Coast Senior Care 3

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by care provider Renato Galdones after explaining the purpose of the visit. LPA observed the administrator certificate was current with an expiration date of June 16, 2026. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents and an approved hospice waiver for four. The facility is a one-story home with five resident bedrooms, one staff bedroom, three restrooms, a living room, dining room, kitchen and two car garage. During the inspection, LPA and staff conducted a tour of the inside and outside of the facility, common areas, resident rooms, garage and observed the following: LPA observed five resident in care and two staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall in the living room. LPA observed that all resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the garage. LPA observed bathrooms were clean and equipped with grab bars, toilet paper, paper towels, and non-skid floor mats. Bathrooms were observed to be free of debris and mildew. Faucets and toilets were tested operational. Water temperature tested between 115 and 119.1 degrees Fahrenheit. LPA observed all windows were appropriately screened. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction. LPA observed the backyard had a shaded sitting area with furniture for resident use. Continued on LIC 809C LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Gas stove, dish washer, microwave, washer and dryer were inspected and observed to be operable. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with a service date of February 2026 and is located in the kitchen, staff room, and garage. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents under the kitchen sink. Medication cabinet was observed to be locked and centrally stored in a dining room cabinet. LPA observed the First Aid Kit had all the required components. LPA observed the facility conducted their last emergency disaster drill on March 17, 2026. LPA began review of the records. LPA reviewed five resident records. All the required documentation was present and current in the residents files reviewed except for a signed copy of the Personal Rights of Residents form which was not signed by R1. LPA reviewed two employee records. All employees present have a criminal record clearance and were associated to the facility. LPA observed records reviewed have a current First Aid certificate. Upon record review LPA observed the Emergency Disaster Plan was not updated or reviewed since August 14, 2020; a deficiency was cited on today’s date. Facility was unable to provide proof of liability insurance; a deficiency was cited on today’s date. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report, LIC 809C, LIC 809D, LIC 858, LIC 859, LIC 9102, Appeal Rights and the Legionnaire’s Disease fact sheet was left at the facility.the state’s words, verbatim · CDSS document, Apr 16, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by care provider Renato Galdones after explaining the purpose of the visit. LPA observed the administrator certificate was current with an expiration date of June 16, 2026. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents and an approved hospice waiver for four. The facility is a one-story home with five resident bedrooms, one staff bedroom, three restrooms, a living room, dining room, kitchen and two car garage. During the inspection, LPA and staff conducted a tour of the inside and outside of the facility, common areas, resident rooms, garage and observed the following: LPA observed five resident in care and two staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall in the living room. LPA observed that all resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the garage. LPA observed bathrooms were clean and equipped with grab bars, toilet paper, paper towels, and non-skid floor mats. Bathrooms were observed to be free of debris and mildew. Faucets and toilets were tested operational. Water temperature tested between 115 and 119.1 degrees Fahrenheit. LPA observed all windows were appropriately screened. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction. LPA observed the backyard had a shaded sitting area with furniture for resident use. Continued on LIC 809C LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Gas stove, dish washer, microwave, washer and dryer were inspected and observed to be operable. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with a service date of February 2026 and is located in the kitchen, staff room, and garage. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents under the kitchen sink. Medication cabinet was observed to be locked and centrally stored in a dining room cabinet. LPA observed the First Aid Kit had all the required components. LPA observed the facility conducted their last emergency disaster drill on March 17, 2026. LPA began review of the records. LPA reviewed five resident records. All the required documentation was present and current in the residents files reviewed except for a signed copy of the Personal Rights of Residents form which was not signed by R1. LPA reviewed two employee records. All employees present have a criminal record clearance and were associated to the facility. LPA observed records reviewed have a current First Aid certificate. Upon record review LPA observed the Emergency Disaster Plan was not updated or reviewed since August 14, 2020; a deficiency was cited on today’s date. Facility was unable to provide proof of liability insurance; a deficiency was cited on today’s date. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report, LIC 809C, LIC 809D, LIC 858, LIC 859, LIC 9102, Appeal Rights and the Legionnaire’s Disease fact sheet was left at the facility.the state’s words, verbatim · CDSS document, Apr 16, 2026

Allegation investigated: Resident sustained an unexplained fracture while in care. Resident developed multiple pressure injuries while in care Staff do not ensure that dietary needs are being met for resident in care

Licensing Program Analyst (LPA) Kerry Hiratsuka, conducted this unannounced complaint visit to deliver the results of the allegations above. The Department conducted an investigation into allegations above. The allegations were made in 2023. Per medical records obtained by the department the fracture in question was sustained a year prior to the resident moving into the facility. Per the medical records obtained by the department the resident did not develop any pressure injuries while in care. Residents have the personal right to refuse foods that are offered to them that meet dietary needs prescribed by their doctor. From information gathered the resident in question did not complain of the food. LPA was able to interview two of five current residents and also two long time caregivers. The interviews state the staff do their best to cook food that meet resident needs. Unfounded Based on information above, the department concluded that the allegations are Unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. no deficiencies citedthe state’s words, verbatim · CDSS document, Jul 9, 2025 · control 22-AS-20230706120931

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) William Vanegas made an unannounced inspection for the purposes of conducting an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Care Giver (CG) Alice Magee. LPA Vanegas set up equipment and began a tour of the facility and observed the following. This is a one storied home with an attached two car garage, five bedrooms, and two and a half bathrooms, all which are available for resident use, and staff use. LPA Vanegas observed the kitchen area to be clean and free of debris, LPA Vanegas observed a gas stove, microwave, refrigerator, dishwasher, washer, and dryer to all be in good repair, and tested operational. LPA Vanegas observed a two day supply of perishable food, and a seven day supply of non-perishable food along with a sufficient amount of emergency water on hand for residents in care, and staff on duty. LPA Vanegas observed all client rooms to have the required furnishings such as a bed, lamp, chest drawer, clean linens in good repair, meaning no strains or tears, and enough storage space for personal belongings. Rooms are large enough to walk about freely, and no obstructions are blocking the entry way. LPA Vanegas observed bathrooms to be clean and free of any mildew and debris. Toilets and water faucets tested operational, and restrooms had all required furnishings such as grab bars, shower chairs, and slip resistant floor matts. Water tested between 115.5 and 117.5 degrees. CONTINUED ON LIC809C LPA Vanegas reviewed six resident files, and two staff files, all files (staff and resident) contained the correct documentation and were filed correctly. LPA Vanegas reviewed all medications with CG Renado Galdones. Per LPA Vanegas review all medications are being administered per physicians orders. All medications are being documented correctly as well. LPA Vanegas toured the outside of the facility and observed the following. There is a large backyard with an outdoor shaded sitting area, and the backyard is large enough to participate in outdoor activities upon resident request. No obstructions were observed a long the exit routes, and side doors are self latching and unlocked. LPA Vanegas observed all smoke and carbon monoxide detectors to be operational and in good repair. LPA Vanegas observed all fire extinguishers to be fully charged and up to date. LPA Vanegas observed there to be cameras in the kitchen area, and along the two hallways of the facility. LPA Vanegas advised that recording can only be visual and not audio, LPA Vanegas advised that a sign stating that individuals are being recorded must be posted in the entry way of the facility. Based on observations made during today's inspection no deficiencies will be cited per title 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with CG Renado Galdones and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Apr 8, 2025

Type of visit: Required - 1 Year

On 8/26/2024, Licensing Program Analysts (LPA) Janette Romero and Debbie Palacios conducted an unannounced visit to the facility for a required annual inspection. LPAs met with Caregiver, Renato Galdones who was informed of the purpose of the visit. The facility has a fire clearance for six (6) non-ambulatory elderly residents and an approved hospice waiver for four (4). LPAs were informed none of the residents at the facility are on hospice. During today's visit, there was six (6) residents and two (2) staff present. LPA Palacios toured the facility with Caregiver Galdones and observed the facility is made up of a one-story home with six (6) resident bedrooms, three (3) bathrooms, one (1) staff room, a kitchen, dining room, living room, and attached garage. During the tour, Caregiver Galdones tested three (3) of the smoke alarms/carbon monoxide detectors and LPA observed them to be operational. LPA also observed a charged fire extinguisher placed near the kitchen. Indoor and outdoor passageways were free of obstruction. The facility has outdoor shaded seating for the residents in care. There were no bodies of water observed on the premises. Medications are secured in a locked dining room cabinet. Resident bedrooms had the required furniture and lighting. Bathrooms had grab bars near the toilet and in the showers. LPA toured the kitchen and observed the facility had more than a 2-day supply of perishable foods and 7-day supply of non-perishable food items. Resident files reviewed had signed admission agreements and residents with a dementia diagnosis had updated physician reports. Staff present have a criminal record clearance and valid first aid/CPR certification. During a record review, LPAs reviewed Resident 1's (R1's) Physician's Report's (LIC 602A's) dated 11/28/23 which indicates R1 is bedridden and unable to independently transfer themselves to and from bed. LPAs interviewed R1, who reported they are unable to reposition themselves or transfer themselves to and from bed. LPAs reviewed R1's Preplacement Appraisal Information LIC 603 dated 4/22/24 which indicates R1 is unable to move their arms and legs, and requires maximum assistance to move to and from bed. Interviews conducted reveled R1 is repositioned every two (2) hours. Based on the aforementioned, the facility is in violation of their approved fire clearance. An exit interview was conducted and this report was reviewed and provided to Caregiver Renato. along with a Confidential Names List (LIC 811), LIC809-D and LIC421M and appeal rights.the state’s words, verbatim · CDSS document, Aug 26, 2024