Coastal Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Coastal Senior Living. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents, of which one may be bedridden. Facility has an approved hospice waiver for four residents and there are no residents on hospice care during today's visit. Administrator Ahmad Ali has an administrator certificate valid until 05/04/2028. Upon entry, facility appears clean, safe and sanitary. Administrator Ali arrived during the visit. LPA toured the facility at 9:58 AM along with Caregiver Anthony Clet. LPA toured the physical plant, checked food service, first aid kit and reviewed records. Facility is a two story home with 5 bedrooms, 5 bathrooms, living room, family room, dining room, kitchen, laundry room and an attached 2 car garage. The first floor consists of the family room, laundry room, 3 bedrooms and 3 bathrooms and the garage. The garage is kept locked and used for storage. The second floor consists of 2 bedrooms, 2 bathrooms, the living room, dining room and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPA observed two residents with half bed rails. Resident restrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 92.8 and 119.1 degrees F in all facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA observed the first aid kit with all the elements including thermometer, tweezers and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher is fully charged. The outside grounds were toured and there is ample shaded seating for residents. Exit gate is unlocked and operational. CONTINUED ON LIC 9099C DATED 07/30/2026 Emergency food was observed. The emergency disaster plan was reviewed during the visit. Plan is thorough and complete. Facility provided documentation of last fire drill conducted on 06/25/2026 and drills are conducted quarterly. Facility provides activities in the form of exercise and games. LPA reviewed resident and staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Two out of two residents with bed rails do not have physician orders for bed rails. Staff files reviewed contained required documentation of medical clearance, training and criminal record clearance. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. LPA observed staff are taking blood pressure for one resident with parameter medication orders. None of the staff are skilled professionals. Medications appear to be administered per physician order. Licensee to forward an updated LIC 500 and LIC 308 to LPA by close of business July 31, 2026. Based on the observations made during today's visit, deficiencies are being cited per Title 22 division 6 of the California Code of Regulations. An exit interviewed was conducted and a copy of the report along with appeal rights was provided.the state’s words, verbatim · CDSS document, Jul 30, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator Ahmad Ali and explained the reason for the visit. The Administrator's certificate expires on May 4, 2026. Facility is licensed for 6 non-ambulatory of which 1 may be bedridden and a hospice waiver for 4. Facility is a two story home with 5 bedrooms, 5 bathrooms, living room, family room, dining room, kitchen, laundry room and an attached 2 car garage. Administrator Ahmad Ali arrived during the visit. The first floor consists of the family room, laundry room, 3 bedrooms and 3 bathrooms and the garage. The garage is kept locked and used for storage. The second floor consists of 2 bedrooms, 2 bathrooms, the living room, dining room and the kitchen. LPA and Administrator toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted in the main entry way of the facility. LPA and the Administrator toured the first floor. LPA observed all resident rooms had the required furnishings. LPA observed all bathrooms are clean and operational. Hot water measured 107.7 in the bathrooms on the first level. LPA observed the garage is used to store extra supplies and furniture. The garage is kept locked. LPA observed the fire extinguisher at the base of the staircase is fully charged. No obstacles or hazards observed on the first floor. LPA and Administrator toured the second floor. LPA observed an emergency evacuation chair at the top of the staircase. LPA observed both resident rooms had the required furnishings. Both bathrooms are clean and operational. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The fire extinguisher in the kitchen is fully charged. LPA observed knives are kept locked in a kitchen drawer and medications are kept locked in the kitchen pantry. LPA observed the 5 burner gas stove lights unassisted. LPA did not observe and Administrator verified the facility does not have an internet device dedicated for resident use only. Smoke detectors/carbon monoxide detectors tested operational. The signal system is operational. The last emergency drill was conducted on April 11, 2025. LPA reviewed 3 resident files. Resident 1 and Resident 3 did not have a current appraisal/needs and care plan. No other discrepancies noted. LPA reviewed 2 staff files. Staff 1 and Staff 2, each had 20 hours of training which included 8 hours of Dementia training, but it did not include 4 hours of training for, postural supports, restricted conditions and hospice care. No other discrepancies observed. Deficiencies are being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided along with appeal rights.the state’s words, verbatim · CDSS document, Jul 7, 2025

The state marks this report as 5 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) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA explained the reason for the visit. LPA and staff toured the facility. Facility is a two story home with 5 bedrooms, 5 bathrooms, living room, family room, dining room, kitchen, laundry room and an attached 2 car garage. Administrator Ahmad Ali arrived during the visit. The second floor consists of 2 bedrooms, 2 bathrooms, the living room, dining room and the kitchen. The first floor consists of the family room, laundry room, 3 bedrooms and 3 bathrooms. LPA and staff toured the second floor. LPA observed the fireplace in the living room is screened. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The 5 burner gas stove top lights unassisted. LPA observed the resident rooms on the second floor had the required furnishings and bed linens. Both bathrooms on the second floor are clean and operational. How water measured 107.0 degrees Fahrenheit in both bathrooms on the second floor. The smoke detectors and carbon monoxide detector tested operational on the first and second floors. LPA observed that all fire extinguishers are fully charged. LPA and staff toured the first floor. LPA observed the fireplace in the family room is screened. LPA observed the bedrooms on the first floor had the required furnishings and linens. LPA observed the emergency evacuation chair is kept in the entry way closet. The entry way to the facility is the landing for the stairway at the halfway point for the stairs going up to the second floor and down to the first floor. LPA observed the See Something, Say Something poster (PUB 475) posted in the family room. LPA observed all 3 resident rooms on the first floor had the required furnishings and bed linens. All 3 bathrooms on the first floor are clean and operational. Hot water measured 107.1 degrees Fahrenheit in bathroom 1 on the first floor. LPA observed that the laundry room has a bunk bed in it and is being used as a staff bedroom. LPA observed that bedroom number 5 which is next to the stairway has a walk in closet that has a bed in it and is being used as a staff bedroom. LPA toured the backyard. No bodies of water observed. The backyard has shaded seating for the residents. The exit gate is operational. LPA reviewed 2 staff files, no discrepancies observed. LPA reviewed 4 resident files and medication, no discrepancies observed. Deficiencies are being cited per title 22 Division 6 of the California Code of Regulations on the attached LIC 809D. An exit interview was conducted with the Administrator and a copy of the report provided along with appeal rights.the state’s words, verbatim · CDSS document, Jul 2, 2024