Oceanside Care Home

Type of visit: Required - 1 Year

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with staff Candace McKoy and explained the purpose of the visit. Administrator certificate is current with an expiration date of 08/18/2026. Facility has a Hospice waiver for 2 residents. At approximately 8:45AM, 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. In the areas toured no immediate health, safety, or personal rights violations were observed. 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. No pools/bodies of water are on the premises. Facility has been conducting Emergency drills every 3 months. 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 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 10:15AM, LPA reviewed 2 staff files. Staff files reviewed contained evidence of completed annual training. First Aid/CPR certification was current. LPA observed one staff did not a cleared background clearance and was not associated to the facility. LPA observed 1 of 2 staff have evidence of a TB test, and 2 of 2 records did not contain evidence of a completed medical exam. LPA observed the Licensing Fees are past due. If fees are not paid, the Department will schedule an In Person meeting at the Santa Rosa Regional Office to discuss the closure of the facility. 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 Candace McKoy and Appeal rights were given.the state’s words, verbatim · CDSS document, Feb 24, 2026

Allegation investigated: Staff are not addressing issues of mold in the facility

At approximately 1:30PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to open an investigation into the above allegation. LPA met with care giver Candace Mckoy and toured the home. LPA observed black marking's on two walls inside the facility. LPA spoke with Administrator Valesia Cole via telephone and was informed they recently moved furniture around inside the building. LPA verified the black marks on the walls correspond to a piece of furniture that was previously in that location. The other mark corresponds to the wheels of a wheelchair. LPA inspected the bathrooms and showers of the facility and did not find evidence of mold or other discolorations. This agency has investigated the above allegation. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Unfoundedthe state’s words, verbatim · CDSS document, Apr 29, 2025 · control 21-AS-20250425094723

Type of visit: Required - 1 Year

At approximately 8:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator Valesia Cole and explained the purpose of the visit. Administrator certificate is current. At approximately 9:00AM, 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. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. Hot water measured within regulation. No pools/bodies of water are on the premises. 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 maintained at the proper temperature. Facility has required seven-day non-perishable and two-day perishable supply of food. Emergency water supply 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. Facility has been conducting emergency drills every 3 months. At approximately 9:20AM, LPA conducted a review of medications. Medication is locked and not accessible. First aid kit was present. At approximately 9:35AM, LPA reviewed 4 of 4 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. At approximately 9:50AM, LPA reviewed 2 of 2 staff files. 1 of 2 files did not contain evidence of completed initial training. First Aid/CPR certification was current. All employees requiring background checks are cleared. Continued on LIC809-C... Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Evidence of control of Property, (Current Rental/Lease Agreement/Deed) LIC500- Personnel Report 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 Valesia Cole and Appeal rights were given.the state’s words, verbatim · CDSS document, Feb 28, 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.

Type of visit: Case Management - Other

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a case management visit in regards to a Fire Clearance request submitted by the facility. LPA met with Administrator Valesia Cole and reviewed documents. LPA discussed fire clearance regulation and Hospice Care regulations. LPA provided copies of Hospice Care regulation. No deficiencies were observed during this visit. No citations issued.the state’s words, verbatim · CDSS document, Aug 12, 2024

Type of visit: Office

At 9:00AM, Licensing Program Manager (LPM) Bethany Moellers and Licensing Program Analyst (LPA) Chris Arnhold held an Office meeting with Licensee Sylvester Okoro via Zoom to discuss administrative oversight concerns at the facility. On 02/29/2024, LPA Arnhold conducted an annual inspection at this facility and observed the appointed administrator was not present at the facility. LPA requested documentation to update the change in administrator. LPA did not receive the requested documentation. The following documents were requested during this meeting: Evidence of Liability insurance Change of Administrator documentation Board Resolution appointing new Administrator LIC500 LIC308 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 Sylvester Okoro and Appeal rights were given.the state’s words, verbatim · CDSS document, May 15, 2024

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.618(a) · Plan of correction due date: May 24, 2024

(a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall be present at the facility during normal working hours.This requirement is not met as evidenced by:Based on observation and interviews conducted, the licensee did not comply with the section cited above. Administrator is not present in the facility a sufficient number of hours to ensure proper facility operation.the state’s words, verbatim · CDSS document, May 15, 2024

Plan of correction: Licensee to ensure a certified Administrator is present at the facility during normal business hours to ensure the facility is in compliance. Licensee to submit written plan detailing who and when Administrator will be present in the facility. Written plan shall be submitted to CCL by POC date of 5/16/2024.

Type of visit: Required - 1 Year

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a required 1-year annual inspection. LPA met with Administrator Valesia Cole and explained the purpose of this visit. LPA observed the administrator certificate is on the pending list and requested Licensee submit the required documents for a change of administrator. LPA and Staff conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: resident bedrooms, staff room, bathrooms, kitchen and the common areas. LPA observed the facility to be at a comfortable temperature. LPA observed sharps, medications and toxins to be locked and secured. LPA observed the facility to have ample supply of linens, perishable and non-perishable foods. In areas toured, no immediate health, safety or personal rights violation was observed. LPA conducted a file review for all six residents and three staff. LPA observed the required documents present on file. LPA and Administrator completed the CARE inspection tool and found the facility to be in compliance. No deficiencies observed. LPA requested the following documents during visit. Documents to be submitted to CCL within 30 days of this visit. LIC 500 LIC 308 Liability insurance Change of Administrator documents Exit interview conducted and a copy of the report was left with Administrator.the state’s words, verbatim · CDSS document, Feb 29, 2024