Sunset Coast Assisted Living 5

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Samuel Tapia. The facility's license shows a maximum capacity of six (6) clients ages 60 and over, all of whom may be non-ambulatory. Hospice waiver granted for six residents. LPA arrived at 12:30 PM to the facility and requested facility, staff and client records. At around 2pm, LPA toured the interior and exterior of the facility and inspected each of the five rooms and two bathrooms, as well as the exterior building. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in good condition. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. LPA reviewed the medications cabinet. Medications were labeled, as required, and stored in locked areas. No pools, bodies of water or fire places exist on the premises. Per Licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC809] Water temperatures were measured around the facility with the following readings in Fahrenheit degrees: kitchen sink 114, bathroom 1 114.2, bathroom two 115. LPA interviewed staff and a client, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited per California Code of Regulations. An exit interview was conducted with Licensee Samuel Tapia, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.the state’s words, verbatim · CDSS document, Sep 22, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an announced Pre-Licensing Inspection. The visit included a Component III orientation and a walk through of the facility's physical plant to evaluate compliance with Title 22, Division 6 of the California Code of Regulations and the California Health and Safety Code. Upon arrival, LPA was greeted at the front entrance by Administrator, Samuel Tapia and granted entry after properly identifying herself and stating the purpose of the visit. This facility applied to be licensed as a Residential Care Facility for the Elderly (RCFE). The fire clearance was approved on February 4, 2025, authorizing care for up to six (6) non-ambulatory adult residents. The facility has a waiver for six (6) hospice. No bedridden residents are approved. As of today’s visit, no residents are in care. The submitted facility sketch matched the current physical layout. Facility Inspection LPA, accompanied by Administrator, Samuel Tapia, conducted an inspection of both the interior and exterior areas of the facility. The following observations were made: · The facility was clean, sanitary, and in good repair. · Required postings were displayed in visible locations. · There was sufficient space and equipment to support laundry, visitation, meetings, and resident activities. (Continue at LIC809C) (continue from LIC809) Indoor and outdoor pathways were clear of obstructions and slip hazards. · Smoke and carbon monoxide detectors, emergency lighting, and a facility telephone were operational. · Fire extinguisher was purchased on July 2, 2025 and bore valid inspection tags. · All chemicals and toxic substances were stored in locked areas, inaccessible to residents. Bedrooms and Bathroom · Client bedrooms were equipped with the required furnishings, allowed for easy passage, and had windows with intact screens. · The facility had adequate linens and hygiene supplies available. · Bathroom (1) was equipped with non-skid mats and grabbars · Toilet, sink, and one shower were fully functional. · The facility's ambient temperature was comfortable and compliant. · Hot water measured at 117°F, within the regulatory range. Kitchen and Storage · The kitchen contained appropriate cooking utensils and equipment. · Knives and other sharp objects were securely stored in a locked cabinet. · A 7-day supply of non-perishable and a 2-day supply of perishable food will be stocked upon resident admission. · Medications will be stored in a locked cabinet inside the facility. · A complete first aid kit and manual were available in the medicine cabinet. · Client and staff records will be stored in a locked cabinet. Additional Observations · Per Tapia, no firearms or ammunition are or will be stored on the premises. (Continue to LIC809C) (Continue from LIC809C) Conclusion LPA reviewed and discussed ongoing operational requirements, record keeping, reporting obligations, and physical plant standards with the applicant. All items reviewed were in compliance with applicable regulations. The Pre-Licensing Inspection and Component III orientation were completed during today’s visit. The applicant was advised that the facility is ready for licensure, pending final review and approval by Licensing management. An exit interview was conducted with Tapia, during which a copy of this report and the Licensee Appeal Rights (LIC 9058, 03/22) were provided. The signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Sep 18, 2025