347003902-12-11-2025-27-AS-KVIA-DP9UMZ-20251211144306

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 347003902
Report Date: 12/11/2025
Date Signed: 12/11/2025 02:43:16 PM

Document Has Been Signed on 12/11/2025 02:43 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
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	PARADISE QUALITY GUEST HOME II		FACILITY NUMBER:	347003902
ADMINISTRATOR/ DIRECTOR:	BEATRIZ L. AFALLA		FACILITY TYPE:	740
ADDRESS:	3432 PAGEANT DRIVE		TELEPHONE:	(916) 613-7405
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95826
CAPACITY: 6		CENSUS: 5	DATE:	12/11/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:30 AM
MET WITH:	Beatriz Afalla, Licensee/Administrator		TIME VISIT/ INSPECTION COMPLETED:	03:00 PM

NARRATIVE
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	On 12/11/25, Licensing Program Analyst, Kimberly Viarella, made an unannounced visit to the facility to conduct an annual inspection. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator. LPA met with Licensee/Administrator,Beatriz Afalla and a brief interview followed. Administrator's Certificate Number: 7005613740 and expires on 08/20/26. The facility tour began in the kitchen. All knives and sharps were locked and inaccessible to residents in care at the time of this inspection. LPA observed an adequate food supply for 7 day non-perishable and 2 day perishable. All food items in the refrigerator were stored and dated appropriately. LPA checked the dates printed of a sample of items from the refrigerator and pantry to ensure they had not expired. All cleansers and toxic chemicals were in locked cabinets an inaccessible to residents in care and the 2 fire extinguishers were last inspected on 09/04/25 by Jorgensen Co. LPA observed the appropriate required signage posted: Facility License, Emergency Disaster Plan, LIC 500, See Something Say Something poster, and Resident Rights. LPA then inspected the 6 resident bedrooms. LPA observed all the required furniture, furnishings and lighting required to be in compliance. LPA also observed the staff room to ensure it was being utilized for staff as indicated by the facility sketch.

NAME OF LICENSING PROGRAM MANAGER: Stephen Richardson
NAME OF LICENSING PROGRAM ANALYST: Kimberly Viarella
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: PARADISE QUALITY GUEST HOME II	FACILITY NUMBER: 347003902
	VISIT DATE: 12/11/2025

NARRATIVE

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The facility had 2 resident bathrooms. LPA observed soap dispensers and paper towels in both, along trash cans with lids. LPA observed that one bathroom had a bath mat and the other had a shower with a non-slip/skid surface. Both had the grab bars required to be in compliance. The LPA measured the hot water temperature and found it to be 110.8 degrees Fahrenheit and in compliance at the present time.

LPA inspected the medication closet which was kept locked and inaccessible to residents in care. LPA reviewed storage, dosing and destruction procedures. LPA then reviewed the first aid kit to ensure it had all of the required elements. All were in compliance at the time of this inspection.

LPA then conducted an inspection of the exterior of the building. There were no bodies of water present and the yard was completely fenced in. There was a patio area with seating and shade for residents to enjoy. All gutters and window screens were in good repair at the time of this inspection.

LPA observed that the walkway leading to the front entrance was covered in green outdoor carpeting. LPA could feel that the floor beneath her feet was weakening in certain spots and brought this to the attention of the Administrator/Licensee who stated that they will have it repaired within the next 3 weeks. It was not a danger to residents in care, but would become one if not addressed in a timely fashion.

A file review was completed by this LPA . The LIC 500 was compared to the Guardian roster to ensure that all staff had the appropriate background clearances. LPA then reviewed 2 resident files and 2 staff files. All were in compliance at the time of this inspection.

LPA provided technical assistance regarding 2 sections of the admission agreement reviewed; the first pertaining to the wording for visiting hours, the second regarding reimbursement upon termination of the agreement. LPA provided Licensee/Administrator a copy of the regulations to assist them with updating the wording to reflect best practices.

According to the California Code of Regulations, no deficiencies were cited during today's visit. A copy of this report was provided and an exit interview conducted with Affala.

NAME OF LICENSING PROGRAM MANAGER: Stephen Richardson
NAME OF LICENSING PROGRAM ANALYST: Kimberly Viarella
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025

LIC809 (FAS) - (06/04)

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