La Costa Glen Carlsbad

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to follow up on a resident death reported to Community Care Licensing. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Executive Director Kirsten Kearnaghan, as well as Residential Health Services Manager Alison Humora, who arrived later during the visit. Community Care Licensing received a Death Report on 4/1/26 in which it was reported that a resident (Identified as R1) had passed away on 3/28/26 at the hospital, following a fall at the facility two (2) days prior on 3/26/26. Per the report, R1 had an unwitnessed fall and was found by their private care aid who then notified the facility and requested aid. Per the report, R1 was experiencing hip pain and emergency services were contacted and R1 was transported to the hospital. R1 later passed away while at the hospital. During today's visit, LPA conducted file review and interviews, and provided consultation with Executive Director Kearnaghan. The facility is currently awaiting the death certificate and will forward to the Department once received. Per LPA file review and interviews, the facility responded appropriately by arranging for prompt medical attention for R1 upon notification of incident. Per review of R1's records, R1 was independent in ambulation and not indicated as a fall risk. At this time, LPA observed no immediate health and/or safety concerns and no deficiencies were cited during today's visit. Additional visits and follow-up may be necessary for complete review of this incident based on additional information from the Death Certificate once obtained. No Deficiencies were cited during today's visit. An exit interview was conducted with Executive Director Kearnaghan to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Apr 7, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Residential Health Services Manager (RHSM) Alison Humora and Operations Manager (OM) David Sharp. Executive Director (ED) Kristen Kearnaghan arrived later during the visit. The facility's license shows a maximum capacity of one-thousand-two-hundred-and-thirty-three residents (1,233), all of whom may be non-ambulatory. Additionally, the facility is approved for a hospice waiver for nine (9). During today’s inspection there were eight-hundred-and sixty (860) residents in care, with five (5) currently on hospice. LPA and ED Kearnaghan toured the interior and exterior of the facility and inspected a sample of occupied and unoccupied resident rooms. Director of Plant Operations Ben French joined for the second half of the walkthrough. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms visited contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, and LPA briefly observed staff in the facility's laundry room. Physical separation of clean and soiled laundry was maintained. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Each building contained at least one common room with plenty of space and seating. Main clubhouse buildings included a variety of activity spaces and activity calendars were readily available in common areas. [Continued on LIC 809-C] [Continued from LIC 809] LPA toured the two (2) main kitchens and respective dining areas. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. The kitchens feature automatic alerts for food allergies when a resident places an order for a meal. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. The facility does include two (2) swimming pools, one indoors, and the other outdoors. The outdoor one was fenced and the access gates locked, as required per regulation. The indoor pool access door is unlocked for residents of that building during daytime hours then locked at night. Additionally, the facility grounds feature several water fountain/waterfall fixtures as well as large ponds. Per ED Kearnaghan, Independent Living community residents who may be at risk with access to such bodies of water (such as those with cognitive impairment) are required to have a 24/7 companion and are not left unsupervised. Per ED Kearnaghan, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced within the last 12 months, dated for December 2025. Last staff emergency drill was conducted on 2/10/26 for the topic of building fire. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed two (2) staff and five (5) clients, and interviews did not reveal any licensing or regulatory concerns. Particular praise was given regarding staff competence and enthusiasm. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Executive Director Kearnaghan, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Feb 11, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Liliana Silveira conducted an unannounced, required Annual Inspection to ensure substantial compliance with Title 22 regulations. LPA met with Executive Director Kristen Kearnaghan, Operations Manager David Sharp and Maintenance Director Ben French and discussed the purpose of the visit. This Independent Living (IL) facility is co-licensed as a Continuing Care Retirement Community (CCRC) for up to 1233 elderly residents, all of whom may be non-ambulatory. The current census for the IL community is 825 residents. LPA toured the interior and exterior of the Independent Living community. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, sinks, and toilets were in working order. The facility had sufficient space and equipment to facilitate meetings and activities. The facility’s ambient internal temperature was comfortable and compliant. Smoke and carbon monoxide alarms are hard-wired to a central location. Fire extinguishers were serviced in December 2024. Hot water temperatures were compliant in 8 resident bathrooms, which also had grab bars for resident use and the facility provides anti-slip bath mats. There is an outdoor pool securely fenced and an indoor pool and coy pond that are only accessible to independent residents. LPA inspected the facility kitchen and food storage, and observed a minimum of seven (7) days of nonperishable foods and a minimum of two (2) days of perishable foods. Cleaning solutions were stored away from areas where kitchen utensils, equipment and/or food were present. Medication is centrally stored and secured in locked medication rooms. LPA interviewed residents and staff. The department interviews did not raise any concerns. LPA also reviewed staff and resident files. Staff and resident files contained all required documents. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted and a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) were provided to Executive Director Kristen Kearnaghan.the state’s words, verbatim · CDSS document, Feb 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Juliana Barfield and Amy Rodgers conducted an unannounced Required One Year visit to ensure substantial compliance with Title 22 regulations. This facility is co-licensed as a Continuing Care Retirement Community (CCRC) for up to 1233 elderly residents, all of whom may be non-ambulatory. LPA was met by Assistant Executive Director Ivy Holmes and discussed the purpose of the visit. LPAs were then joined by Executive Director Kristen Kearnaghan. LPAs toured the Independent living areas and briefly spoke with residents and staff. Pathways were free of obstruction and slip hazards. There is an outdoor pool securely fenced and an indoor pool and coy pond that are only accessible to independent residents. Smoke and carbon monoxide alarms are hard-wired to a central location. Hot water temperatures was compliant in resident bathrooms, which had grab bars for resident use. LPA inspected two facility kitchens and food storage and observed a minimum of seven (7) days of nonperishable foods and a minimum of two (2) days of perishable foods. Cleaning solutions are stored away from areas that also store kitchen utensils, equipment and/or food. Medication is centrally stored and secured in locked medication rooms. Staff have current 1st Aid training and Safety Department staff are EMTs. Resident records sampled had a Physician's Report and Admission Agreement, along with current Needs and Services plans. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted and a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) were provided to Executive Director Kristen Kearnaghan.the state’s words, verbatim · CDSS document, Feb 13, 2024