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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002535
Report Date: 10/11/2022
Date Signed: 10/11/2022 04:41:56 PM

Document Has Been Signed on 10/11/2022 04:41 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:PARADISE RESIDENTIAL HOMEFACILITY NUMBER:
306002535
ADMINISTRATOR:NOEMI FIGUEROAFACILITY TYPE:
740
ADDRESS:546 N. WRIGHTWOOD DRIVETELEPHONE:
(714) 516-2750
CITY:ORANGESTATE: CAZIP CODE:
92869
CAPACITY: 6CENSUS: 6DATE:
10/11/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH: Marina Stanic,Regional Manager (RM), Alisa Ortiz, Licensing Program Manager (LPM), Rosie Quiroz, Licensing Program Analyst (LPA) Rosie Quiroz and Neomi Figueroa, Licensee/AdministratorTIME COMPLETED:
03:42 PM
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On today's date, Regional Manager (RM) Marina Stanic, Licensing Program Manager (LPM) Alisa Ortiz, and Licensing Program Analyst (LPA) Rosie Quiroz met virtually with Licensee Neomi Figueroa on this day for the purpose of discussing facility compliance.
On 2/21/2018 an Office meeting was held at which time the facility was placed on a probationary licensee for the period of three years following the review of Stipulation and Decision and Order issued effective 2/7/2018
On 9/22/2021 a Non-Compliance conference was held on this day at which time the facility was placed on a one year compliance plan set to expire on 9/22/2022.
The informal conference process was explained to the Licensee/Administrator.
During the meeting the following was discussed with Licensee/Administrator:
-Administrator Qualifications and Duties, California Code Of Regulation 87405
-Outstanding citation, and no request for extension. Plan of Correction (POC) Due date of 10/7/2022
-Civil Penalties assessed in the amount of $500.00 for failure to correct citation issued on 10/4/2022.

The following was agreed upon:
- Licensee/Administrator will provide POC as soon as possible.
- Civil penalties will continue to be accrued in accordance with California Regulations Title 22 Requirements until plan of correction is met.
- Licensee to provide proof of liability insurance and updated LIC500 reflecting Administrator’s availability by COB 10/14/2022.
- Facility will remain on an additional six month compliance plan during which time increased visits will be conducted.
The exit interview was conducted with Licensee/Administrator Noemi Figueroa, and a copy of the report and civil penalties assessed was provided via email. Licensee/Administrator agreed to acknowledge receipt of this report via email.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Rosie Quiroz
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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