerprint clearance for Vladimir Estrin. LPM and LPA toured the facility at 8:29 AM along with Receptionist Jacqueline Manguilar. LPM and LPA toured the physical plant, checked food service, first aid kit and reviewed records. Facility appears to be clean, safe, and sanitary. The facility consists of three stories housing an assisted living, memory care, gym, salon and multiple outside patios. Resident apartments had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPM and LPA observed four residents with a half bed rails. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105.2 and 110 degrees F in all facility bathrooms tested. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. Delayed egress doors in memory care are operational. Facility has multiple first aid kits with all the elements including thermometer, tweezers and scissors. LPM and LPA observed no unsecured toxins during today's visit. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Facility refrigerators and freezers are monitored and within temperature guidelines. LPM and LPA observed two dining rooms serving residents. Smoke detectors and Carbon Monoxide detectors are tested by an outside company with the last inspection conducted on 07/05/2024. Fire extinguishers are fully charged. LPM and LPA toured the outside grounds and there is ample shaded seating for residents in multiple patios. Emergency food and water supply was observed. CONT ON LIC809-C DATED 07/24/2025 The emergency disaster and infection control plans were reviewed during the visit. Plans are thorough and complete. Facility provided documentation of last fire drill conducted on 07/01/2025. Facility provides activities in the form of exercise, games, music and outings in the community. LPA reviewed resident and staff files. Resident files contained required documents including admission agreements, physician reports, resident appraisals and orders for bed rails for three out of four residents. Staff files reviewed contained required documentation of medical clearance, training and criminal record clearance. LPA reviewed medication storage and administration. Medications are stored in a locked medication cart. Medications are being administered per physician order. Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative Kelly Brady.