Ocean Retreat

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Carina Demman and discussed the purpose of the visit. The facility currently has five residents in care of which all were seen napping and watching tv. The facility is a one story home with three resident bedrooms, one staff bedroom, two bathrooms, living room, kitchen, laundry room, and attached 2 car garage. LPA observed the resident bedrooms to have all the required components and furnishings. LPA observed bedrails in room #3. LPA observed the staff bedroom to be unlocked and clean with no accessible medications to residents in care. LPA observed the bathrooms to be stocked with toilet paper, paper towels and non slip mats in the shower. The water was tested between 107.7 and 109.4 degrees Fahrenheit. LPA observed a clean supply of extra linens in the hall cabinet located by the staff bedroom. LPA observed the centrally stored medication to be in a locked cabinet located between the resident rooms and the living room and made inaccessible to residents in care. LPA observed a first aid kit that was missing tweezers. LPA observed the kitchen to be clean and free of vermin. A two day perishable and seven day non perishable food supply was observed to be on hand. The sharps were in a locked drawer by the kitchen sink and made inaccessible to residents in care. The toxins were under the locked kitchen and bathroom sink as well as above the washer and dryer and made inaccessible to residents. LPA observed all appliances to be operational. LPA observed fire extinguishers in the facility charged and with a purchase date of March 25, 2025. LPA advised AD to have their fire extinguishers serviced or newly purchased by the expiration date listed. LPA observed the backyard to be free of debris and obstructions with a shaded seating area. The garage is used for extra facility storage. Staff tested the carbon monoxide and smoke detectors and they were found to be operational. Continue on LIC809C LPA reviewed staff files and no discrepancies were observed. LPA reviewed resident files and Resident #4 (R4) in room #3 does not have bed rail orders on file. LPA did not review updated needs and services plans for 3 of 5 residents in care. LPA reviewed resident medications and observed 2 of 5 residents have over the counter medications without physicians orders. LPA observed that the last fire drill was conducted on March 16, 2026. All staff present are background cleared and associated to the facility. Based on today’s inspection deficiencies, civil penalty and technical violations are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report, LIC809D, 858, technical violations, civil penalty for repeat violation and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Mar 24, 2026

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

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 Ace Reblora after explaining the purpose of the visit. Administrator (AD) Carina Demman was notified via telephone and later arrived to assist with record review. LPA observed the Administrator certificate was current and expires December 12, 2025. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents with a hospice waiver for three. The facility is a one story home with three resident bedrooms, one staff bedroom, two bathrooms, kitchen, living room, dinning room, office space, and an attached garage. During the inspection, LPA and caregiver conducted a tour of the inside and outside of the facility and observed the following: LPA observed residents watching television in the living room. LPA observed four residents in care and three staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall by the facility entrance. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway storage cabinet. LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 106.7 and 109.5 degrees Fahrenheit. 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. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be last purchased on June 29, 2023; a deficiency was cited on today’s date. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. The garage is used for storage and inaccessible to residents. Toxic chemicals, cleaning solutions, and disinfectants were observed throughout the facility. Toxins/cleaning supplies were observed under bathroom sink, hallway closet, and outdoor patio. Kitchen cabinet was also observed to be used for additional medication storage and did not have a locking mechanism and knives were observed in an unlocked cabinet accessible to residents in care; a deficiency was cited on today’s date. Medication was observed in the office space of the facility however, medication is pre-poured a week in advanced in a weekly container; a Deficiency was cited on this date. LPA observed the First Aid Kit had all the required components. LPA observed disaster drills are not logged and was unavailable for review; a deficiency was cited on today’s date. While waiting for the AD, LPA began review of the records. LPA Guillen reviewed four resident records. All the required documentation was present and current in the residents’ files reviewed, however Resident 1 and Resident 2 did not have doctor’s orders present for hospital bed and rails at the facility for review; a deficiency was cited on today’s date. LPA reviewed two employee records. All employee’s present have a criminal record clearance and were associated to the facility. LPA observed records reviewed have a current First Aid certificate. Staff #2 however did not have yearly training completed, 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 809D and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Mar 25, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.