Paradise Manor Ii Inc.

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Case Management - Incident visit in regards to an report the Department received on 02/13/2026. LPA met with Administrator, Lynda Miguel and stated the purpose of the visit. On 02/13/2026, the Department received a report stating on 02/10/2026, facility staff mishandled R1's personal item by losing R1's earring at the facility. During today's visit, LPA Rai conducted interviews with 2 staff (S1) including Administrator. S1 stated he/she was present at the facility and observed the incident occur at the facility on 2/10/2026. S1 stated on 2/10/2026, S1 noticed R1's earring was missing when S1 was assisting with R1's shower. S1 and ADM stated the facility staff searched the facility to find R1's earrings but the facility staff found the earring in a bowel-like container in the washing machine. S1 stated they assumed the earring may have fell into the clothes when R1 was removing the clothes prior to the shower and the earring was washed with R1's clothes in the washing machine. S1 stated the earring was returned to R1 the same day. During visit, ADM provided a picture of R1 that was taken at the adult day program today to show proof that R1 is wearing both earrings and the earrings are not lost. LPA Rai reviewed a picture taken of R1 in present time and observed R1 wearing both earrings in question. Continuation on LIC 809-C, Page 1 of 2. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Page 2 of 2. Based on review of R1's facility records LIC 621 dated 12/15/2024, R1's earrings are recorded on the form. ADM stated the facility has a theft and loss policy and staff are trained in the related topics. Based on review of facility staff's job duties, facility staff are responsible for all residents' personal belongings. Based on review of staff training at random, 2 out of 2 staff obtained training on Facility Program Design and Theft Loss Policy provided during orientation. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Administrator, Lynda Miguel and a copy of the report was provided.

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit. LPA Rai met with Administrator Lynda Miguel and stated the purpose of today's visit. LPA Rai observed 2 staff who have obtained a Criminal Record Clearance. LPA Rai observed 1 resident at the facility and 5 residents were attending day program. The facility is vendorized by San Andreas Regional Center and is a level 5 facility. During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai observed 1 shed in the backyard which was locked and used for storage and not habitual space. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents.LPA Rai toured the facility to include 3 resident rooms, 1 staff room, living room, dining room and kitchen. 3 Out of 3 resident bedrooms had available bedding, drawers, and functioning lights.  The facility bathroom had available soap, paper towels, and trash cans with lids. The hot water temperature in the bathroom and kitchen sink ranged from 116 - 117.6 degrees F. Fire extinguisher was observed and inspected on 04/08/2025. Facility smoke detectors and carbon monoxide detectors were in working condition. The last disaster drills were conducted on 1/3/2026 & 1/4/2026.  LPA Rai observed a complete first aid kit at the facility. LPA Rai reviewed facility records for 3 staff and 3 residents. LPA Rai reviewed resident medications and central stored medication records. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Direct Care Staff, Melanie Gavina & Jaylene Miguel and a copy of the report was provided. LIC 858 and LIC 859 were provided.

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Case Management - Other visit to deliver an amended report to the facility. LPA met with Direct Care Staff, Melanie Gavina and stated the purpose of the visit. During visit, LPA Rai provided a copy of the original and amended report from LIC 9099 Complaint Investigation visit on 6/6/2025 was provided for Direct Care Staff, Melanie Gavina to review and sign the amended report. This report was reviewed with Direct Care Staff, Melanie Gavina and a copy of the report was provided.

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit and met with Staff, Jaylene Miguel and Melanie Gavina. LPA Rai observed 1 staff who has obtained a Criminal Record Clearance. LPA Rai observed 0 residents at the facility as all 6 residents were attending day program. During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents. LPA Rai observed three cameras in the common areas facing the kitchen, living room and multipurpose room. Staff stated the cameras do not have an audio component. LPA Rai provided information regarding updating Plan of Operation for Video Surveillance use via email. LPA Rai toured the facilty to include 3 resident rooms, 1 staff room, living room, multi-purpose room dining room, and kitchen. 3 Out of 3 resident bedrooms had available bedding, drawers, and functioning lights. The facility bathroom had available soap, paper towels, and trash cans with lids. The hot water temperature in the bathroom and kitchen sink ranged from 105.8 - 106.7 degrees F. Fire extinguisher was observed and inspected on 04/25/2024. Facility smoke detectors and carbon monoxide detectors were in working condition. The last disaster drills were conducted on 1/4/2025 and 1/5/2025. LPA Rai reviewed facility records for 2 staff and 2 residents. LPA Rai reviewed resident medications and central stored medication records. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Staff, Jaylene Miguel and Melanie Gavina and a copy of the report was provided. LIC858 and LIC859 was provided.

Licensing Program Analysts (LPAs) Simi Rai and Manuel Monter conducted an unannounced case management visit. LPAs met with Administrator (ADM) Lynda Miguel. LPAs observed 0 out of 5 residents during the visit as they are currently attending Day Program. During last visit 1/6/2023, LPA Rai observed the laundry room to have kitchen area, including a sink, stove and fridge. Administrator will submit new facility floor plan to LPA Rai by Friday, January 13, 2023. Per ADM, the facility will remove the stove in the laundry room by February 28, 2023. During today's visit, LPA Rai and LPA Monter observed the laundry room to include a sink and fridge but the stove was removed and a counter space was added in the existing space. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Licensee Lynda Miguel and a copy of the report was provided.

On 1/6/2023 @ 1:23pm, Licensing Program Analyst (LPA) Simi Rai conducted an unannounced annual inspection focusing on infection control. LPA Rai met with Administrator (ADM) Lynda Miguel and Direct Care Staff (DCS) Melanie Gavina. LPA Rai observed 2 client in the living room. Per DCS, 3 clients are at day program. During visit, LPA Rai toured the facility to include the multi-purpose room, living room, 3 resident rooms, 1 staff room, 2 bathrooms, kitchen, laundry area, dining area and exterior. All fire exit routes are free and clear of obstruction. Toxins and sharp objects were secured. Medication stored in a locked cabinet. Facility observed to have a designated central entry point to include a sign-in sheet and temperature check. Facility clean and disinfect as often as needed. Bathrooms supplied with hygiene products and hand washing sign. LPA Rai observed the trash can with lids. LPA Rai observed a sufficient amount of Personal Protective Equipment (PPE). The following posters observed to include wash your hands, symptoms of COVID-19, social distancing and importance of wearing a mask. LPA Rai observed the laundry room to have kitchen area, including a sink, stove and fridge. LPA Rai observed Room #3 is a resident room and Room #2 is a staff room. Administrator will submit new facility floor plan to LPA Rai by Friday, January 13, 2023. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Direct Care Staff Melanie Gavina and a copy of the report was provided.

Licensing Program Analyst (LPA) Steve Chang conducted a pre licensing inspection visit, and met with administrator (ADM) Linda Miguel. Upon arrival, staff Melanie Gavina (MG) took LPA's body temperature, asked the infection control questionnaires, and checked LPA in guest book. ADM stated there is no residents in the facility. This facility address is currently licensed as a Adult Residential Facility (# 435202797). SARC is currently reviewing vendorization for RCFE application. LPA also informed applicant who also is the licensee of ARF (#435202797) to submit a letter of facility closure once this RCFE facility has been licensed. LPA toured the facility inside out with ADM. There are 3 shared bedrooms for residents, 1 bedroom for staff, and 2 restrooms in facility. Living room, family room, kitchen, laundry area and dinning area were observed in good repair. Not all trash cans were with covers. Not all paper towels with holder. ADM stated the facility will fix this issue in 2 days. ADM stated the facility will setup a screening station with PPE and visitor log book in 2 days. ADM stated facility will put the grab bars and non-skid mats in restrooms in two days. Room temperature was observed at 70 degree F, and hot water temperature was measured at 117 degree F. The facility is equipped with smoke and carbon monoxide detectors. ADM tested smoke and carbon monoxide detectors, and they were working fine. Fire extinguisher was observed, and was serviced on 04/10/2021. Medication closet, knives closet, and cleaning product closet were observed locked. PPE supplies were observed sufficient. LPA inspected backyard. There is no obstruction to block the walkway. ADM stated all staff were fully vaccinated and done with booster shots. Component III orientation was completed with ADM. No issues noted during inspection. Exit interview conducted with ADM, This report was provided to ADM for signature. A copy of this report was emailed to ADM.