Port Alicia

Type of visit: Required - 1 Year

On April 1, 2026, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrators (AD) Scott Messick and Ryan Roche about the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. ADs later arrived to assist with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located near the front entrance. LPA observed that Ryan and Scott have valid Administrator certificates which expires on December 1, 2027. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, none of which may be bedridden, and a hospice waiver for six. LPA toured the interior and exterior portions of the facility with ADs. For this visit, there are a total of five non-ambulatory residents in care, one of which is on hospice. The facility is a single story home. There are a total of six bedrooms, four of which are private resident bedrooms, one is a shared resident bedroom, and one is a staff bedroom. LPA toured each bedroom with the ADs and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff room is kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of two bathrooms, both are for residents and staff. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be between 116.0 and 116.7 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked underneath the kitchen sink and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. Fire extinguisher was dated and tagged on March 26, 2026. LPA observed all the required postings in the hallway. LPA observed the facility conducted their last emergency disaster drill on March 30, 2026. Facility had back-up emergency food and water supplies, located in the garage. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a storage closet in the living room, inaccessible to residents in care. Chemicals were observed to be locked underneath the kitchen sink. LPA observed the door leading to the attached two car garage is kept locked and inaccessible to residents in care. The garage is used for storage and laundry. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are two self-closing gates in the backyard that can be opened in case of an emergency. No bodies of water were observed. During this visit, five resident files and two staff files were reviewed. All staff are background cleared and associated with the facility. LPA reviewed residents’ medication and medication records and two resident interviews, and two staff interviews were conducted. Based on today's observations, there are no deficiencies being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrators. This report was reviewed and a copy was provided at the end of the visit.the state’s words, verbatim · CDSS document, Apr 1, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. At around 8:40 AM, LPA Tea was greeted and granted entry into the facility by caregiver staff and explained the reason for the visit. Administrators (AD) Scott Messick and Ryan Roche arrived shortly to assist with the visit. Facility is licensed for 6 non-ambulatory residents, with a hospice waiver for six. Currently there are six residents, and none on hospice during today's visit. At 8:53 AM, LPA Tea reviewed six resident files and two staff files. Residents’ files and staff files contained all required documentation. Administrator certificates expire on December 1, 2025. LPA Tea along with AD Messick toured the facility at 9:18 AM. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of 5 resident bedrooms, which one is shared, 1 staff room, 2 full bathrooms, living room, dining room, kitchen and attached garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 111.5 F degrees and 114.4 F degrees. 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. First aid kit had all the required elements including dressings, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps secured underneath the kitchen sink. LPA also observed toxin substances to be secured and locked and inaccessible to clients underneath the kitchen sink and garage. The fire extinguisher Annual inspection continued on LIC809C in the kitchen is fully charged. The facility’s last fire drill was conducted on March 10, 2025. Kitchen appliances are operational during today's visit. The backyard has a small garden area. LPA observed emergency food and water supply in the garage. LPA toured the outside grounds and there is ample seating with shade and the exit gates on both sides of the house are self-latching and operational. There is a grill, where the resident’s family have barbecues. Facility provides activities daily conducted by an activity’s coordinator. The residents play bingo and trivia, do arts and crafts. The residents go outside from time to time. At the time of the visit, LPA saw residents playing trivia. At 10:06 LPA reviewed medication storage and administration. Medications are stored in a locked closet by the front entryway. Medications are being administered per physician order. LPA interviewed clients regarding their quality of care and spoke to staff present regarding care provided. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with administrators, Scott Messick and Ryan Roche and a copy of this report LIC809, 809-C, LIC858, LIC859, was read and provided to the facility.the state’s words, verbatim · CDSS document, Apr 1, 2025

Type of visit: Required - 1 Year

On April 30, 2024, at 2:05pm, Licensing Program Analysts (LPAs) Jessica Cho and Edward Kim conducted an unannounced Required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPAs Cho and Kim met with Licensees/Administrators (Admins) Scott Messick and Ryan Roche and explained the purpose of the visit. The facility is licensed to operate for six (6) non-ambulatory and maintains six (6) hospice waivers. The facility is a single-story structure located in a residential neighborhood which consists of the following: five (5) resident bedrooms, two (2) bathrooms, living area, dining area, kitchen, two-car garage, outdoor patio area, and a laundry room which is being currently renovated into a bedroom. Per review of records, facility does not have an approved fire clearance for the renovated room, however facility maintains a building permit which was provided to LPAs during the visit. LPAs toured inside and outside of the physical plant. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each client’s personal belongings were observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. . All bedrooms were inspected for: Resident Rooms #1-5. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 115.5 and 113.5 degrees Fahrenheit. A comfortable indoor temperature of 77 degrees Fahrenheit was maintained in the facility. LPAs observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharp objects were stored and inaccessible to the residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. The facility has two fire extinguishers that are charged and serviced on 11/01/2023. Smoke/carbon monoxide detectors were tested and operable. The facility conducted a Fire/Safety Drill on 01/14/2024. A working telephone (949-859-8391) remains available. First Aid Kit contained all the necessary elements. During the visit, LPAs observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The 'See Something Say Something" (PUB475) was maintained at 16"x26" which did not meet the required measurements of 20"x26." LPAs conducted an audit of six residents' service files, and two staff personnel files which were in order and completed. LPAs conducted two staff interviews. No resident interviews were conducted due to residents being occupied with their afternoon activities. Medications were audited for six residents and no discrepancies noted for six out of the six residents. Based on the observations made by the LPAs, one deficiency is being cited today as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. An Advisory Note is being issued, and an immediate civil penalty is being assessed. See LIC421IM. An exit interview was conducted with Licensees/Administrators Ryan Roche & Scott Messick, and a copy of this report along with the LIC809C, LIC809D, LIC421IM, and the appeal rights were provided at the end of the visit.the state’s words, verbatim · CDSS document, Apr 30, 2024

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.