Oceanview Living of San Pedro

Type of visit: Prelicensing

On 09/02/26, the department conducted a pre-licensing visit/Change of Ownership (CHOW). The department met with Executive Director, Anita Csukardi, and explained the purpose of the visit. The department was granted entry to the facility. The are currently (74) residents residing in the facility. The facility is a (3) floor building, and consists the following: (99) bedrooms, (88) bathrooms, (11) communal bathrooms, a commercial kitchen, large dining room, auditorium, storage areas, nursing stations, activity rooms, tv room, beauty shop room, chapel, weight room, medication rooms, conference room, shaded patio area, side courtyard patio, and laundry rooms. The facility has applied for a total of (190) residents age 60 and over, of which (160) non-ambulatory, and (30) bedridden. l A tour of the facility was conducted of the ground floor, first floor, second floor, third floor, kitchen, dining room, medication rooms, records room, common areas, and outside facility grounds. The following was observed during this visit: MEDICATIONS There is a locked centralized storage area for resident medications located in the medication rooms on the first and second floor. Continued on LIC809-C PHYSICAL PLANT Facility is clean, sanitary, and in good repair. Protective devices are in place. Indoor and outdoor passageways, stairways, open porches, and other areas of potential hazard are free of obstructions. All window screens are clean and in good repair. A comfortable temperature was observed maintained in the facility. Open porches, and areas of potential hazard are well-lit and equipped with sturdy hand railings. Smoke alarms operate properly. Carbon monoxide detectors operate properly. BEDROOMS No client bedroom is a passageway to another room, bath or toilet. There is a bed for each client with a mattress, mattress pad, bedsprings, and pillow(s) which are clean and in good repair. There is dresser and closet space for each resident that includes at least two (2) drawers or eight (8) cubic feet of dresser space per resident. There is a chair and lamp for each resident and at least one (1) nightstand per two (2) residents. BATHROOMS There is at least (1) toilet and washbasin in every resident bedroom. There is at least one (1) communal shower shared by residents on the first, second floor, and third floor. Hot water temperature measured between 105-120 degrees Fahrenheit. There are nightlights in the hallways outside non-private bathrooms. SUPPLIES There are resident personal hygiene supplies to include soap, toothpaste, toilet paper, and comb. There is a sufficient supply of clean linens to permit weekly changing or more of resident top sheets, bottom sheets, bedspreads, blankets, pillowcases, mattress covers, bath towels, hand towels, and washcloths. FOOD SERVICE Dining room is near kitchen. Refrigerators and freezers are clean and large enough for the storage of at least two (2) days of perishable foods. Freezer is 0 degrees Fahrenheit. Refrigerator is a maximum of 45 degrees Fahrenheit. Continued on LIC809-C A seven (7) day supply of non-perishable food is present. There are sufficient amounts of tableware, tables, dishes, and utensils. There are sufficient amounts of equipment for the storage, preparation, and service of food. All equipment, dishes, and utensils are clean and well maintained. All kitchen, food storage, and preparation areas are clean. RECORDS There is confidential storage of personnel records in the Business Office Directors office, and a confidential storage of resident files in the Executive Directors Office. ADMINISTRATION The emergency exiting plan and emergency phone numbers are posted. Resident Personal Rights are posted. Posting both sides of the Personal Rights form LIC613 meets this requirement. Facility Visiting Policy is posted. Licensing Complaint Poster is posted. There is space available for resident council meetings and resident council postings. ACTIVITIES There are several outdoor activity spaces with shaded areas and furnished for outdoor use throughout the facility. There is at least one common room available to residents and visitors. There are activity supplies to include board games, books, puzzles, magazines, etc. MISCELLANEOUS There is a first aid kit with first-aid supplies to include sterile first-aid dressings, bandages, adhesive tapes, scissors, tweezers, thermometer, antiseptic solution, and a current first-aid manual kept in the medication room on the first and second floor. There is space and equipment for laundry services. There is a space for clean linen storage and a separate space for soiled linen. There is an operating telephone available for residents use. Continued on LIC809-C Component III: Conducted during today’s pre-licensing visit. During the pre-licensing inspection no items were observed which do not comply with applicable laws and regulations; no items require a follow up inspection for verification of correction. The pre-licensing was completed, and the facility is ready to be licensed. The department will submit a copy of this Facility Evaluation Report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application. An exit interview was conducted, and a hard copy of this Facility Evaluation Report has been provided to Executive Director, Anita Csukardi. *Please note due to technical difficulties, the department was unable to generate an electronic inspection tool and instead used a printable/PDF version.the state’s words, verbatim · CDSS document, Sep 2, 2026

Type of visit: Office

COMP II by CAB successfully completed Method: Phone Call at CAB Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, May 21, 2026