Ocean Breeze Guest Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Juliana Dilla and Licensee Lolita Malicsi. The facility has a licensed capacity of 6 non-ambulatory residents and has a hospice waiver for 2 residents. During today’s visit, the facility had a census of 2 non-ambulatory residents, both were receiving hospice services. The Administrator for the facility is Crystal Malicsi and their certificate was valid and current. During today’s visit, LPA inspected each room of the facility, including resident and staff rooms, private and common bathrooms, kitchen, garage, common areas, and outside space. No bodies of water, delayed egress, or secured perimeter were observed on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. LPA observed linens and hygiene products for resident use. The facility’s ambient and water temperature were measured within regulatory requirements at multiple locations. LPA observed locked storage for resident medications and hazardous and/or toxic chemicals, both of which were stored separately from food supplies. According to Lolita Malicsi, no firearms or weapons are stored on the premises. LPA observed a minimum supply of 2-days of perishable food and 7-days of non-perishable food. The refrigerator and freezer temperatures were kept within requirements. Continued on LIC809-C page... Staff present at the facility had a criminal background clearance and association. LPA reviewed multiple resident and staff records. During the visit, Licensee Malicsi informed LPA that Resident 1 (R1) was recently been hospitalized due to a change in condition. LPA verbally confirmed with Licensee Malicsi that an incident report had not been submitted to the Department for R1's change in condition or hospitalization. [Licensee was provided with an LIC811 Confidential Names List to identify R1] The following deficiency regarding reporting requirements was cited and noted on the attached LIC809-D page. Additionally, two LIC9102TA Technical Advisories regarding reappraisals and annual visits with medical providers were provided. An exit interview was conducted with Licensee Lolita Malicsi, whose signature below confirms receipt of a copy of this report, the LIC9102TAs, the LIC811, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 9, 2026

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Licensee Lolita Malicsi and Administrator Crystal Malicsi. The facility is licensed for a maximum capacity of 6 non-ambulatory residents and has a waiver for 2 hospice residents. During today’s visit, the facility had a census of 2 non-ambulatory residents, both of which were receiving hospice services. The Administrator for the facility is Crystal Malicsi and their certificate was valid and current. During today’s visit, LPA toured the facility and inspected each room of the facility, including resident and staff rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed on the premises. LPA did not observe any aspects of delayed egress or secured perimeter. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 118.6 degrees Fahrenheit in a common bathroom and 112.8 degrees Fahrenheit in the kitchen sink. The facility’s internal temperature was measured at 73 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Crystal Malicsi, no firearms or weapons are stored on the premises. LPA also observed locked storage for resident medications and resident and staff files. LPA observed unlocked resident medication stored in the kitchen refrigerator. Administrator relocated the medication to the refrigerator located in the garage and secured the refrigerator with a lock. Resident medications are stored in their original container and labelled. Continued on LIC809-C page… LPA observed a minimum of a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 45 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, initial medical assessment, updated annual reappraisal, documents regarding safeguarding personal property and personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPA provided consultation and training with the Administrator regarding the dementia care regulation changes that became effective 1/1/2025. The following deficiency was cited for unlocked resident medications and noted on the attached LIC809-D page. An exit interview was conducted with Administrator Crystal Malicsi, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Jun 5, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Juliana Dilla. Administrator Crystal Malicsi-Rivera arrived during the visit. The facility is licensed for a maximum capacity of 6 non-ambulatory residents. The facility has a waiver for 2 hospice residents. During today’s visit, the facility had a census of 1 non-ambulatory resident. LPA did not observe any aspects of delayed egress or secured perimeter. The Administrator for the facility is Crystal Malicsi-Rivera and their certificate is pending. During today’s visit, LPA toured the facility and inspected each room of the facility, including resident rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 140.5 degrees Fahrenheit in a common bathroom. The facility’s internal temperature was measured at 71 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Crystal, no firearms or weapons are stored on the premises. LPA also observed locked storage for resident medications and resident and staff files. Resident medications are stored in their original container and label. LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 45 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. Continued on LIC809-C page… LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, updated physician’s report and medical assessment, documents regarding safeguarding personal property, and personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPA spoke with staff and resident present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. The Administrator will submit copies of the LIC500 Personnel Report, LIC610E Disaster Plan, and current liability insurance to the Department within 15 business days. A deficiency for hot water temperature was cited per California Code of Regulations Title 22 and noted on the attached LIC809-D page. An exit interview was conducted with Administrator Crystal Malicsi-Rivera, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 29, 2024