Coastal House

Type of visit: Case Management - Annual Continuation

On 10/23/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct a continuation of the annual required inspection. LPA met with Claudia Preciado, and she was informed of the purpose of the visit. At 9:54 AM LPA reviewed four (4) residents files for admission agreements, updated physician reports, needs and services plans which appeared to be current LPA also conducted a random audit of the residents’ Medication Administration Records (MARS) which appeared residents have been given their medications as prescribed by their physicians and files are current. LPA also reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings which appeared to be current. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and this report was discussed and provided to Claudia Preciado Administrator at the conclusion of the visit with appeal rights.the state’s words, verbatim · CDSS document, Oct 23, 2025

Type of visit: Required - 1 Year

On 10/20/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct an annual required inspection visit. LPA met with Edilma Tello Ortiz- Support Staff who was informed of the purpose of today’s visit, and the Administrator Claudia Preciado arrived about 3:15PM and she was also informed of the purpose of the visit. The facility is licensed to serve (6) residents aged 60 and above, of which (5) can be non-ambulatory and (1) Bedridden. The facility has an approved hospice waiver for (5). The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident rooms, two and a half (2.5) bathrooms, living area, dining area, kitchen, a detached office area in the backyard, a detached locked storage area and an outside shaded patio area with an umbrella and ample seating. LPA Allen and Claudia toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected a total of (4) bedrooms and (2.5) bathrooms. All bedrooms had the required furniture, beds and bedding supplies, chairs and storage. The bedding and supplies appeared to be in good condition, adequate lighting was provided, and storage for residents’ personal belongings was observed. Continued The bathrooms were in good condition and operational with required handrails and nonslip flooring. The water temperature ranged from 105°F to 118.°F. LPA observed that the facility appeared to be clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there was a 5-day supply of perishable and a 7day supply of non-perishable food items, which was adequately maintained/stored. The fire extinguishers, carbon monoxide detectors and smoke detectors were fully charged and operable. The last Fire/Disaster drills were conducted on 8/16/2025. Claudia was informed that due to insufficient time a continuation of the inspection with be completed on another day. An exit interview was conducted, and this report was discussed and provided to Claudis Preciado at the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 20, 2025

Type of visit: Case Management - Other

On 12/3/2024, Licensing Program Analyst Alfonso Iniguez had an Office Meeting/Plan of Correction with Claudia Preciado/Licensee. The LPA explained the purpose of today’s visit. On 11/9/2024, Licensing Program Analyst-LPA Alfonso Iniguez conducted an announced required annual evaluation at the facility named above. During the evaluation, LPA Iniguez was not able to review residents' and staff's records; therefore, a plan of correction was set in place. On 12/3/24, the licensee entered the office and presented the Plan of Correction to LPA Iniguez. LPA reviewed all the Plan of Correction items and cleared the POC. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Claudia Preciado / Administrator.the state’s words, verbatim · CDSS document, Dec 3, 2024

Type of visit: Required - 1 Year

On 11/9/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Rosaura Ortiz /Facility Staff. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) elderly adults ages 60 and above, of which (5) can be non-ambulatory and (1) Bedridden. The facility has an approved hospice waiver for (5). The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident rooms, two and a half (2.5) bathrooms, living area, dining area, kitchen, a detached office area in the backyard, a detached locked storage area and an outside shaded patio area with an umbrella and ample seating. LPA Iniguez and the facility staff toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected a total of (4) bedrooms and (2) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature ranged from 116.5°F to 118.2°F, and the room temperature ranged from 76°F to 78°F. The evaluation Report continues on the next page, LIC 809-C, providing further details of the inspection findings. During the visit, LPA Iniguez observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there was sufficient perishable and non-perishable food available, which was adequately maintained. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted in October/2024. Residents and Staff records locked at the time of the inspection. LPA reviewed (3) Medication Administration Records (MARs) and found no discrepancies. LPA observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. A copy of liability insurance will be brought at the office. Facility Annual Fess current. Facility Annual Fees are not current. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -See D pages for details. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. * An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Rosaura Ortiz / Facility Staff.the state’s words, verbatim · CDSS document, Nov 9, 2024

Type of visit: Required - 1 Year

On 11/02/23, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit using the full CAREs tool. LPA met with Care Staff, Evelyn Navarro, and the purpose of the visit was explained. The facility is licensed to serve 6 elderly residents aged 60 and above. The facility has a fire clearance for 5 non-ambulatory and one bedridden, and an approved hospice waiver for five (5) residents. Currently there are four (4) residents residing at the facility. Physical Plant/Structure LPA toured the facility with Care Staff, Evelyn Navarro. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident rooms, two and a half (2.5) bathrooms, living area, dining area, kitchen, a detached office area in the backyard, a detached locked storage area and an outside shaded patio area with an umbrella and ample seating. All walkways and exits around the house were observed clean, clear, and free of obstructions, debris, and hazards. LPA did not observe any bodies of water on the premises. Bedrooms LPA inspected all bedrooms and found they contained the required furnishings. All rooms had a bed, dresser, nightstand, chair, and adequate storage space for resident’s personal belongings. All beds had the required linens including a mattress pad, fitted sheets, blanket, comforter, and pillow. LPA observed an ample supply of linens in good repair stored in cabinets in the hallway. All bedrooms had ample lighting. Bathrooms The bathrooms were found to be within Title 22 regulations and were operational. All showers had nonskid mats, a shower chair, and secured safety handrails. The water temperature measured between 110.5-degress and 113.6-degrees Fahrenheit. LPA observed an ample supply of towels and wash clothes stored in a cabinet in the hallway. LPA observed an ample supply of hygiene supplies and incontinent products secured in a locked storage area in the backyard. Continued on LIC809-C Kitchen The kitchen was inspected. All appliances were observed to be operational and in good repair. LPA observed an ample supply of cookware, dishware, and cutleries. LPA observed a 3-day supply of perishable and 7-day supply of non-perishable food available and properly stored and labeled. All cleaning supplies are secured in a locked cabinet under the kitchen sink. All sharps are secured in a locked drawer in the kitchen. LPA observed emergency food, canned goods, extra refrigerator/freezer, and sanitary supplies secured in a locked storage area in the backyard. The washer and dryer are located in the kitchen. Common Rooms LPA inspected all common areas. LPA observed the facility to be appropriately furnished at the time of visit. LPA observed reading materials, games, and activities stored in the dining room. LPA observed all hallways and walkways were clean, clear, and free of obstructions and hazards. The facility was maintained at a comfortable temperature. Medications All Centrally Stored Medications are secured in locked drawer, and cabinet in the kitchen. LPA reviewed the medication and MARs for four residents. All four (4) resident’s MARs and medication are consistent with properly documented records. Safety All smoke detectors and carbon monoxide detector are operational. LPA observed two (2) fully charged fire extinguisher, one in the kitchen and one in the living room. All exits are clearly marked. LPA observed a facility sketch with all exits, evacuation routes, and shut off valves posted in the facility. The facility has a working landline telephone. All mandated signs were posted throughout the facility. Infection Control During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed all staff wearing masks. A 60-day supply of PPEs was observed secured in a locked storage area in the backyard. LPA observed all mandated infection control posters were posted. File Review/Interviews LPA will conduct file reviews at a later date. LPA interviewed two (2) staff and they were able to answer questions regarding policy, procedure, resident care, and resident personal rights. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See LIC809-D An exit interview was conducted with Care Staff, Evelyn Navarro, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 2, 2023