Sea Breeze Manor

Type of visit: Required - 1 Year

On August 12, 2026, at 8:30 AM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to perform an annual inspection. Upon arrival, LPA Allen met with support staff member Farida Khanum and Administrator Sonny Harris, who were informed of the purpose of the visit. The facility is licensed to serve six (6) clients aged 60 and over, including one (1) bedridden resident, four (4) non-ambulatory residents, and one (1) ambulatory clients. The bedridden resident is authorized for Bedroom #1. Currently, the facility has four (4) clients in care. The facility’s annual fees are current. The facility is a single-story residential home located in a residential neighborhood. The home includes five (5) bedrooms, two bathrooms, a kitchen, living room, dining area, laundry area, and a backyard. At 8:50 AM, the department conducted record review of (4) clients files which include admission agreements, needs and service plan and physicians reports which appeared to be up to date. The department also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings, which appeared to be current. A random audit was done for medication and it appears clients medications are being given as prescribed. At 11:00 AM, the department and Sonny Harris- Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. clients’ bedrooms appeared to have the required beds and bedding supplies appeared to be in good condition, adequate lighting is provided, and there is storage space for client’s personal belongings. The department also observed additional bed linens, comforters, and bath towels that appeared adequately stocked at the time of visit. The bathrooms appeared clean and operational. The water temperature ranged from 105 -120 F° and the facility temperature ranged from 72-75 degrees F. The department also observed the kitchen to have a 5-day supply of perishables and a 7-day supply of non-perishables food items which were stored and maintained properly. There was also a storage area for additional cleaning supplies, and toxins that are inaccessible to clients. Smoke detectors were observed to be fully changed, tested and operating. The fire extinguishers were fully charged, and the last fire drill and emergency drill was conducted on 8/1/2026. During todays visit the department did not observe any deficiencies. An exit interview was conducted with Sonny Harris- Administrator, and a copy of this report was provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Aug 13, 2026

Type of visit: Required - 1 Year

On 08/06/25, at 9:30am, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required inspection visit to Sea Breeze Manor. LPA met with Sonny Harris, Administrator, and explained the purpose of today’s visit. The facility is licensed to serve (6) residents ages 60 and over, of which one (1) may be bedridden, four (4) non-ambulatory, and one (1) ambulatory. Bedridden in bedroom #1. Currently, the home has (4) residents. The facilities annual fees are current. The facility is a single-story residential home located in a residential neighborhood. The home consists of the following: 5 bedrooms, 2 bathrooms, kitchen, living room, dining area, laundry area, and a backyard. LPA conducted a records review of (4) resident records, (4) staff records, and reviewed the facilities emergency disaster plan. All resident and staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (4) resident Medication Administration Records and medication, and did not observe any discrepancies at the time of visit. At 10:00am, LPA and staff toured the physical plant. There are no bodies of water or firearm/ammunition on the premises. All resident rooms were checked. Beds and bedding were in good condition, adequate lighting provided, adequate storage for resident’s personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations. Toilets and water faucets worked properly. The shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries are accessible to residents. The water temperature measured 112.6F degrees in the kitchen and 113.3F degrees in the bathroom; a comfortable temperature is maintained in the facility. Report Continued on LIC809-C LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough perishable and non-perishable food available for the residents. All food items were stored properly. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked with manual. The fire extinguishers were charged, and the smoke/carbon monoxide detectors were operable. The last fire/emergency drill was conducted on 07/01/2025. The facilities administrator’s certificate was valid from 12/22/2024-12/21/2026. The facilities liability insurance was valid from 01/26/2025 through 1/26/2026. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and residents. LPA observed that sanitizing stations were in common areas and restrooms. LPA observed that the facility had the required postings, posted throughout the facility. LPA advised the facility to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing (www.cdss.ca.gov) for Provider Informational Notices (PIN) and for any updates relating to COVID-19 guidance and other related issues. No deficiencies were cited during this inspection visit. An exit interview was conducted, and a copy of this Facility Evaluation Report was provided to Sonny Harris, Administrator.the state’s words, verbatim · CDSS document, Aug 6, 2025

Type of visit: Required - 1 Year

On 07/18/2024 Licensing Program Analyst (LPA) Mario Leon held an unannounced, required, one (1) year visit to the above-mentioned facility using the CARE tools. LPA was met by Sonny Harris, Administrator (S1), and the purpose of the visit was explained. The facility is licensed to operate for six (6); of which one (1) may be bedridden, four (4) non-ambulatory and one (1) ambulatory elderly adult(s), aged 60 and over. On 10/16/2023 the department approved the above-mentioned facility to retain two (2) hospice residents. The facility is a single-story house, located in a residential neighborhood which consists of the following: five (5) bedrooms, and two (2) full bathrooms. There is one (1) living room, one (1) dining room, kitchen, washer/dryer area and an outside shaded area with umbrella, table and chairs. There is an attached two (2)-car garage. Of the five (5) bedrooms, four (4) of the bedrooms are reserved for residents and one (1) bedroom is used as the staff room. In addition, there is a one (1) shed located in the backyard. LPA and Administrator (S1) toured the inside and outside of the facility. All client rooms were checked. Mattresses and box springs were in good condition, adequate lighting was observed, plenty of dresser and closet space was observed. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulation. Toilets and water faucets worked properly. Shower was free of mold/mildew, with adequate lighting and sufficient toiletries were accessible to clients and were observed. The water temperature properly measured between 105 - 120 degrees F, within title 22 regulations.LPA observed the facilities screens to be in need of repair throughout the facility. See LIC809D. Food supply was checked and a 7-day of non-perishable and 2-day supply of perishable foods were adequately stocked during the time of today's visit. Carbon monoxide/Smoke detectors were observed and operational. Fire extinguishers were fully charged as of 07/12/2023, toxins and knifes were locked and inaccessible to clients. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. Last facility fire drill was conducted on 07/01/2024. LPA reviewed the facility disaster plan and the facility disaster plan was current and in compliance with Title 22. Report Continues, see LIC809C. An audit of residents #1-#5 (R1-R5) service files and medication administration record (MAR) and staff #1-#4 (S1-S4) personnel files revealed to be complete. There was one (1) deficiency cited during today's visit, see LIC809D. There has been one (1) Technical Advisory, Violation, cited during today's visit, see LIC9102-TV. An exit interview was held with Sonny Harris, Administrator, and a copy of the facilities' appeal rights, LIC809D, LIC9102-TV and this report has been provided.the state’s words, verbatim · CDSS document, Jul 18, 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.