Blue Skies of San Diego Coast

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Arian Golbakhsh conducted a unannounced Case Management visit to collect the license of the facility as the facility underwent a change of ownership and was issued a new one to the new Licensee. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Caregiver Agripino "Jun" Acedo. LPA additionally spoke over the phone with Managerial Staff for the new Licensee, Ereny Metry, to inform them of the purpose of today's visit. During today's visit, there were six (6) residents in care. LPA had contacted the Licensee to confirm they wanted to close this facility now that the new license had been granted and the change of ownership (CHOW) was complete. During today's visit LPA collected the physical license granted to JCMY INVESTMENTS LLC. No immediate health and/or safety concerns were noted during the visit. No deficiencies were cited during the visit either. An exit interview was conducted with Caregiver Acedo 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, Oct 1, 2026

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPAs) Arian Golbakhsh and Eryn Kane conducted an unannounced Case Management visit to the facility. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit to Administrator Anitha Sopacua. During today's visit, there were six (6) residents in care. As LPAs were conducting a tour of the facility, LPAs tested water temperatures at taps accessible to clients. Sink at hallway half-bath tested at 127.9F, sink at the full bathroom tested at 105.6F, and a sink in the private restroom of bedroom #3 tested at 124.5F. Staff immediately turned the water heater settings lower, and LPAs later re-tested tap temperatures, which were 116.2F, 115F, and 111.4F, respectively. One type A deficiency was cited for hot water temperatures being above the required range of 105F to 120F. Details are noted on the attached LIC 809-D. LPAs also examined bathroom drawers and cabinets and observed cleaning chemicals stored in them. All were unlocked and accessible to residents. Staff immediately moved the chemical items to the locked cabinets in the laundry room. LPAs examined the laundry room and only two of the cabinets had locks, so staff consolidated all chemical items to the locked cabinets. One Type A deficiency was cited for the accessible toxic/chemical items and details are noted on the attached LIC 809-D. Two (2) deficiencies were cited during the inspection. An exit interview was conducted with Administrator Sopacua 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, Sep 9, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(e)(2) · Plan of correction due date: Sep 10, 2026

87303(e)(2): "[...] Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C)." This regulation is not met as evidenced by: Based on LPAs observation, the licensee did not comply with the section cited above in ensuring water temperatures at taps accessible to residents were in the range of 105-120F, which poses an immediate health and safety risk to all persons in care.the state’s words, verbatim · CDSS document, Sep 9, 2026

Plan of correction: Staff immediately lowered the water heater settings. Licensee will take daily water temperatures at multiple taps for a period of 5 days and submit the log to LPA by 9/16/26

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a) · Plan of correction due date: Sep 16, 2026

87309(a): " [...] the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, [...] which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage." This requirement is not met as evidenced by: Based on LPAs observation, the licensee did not comply with the section cited above in ensuring toxic chemicals were kept locked and inaccessible to residents, which poses an immediate health and safety risk to all persons in care.the state’s words, verbatim · CDSS document, Sep 9, 2026

Plan of correction: Staff immediately moved all accessible chemical items to locked storage. Licensee will conduct training with staff on regulation 87309 and proper chemical storage and submit proof to LPA by 9/16/26.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to the facility. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Administrator Anitha Sopacua. As LPA was conducting interviews and file review at the facility, LPA noted that a present staff member, identified as S1, was not included on the facility's association roster. Review of the Guardian background check database revealed S1 did have an eligible background clearance, just that they were not associated to the facility. Per review of S1's staff file, they began work at the facility in April 2025. One type A Deficiency is being cited per California Code of Regulations, Title 22, Division 6 on the attached LIC 809-D for S1 working at facility without having their clearance associated to the facility. In addition, a Civil Penalty is being assessed for the total amount of $500.00. Details are noted on the attached LIC 421BG form. The facility was able to submit an LIC 9182 request to the regional office to associate S1 during the visit. One deficiency was cited during the inspection. An exit interview was conducted with Administrator Sopacua to whom a copy of this report, the LIC 421BG, and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jul 22, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(3) · Plan of correction due date: Jul 23, 2026

87355(e): "All individuals subject to a criminal record review [...] shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c)" This requirment is not met as evidenced by: Based on LPA file review and interview, the licensee did not comply with the section cited above in ensuring that a staff member had their clearance transfered prior to working at the facility, which poses an immediate health, safety, and personal rights risk to 6 out of 6 persons in care.the state’s words, verbatim · CDSS document, Jul 22, 2026

Plan of correction: Licensee submitted a background clearance association request for S1 to the Regional Office. Additionally, Licensee will conduct review of regulation 87355 and submit proof to LPA by 7/24/26.

Type of visit: Case Management - Licensee Initiated

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Administrator Ereny Metry. During today's visit, LPA provided the Administrator with consultation and technical assistance regarding ongoing operating requirements, dementia regulation updates, use of the Guardian system, facility application process, and reporting requirements. No deficiencies were cited during today's visit. An exit interview was conducted with Administrator Ereny Metry, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).the state’s words, verbatim · CDSS document, Mar 3, 2026

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 Conchita "Connie" Torzar. The facility is licensed for a maximum capacity of 6 ambulatory residents, 2 of which may be non-ambulatory in bedroom #3 and has a hospice waiver for 4 residents. During today’s visit, the facility had a census of 6 non-ambulatory residents. Review of documents submitted to the Department received a request for fire clearance increase on 8/28/2024 and that request is pending. The listed Administrator for the facility is Almina Street, whose certificate expired on 11/8/2023. However, interviews with staff revealed that the current Administrator is Rafael Gamab, and their certificate is valid and current. During today’s visit, LPA inspected each room of the facility, including resident rooms, common and private bathrooms, kitchen, garage, common areas, and outside space. No bodies of water, delayed egress, or secured perimeters were observed on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s ambient and water temperature were measured within regulatory requirements at multiple locations. LPA observed locked storage for resident medications which were stored separately from food supplies. LPA observed that the locking mechanisms on the dangerous/ hazardous item storage in the kitchen and laundry room were in disrepair, resulting in one of the two cabinet doors being unlocked. Staff repaired the locking mechanisms during the visit and re-secured the locked storage. According to "Connie" Torzar, 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. Continued on LIC809-C page… The facility refrigerator and freezer temperatures were kept within requirements. 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 and had a first aid certificate. LPA reviewed multiple resident and staff records. LPA was away from the facility for approximately one hour between 12:00pm and 1:00pm. The following deficiencies were cited for unsecured dangerous/hazardous items and updated Administrator information, and are noted on the attached LIC809-D pages. An exit interview was conducted with Caregiver Conchita "Connie" Torzar, 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, Oct 13, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Case Management - Annual Continuation visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Rommel Landroma. The facility is licensed for a maximum capacity of 6 residents, 2 of which may be non-ambulatory in bedroom #3 and the facility has a waiver for 4 hospice residents. During today’s visit, the facility had a census of 6 residents. The Administrator for the facility is Laurice Gamab and their certificate was valid and current. During visits on 6/17/2024 and 6/25/2024, 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. 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 114.4 degrees Fahrenheit in a common bathroom. The facility’s internal temperature was measured at 68 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Rommel Landroma, 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 labelled. 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. 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 residents present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. Facility Management will submit copies of the LIC500 Personnel Report, LIC610 Disaster Plan, and current liability insurance to the Department within 15 business days. No deficiencies were cited on today’s date. An exit interview was conducted with Caregiver Rommel Landroma, 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 25, 2024

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 Rommel Ladroma. During today's visit, LPA toured the facility, reviewed facility records, and observed residents in care. During the facility tour, the water temperature in a private resident bathroom was measured at 145.9 degrees Fahrenheit. LPA observed facility staff lower the water heater setting during the visit. LPA also observed a bedroom in the garage containing two beds and staff personal items. Caregivers confirmed during visit that the bedroom was designated for staff use. LPA also observed that 5 of 6 residents were non-ambulatory and the facility is only licensed for a total of 2 non-ambulatory residents. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed. The following deficiencies were cited for hot water, fire clearance, and non-ambulatory capacity and noted on the attached LIC809-D pages. Additionally, a civil penalty in the amount of $500 was assessed for fire clearance and non-ambulatory status and noted on the attached LIC421IM form. An exit interview was conducted with Caregiver Rommel Ladroma, whose signature below confirms receipt of a copy of this report, LIC421IM, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Jun 17, 2024