Senior Care Records.

Facility Evaluation Report

Paradise Springs for the Elderly 2, Rancho Cucamonga12/06/2024Licence 365530290

Capacity6
Census5
Date signed12/18/2024 03:52:27 PM
The inspector’s account

COMP II Participants: Name - Faryal Khan CEO/ Renu MadaharAdministrator

On December 6, 2024, Applicant/Administrator participated in COMP II for the below pending facilities: Paradise Springs for the Elderly 1/365530289; Paradise Springs for the Elderly 2/365530290 . Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained.

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of the

1. Facility operation: License type, client/resident populations, and program

4. Restrictive/Prohibited Health Conditions

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction