Routine inspection·March 14, 2025

At approximately 1:00 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit and was greeted by Caregiver Danilo Rivera. Administrator Edward Gadia arrived at 1:10 PM. Paradise Valley Residential Care Home #2 is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) residents. Five (5) of the residents may be non-ambulatory The facility has a Hospice Waiver for three (3) residents. The facility has a Dementia Program on file. Upon arrival, LPA was informed that there were five (5) residents in care and three (3) staff members, including the Administrator on-site. At approximately 1:15 PM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 1:20 PM, LPA toured the facility with Administrator Gadia. All exits were clear and unobstructed. Facility had one (1) fire extinguishers which was last serviced and tagged on 7/5/2024. Food supply was sufficient. The facility was sufficiently lighted. LPA inspected five (5) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The last disaster drill was conducted on 3/10/2025. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C ...Continued from 809 At approximately 2:00 PM, LPA reviewed four (4) resident files. Four (4) of four (4) resident files were found to be well organized and thorough with all required documentation. LPA reviewed three (3) staff files. All staff files had First Aid and CPR certification and proper training documentation. LPA observed that two (2) staff files, for S1 & S2, they did not have proof of a negative Tuberculosis test on file. One (1) staff file, for S3, did not have Tuberculosis test on file. In addition LPA observed that for S3, the medical assessment was not signed by an authorized health care representative. This deficiency will be cited. LPA spot checked Medication for four (4) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. Edward Gadia’s Administrator Certification 7006929740 is current with an expiration date of 11/20/2026. Lourdes Gadia's Administrator Certification 7006158740 is current with an expiration date of 10/20/2026. LPA requested the following documents be submitted to Community Care Licensing by 4/14/2025: LIC 500 Personnel Report LIC 308 Designation of Responsibility LIC 610E Emergency Disaster Plan Proof of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to Administrator Gadia. Signature on form confirms receipt of documents.