Inspection Reports for
Raya‘s Paradise San Clemente

The complaint investigation was substantiated. Allegations included financial abuse by staff, restricting residents from leaving the facility, and failure to provide requested documents. Evidence included bank statements, interviews, and documentation showing misuse of resident funds and improper restrictions on resident freedom.

The investigation substantiated that the facility administrator financially abused residents by misusing their funds totaling over $365,000. Residents were also improperly restricted from leaving the facility, and requested personal records were not provided. Multiple violations of residents' personal rights were found, posing immediate health and safety risks.

Complaint investigation 22-AS-20250122140204 was substantiated with findings of financial abuse and infringement of resident personal rights.

The investigation revealed multiple violations of Department regulations including financial abuse and infringement of resident personal rights, posing an immediate health and safety risk to residents in care.

The complaint investigation was substantiated for allegations related to admission agreement noncompliance and failure to provide refunds. The allegation regarding untimely provision of documents was unsubstantiated. The allegation regarding inadequate notice of rate change was unfounded.

The investigation substantiated that the facility failed to adhere to the admission agreement by increasing room rates prematurely and did not provide refunds for overcharges, including unauthorized laundry service charges. The allegation regarding failure to provide documents timely was unsubstantiated due to conflicting information. The allegation of failure to provide adequate notice of rate change was deemed unfounded based on documentation and interviews.

The complaint investigation was substantiated for inappropriate medication disposal and unfounded for failure to administer medication causing resident violence.

The investigation substantiated that staff were inappropriately disposing of residents' medication without proper witness signatures, violating facility policy and regulations. Another allegation that staff were not administering medication resulting in resident violence was found to be unfounded based on medication records and physician reports.

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

The allegation regarding pressure injuries was unsubstantiated based on record review and interviews. The allegation that staff did not ensure medications were safely secured was substantiated, with a medication (Morphine Sulphate) being inadvertently given to another resident's family, posing an immediate health and safety risk.

Complaint visit 22-AS-20250218082756 was investigated and substantiated based on the finding that the incident involving missing Morphine was not reported to the department.

The investigation found that the facility failed to report the incident involving missing Morphine to the department, which poses a potential health and safety risk to residents in care. A violation was cited under California Code of Regulations, Title 22, Division 6, Chapter 8.

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.

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

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 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.

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 staff not safeguarding residents' personal items, specifically a ring that was damaged and not compensated. Other allegations about resident needs, medication management, and facility conditions were unsubstantiated.

The investigation substantiated 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 care, medication management, and facility cleanliness were found unsubstantiated based on interviews, observations, and documentation review.

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

The visit was complaint-related, triggered by complaint visit 22-AS-20250625143358. It was substantiated that the refund was delayed until 06/06/2025, beyond the required 15 days after removal of belongings on 04/21/2025.

The facility failed to ensure a refund was paid to the resident's family within 15 days after the resident's belongings were removed, violating California Code of Regulations, Title 22, Division 6, Chapter 8.

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.

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.

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 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 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 facility was generally clean, safe, and sanitary with adequate supplies and functioning equipment. However, violations 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.

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.

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

The investigation substantiated that facility staff removed a resident's personal cell phone and blocked a family member's phone number, violating the resident's rights to confidential calls. Another allegation regarding the resident mixing alcohol with medications was found unsubstantiated due to insufficient evidence.

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.

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 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 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 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.

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 was substantiated based on evidence that staff did not prevent a resident with Dementia from leaving the facility unassisted, violating care and supervision requirements.

The investigation substantiated that Resident 1, diagnosed with Dementia and unable to leave unassisted, left the facility unattended and traveled to another assisted living facility. This failure to provide adequate care and supervision poses an immediate health and safety risk.