Inspection Reports for Raya‘s Paradise San Clemente

Unannounced complaint investigation visit conducted in response to an allegation that facility staff did not seek medical attention for a resident.

The investigation found that the allegation was unfounded. Documentation and interviews confirmed the resident was receiving appropriate wound care and repositioning as directed by hospice.

The allegation that facility staff did not seek medical attention for a resident was investigated and deemed unfounded, meaning the allegation was false or without reasonable basis.

An unannounced case management visit was conducted to deliver an amended report for a previously issued complaint.

The Licensing Program Analyst delivered an amended report related to complaint #22-AS-20250228162254 initially delivered on 07/01/2025. An exit interview was conducted and a copy of the report was left at the facility.

The visit was related to complaint #22-AS-20250228162254. No substantiation status is provided in the report.

Licensing Program Analyst Kimberly Lyman conducted an unannounced case management visit to the facility to deliver complaint reports that had a date glitch when delivered on 08/14/2025.

The visit involved delivering corrected complaint investigation reports with updated dates. An exit interview was conducted and a copy of the report was left at the facility.

An unannounced complaint investigation was conducted due to allegations that staff did not ensure medications were safely secured for residents in care and that a resident developed pressure injuries while in care.

The allegation regarding pressure injuries was unsubstantiated due to lack of evidence. The allegation that medications were not safely secured was substantiated; a resident's Morphine Sulfate was inadvertently given to another resident's family, posing an immediate health and safety risk. Staff responsible was terminated and a plan of correction was required.

The complaint investigation was triggered by allegations that staff did not ensure medications were safely secured and that a resident developed pressure injuries. The medication security allegation was substantiated, while the pressure injury allegation was unsubstantiated.

An unannounced case management visit was conducted in conjunction with a complaint investigation regarding a missing Morphine incident reported in October 2024.

The licensee failed to report the incident involving missing Morphine to the department, posing a potential health and safety risk to residents in care.

The visit was complaint-related, investigating an incident of missing Morphine in October 2024 which was not reported to the department.

An unannounced complaint investigation was conducted based on allegations that staff were inappropriately disposing of residents' medication and not administering residents' medication resulting in residents becoming violent.

The investigation substantiated that medication destruction was occurring without the required witness signatures, posing a potential health and safety risk. Another allegation that staff were not administering residents' medication resulting in violence was found to be unfounded based on medication administration records and resident progress notes.

The complaint investigation was substantiated regarding inappropriate medication disposal practices, with the allegation deemed substantiated. The allegation that staff were not administering medication resulting in resident violence was deemed unfounded.

Unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 2025-07-24.

All previously cited deficiencies related to Postural Supports, Administrator Qualifications, and First Aid Training have been cleared and the licensee has complied with the Plan of Correction.

Unannounced complaint investigation visit conducted due to allegations including staff not safeguarding residents' personal items, resident needs not being met, medication mismanagement, facility cleanliness, and uncomfortable accommodations.

The investigation substantiated the allegation that staff failed to safeguard a resident's ring, which had to be cut off and was not compensated to the family, posing a health and safety risk. Other allegations regarding resident needs, medication management, cleanliness, and accommodations were found unsubstantiated based on interviews, observations, and documentation.

The complaint investigation was substantiated regarding staff not safeguarding residents' personal items, specifically a ring that was cut off a resident's finger and not compensated to the family. Other allegations about resident care, medication management, facility cleanliness, and accommodations were unsubstantiated.

An unannounced case management visit was conducted in conjunction with a complaint investigation regarding the facility's failure to issue a timely refund to a resident's family after the resident's death.

The facility was found to have violated California Code of Regulations by failing to ensure a refund was paid to the resident's family within 15 days after the resident's belongings were removed, posing a potential health and safety risk.

The visit was triggered by a complaint regarding the delayed refund to R1's family, which was not received until 06/06/2025 despite the resident's belongings being removed on 04/21/2025. The complaint was substantiated by record review.

The visit was an unannounced annual required inspection to evaluate compliance with licensing requirements at Raya's Paradise of San Clemente.

The facility was generally clean, safe, and sanitary with adequate supplies and functioning equipment. However, deficiencies were cited including lack of physician orders for bed rails for one resident, absence of a designated backup administrator, and three staff members lacking first aid training.

An unannounced complaint investigation was conducted in response to an allegation that a resident was denied visitors at the facility.

The investigation found conflicting witness statements regarding visitation denial, with no specific dates or times verified. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The allegation that a resident was denied visitors was investigated and found unsubstantiated after interviews with staff, residents, and witnesses.

An unannounced complaint investigation visit was conducted following a complaint received on 2025-03-06 regarding staff failing to prevent a resident from leaving the facility unassisted.

The investigation substantiated that staff failed to provide adequate care and supervision, as Resident 1 left the facility unattended to travel to another community, posing an immediate health and safety risk.

The complaint alleged that staff did not prevent a resident from leaving the facility unassisted. The allegation was substantiated based on interviews, witness statements, and physician report indicating the resident's diagnosis of Dementia and inability to leave unassisted.

An unannounced complaint investigation was conducted based on a complaint received on 2025-03-03 regarding staff serving as a resident’s agent under a power of attorney.

The investigation substantiated that the facility administrator was designated as the healthcare power of attorney for a resident, with a back-up designee and prospective conservator, which was not requested by the resident. This designation violated regulations and posed an immediate health and safety risk.

The complaint alleging staff served as resident’s agent under a power of attorney was substantiated based on record review and interviews. The facility administrator was found to be designated as the resident's power of attorney with a back-up designee, which was not requested by the resident.

The inspection was an unannounced complaint investigation visit triggered by allegations including a resident being blocked from speaking with family via telephone and the facility allowing a resident to mix alcohol with medications.

The investigation substantiated that facility staff unnecessarily removed a resident's personal cell phone and blocked a family member's number, violating the resident's rights to confidential calls. Another allegation that the facility allowed a resident to mix alcohol with medications was unsubstantiated based on interviews and record review.

The complaint investigation was substantiated regarding the removal of the resident's phone and blocking of family member's number, violating personal rights. The allegation that the facility allowed mixing alcohol with medications was unsubstantiated.

An unannounced health and safety visit was conducted as a case management health check to assess the facility's compliance and resident well-being.

The facility was toured and residents were interviewed; residents appeared clean, well cared for, and expressed satisfaction with the care. No health or safety concerns were noted during the visit.

The visit was an unannounced annual required inspection to evaluate compliance with licensing regulations at Raya's Paradise of San Clemente.

The facility was found to be clean, safe, and sanitary with no citations issued. Resident and staff files contained required documentation, medications were properly stored and administered, and safety equipment was operational and up to date.

Initial licensing evaluation of a Residential Care Facility for the Elderly to verify applicant and administrator understanding of California Code Title 22 regulations and readiness for licensing.

The applicant and administrator participated in a telephone interview confirming their understanding of facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints reporting, and pre-licensing readiness. Identification was verified and required documentation obtained.