Oceanfront Care Home

Type of visit: Required - 1 Year

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator Isaac Rolle and explained the purpose of the visit. Administrator certificate is current with an expiration date of 11/20/2026. Facility has a Hospice waiver for 2 residents. At approximately 8:15AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a temperature of 66.5F in the resident areas. Administrator adjusted the temperature and explained the resident adjusts the temperature without staff knowledge. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. LPA observed the rear patio fence was broken, with a section missing, allowing residents access to the ocean bluff. LPA was informed the two residents at risk are not able to ambulate without assistance. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen equipment was clean and in good repair. Dishware appeared to be stored in a sanitary manner. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required supply of perishable and non-perishable food. Emergency water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. First aid kit was present. Facility has been conducting Emergency drills monthly. At approximately 9:45AM, LPA reviewed 3 of 3 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of a physician visit within the last 12 months was present. Medication records were organized and contained orders for each medication. Medications were secured in a locked cabinet. Continued on LIC809-C… At approximately 10:30AM, LPA reviewed 2 of 2 staff files. Staff files reviewed contained evidence of completed annual training. First Aid/CPR certification was current. All employees requiring background checks are cleared. During this inspection, LPA followed up on a 60 day notice to residents issued by the facility on 04/08/2026. The facility issued a 60 day notice to inform residents of the planned renovation of the facility. The notice was not sent to Licensing. LPA reviewed regulation with Administrator and requested an updated notice be sent to all residents, responsible parties and Licensing. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC610E- Disaster Plan Evidence of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Isaac Rolle and Appeal rights were given.the state’s words, verbatim · CDSS document, May 4, 2026

The state marks this report as 14 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff are not providing first aid to resident Staff did not ensure resident received medical care

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegations. LPA met with Administrator Isaac Rolle, toured the building and reviewed records. Based on records reviewed and interviews conducted, LPA was not able to find evidence to support the allegations listed above. LPA reviewed home health documentation and did not find an order for creams for a foot injury. Creams ordered were documented in facility medication documentation. LPA reviewed documents regarding resident medical care. LPA observed facility submitted special incident reports regarding a resident fall. The incident report stated emergency services were contacted. LPA reviewed resident records and observed hospital discharge paperwork regarding medical care from the fall. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 7, 2025 · control 21-AS-20241213170036

Type of visit: Case Management - Annual Continuation

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to continue a required 1 Year inspection. LPA met with Administrator Isaac Rolle and explained the purpose of the visit. At approximately 11:15AM, LPA conducted a review of medications. Medication is locked and not accessible. First aid kit was present. All employees requiring background checks are cleared. Facility has been conducting drills monthly. At approximately 11:40AM, LPA reviewed 4 of 4 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of physician visits within the last 12 months or a signed declination were present. At approximately 12:15PM, LPA reviewed 3 staff files. Staff files reviewed contained evidence of completed annual training. First Aid/CPR certification was current. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC610E- Disaster Plan Evidence of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Apr 7, 2025

Type of visit: Required - 1 Year

At approximately 12:00PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator Isaac Rolle and explained the purpose of the visit. Administrator certificate is current. Facility has a Hospice waiver for 2 residents. At approximately 12:15PM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. LPA observed the fence on the back porch had one section laying on the ground and the gate was not present, which allows access to a cliff overlooking the ocean. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen contained cooking/dining equipment that was clean and orderly, utensils were present. Food appears to be stored and prepared properly. Refrigerators and freezers were clean and orderly. Facility has required seven-day non-perishable and two-day perishable supply of food. Emergency water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. LPA will return at a later date to review staff and resident records. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Isaac Rolle and Appeal rights were given.the state’s words, verbatim · CDSS document, Mar 27, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff did not administering medication as ordered

At approximately 12:00PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegation. LPA met with Administrator Isaac Rolle, toured the building and reviewed records. Based on interviews conducted, medication was delivered to the facility and received by a staff member. The medication was placed into the secure storage but the staff did not let anyone else know it had arrived. Resident did not receive the two days of medication due to this mistake. Upon further investigation, the medication was located and resident began receiving as ordered. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Administrator and Appeal rights were given. Substantiatedthe state’s words, verbatim · CDSS document, Dec 27, 2024 · control 21-AS-20241213170036

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Dec 28, 2024

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self administered medications as needed. This requirement is not met as evidenced by: Based on interviews conducted, resident medication was delivered but was not started for two days. This poses an immediate Health risk to residents in care.the state’s words, verbatim · CDSS document, Dec 27, 2024

Plan of correction: Licensee to ensure residents receive medications as ordered. Staff responsible for receiving the medication and not alerting anyone else, as facility procedure states, was terminated. All staff received refresher training on medication procedures. POC Cleared during visit.

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Facility staff are not assisting resident with transfers

At approximately 10:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegation. LPA met with Administrator Isaac Rolle and reviewed records. Based on a review of records and interviews conducted, facility staff did not assist resident in transfers out of bed. Staff interviewed stated they were informed to not move resident into the wheelchair, but could not provide documentation of such an order. LPA observed the physician report notes the use of a hoyer lift for transfers. Pre Admission appraisal shows residents desire to get out of bed into the wheel chair. Resident utilized an oversized wheel chair that did not fit easily through the doorway to the bedroom. Resident was listed as Non-Ambulatory. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Administrator and Appeal rights were given. Substantiatedthe state’s words, verbatim · CDSS document, Aug 12, 2024 · control 21-AS-20240430145056

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(d) · Plan of correction due date: Aug 13, 2024

Basic Services:A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs...This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, staff did not assist resident in transferring. This poses an immediate Health, Safety or Personal rights risk to residents.the state’s words, verbatim · CDSS document, Aug 12, 2024

Plan of correction: Administrator reviewed Basic Services regulation and has provided LPA self certifiation of understanding. Resident no longer resides at facility. POC cleared at time of visit.

Type of visit: Case Management - Annual Continuation

At approximately 1:00PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to complete the Required-1 Year inspection which was started on 05/03/2024. LPA met with House Manager Issac Rolle and reviewed records. LPA reviewed 4 of 4 resident records. LPA observed 2 of 4 residents care plans were last updated June of 2023. LPA advised Issac to update as needed or at least every 12 months. 1 of 4 resident physician reports were not updated within the last 12 months. LPA advised Issac to ensure residents with a dementia diagnosis need to have physician reports updated at least every 12 months. At approximately 2:00PM, LPA reviewed 2 of 2 staff records. Staff files contained documentation of completed annual training and current first aid/CPR certification. While conducting a complaint investigation, LPA observed facility placed a bedridden resident in a room not cleared as a bedridden room. Local fire department personnel were required to remove the door to get resident out of the room. Facility has two rooms cleared for bedridden residents, however this room was not. An immediate civil penalty is being issued in the amount of $500 for this fire clearance violation. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Issac Rolle and Appeal rights were given.the state’s words, verbatim · CDSS document, Jul 12, 2024

Type of visit: Required - 1 Year

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with House Manager Issac Rolle and explained the purpose of the visit. LPA asked if Administrator Mama Ngaima would be present. Issac did not know who this person was. Issac informed LPA that he recently passed the Administrator course and was waiting on his certificate. LPA toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. LPA measured hot water, temperature was 131 Degrees F. Due to time constraints, LPA will return at a later date to complete this inspection. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Issac Rolle and Appeal rights were given.the state’s words, verbatim · CDSS document, May 3, 2024