Sea Breeze Manor

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Required 1 Year inspection at the facility today. The LPA met with administrator Rose Lopez and explained the reason for the inspection. RECORDS: A review of facility files was initiated. Facility records are stored in the locked office upstairs. The LPA observed documentation of Infection Control, Disaster prevention and last Disaster drill (conducted on 02/01/26). The LPA advised the administrator that disaster drill needed to be conducted for all shifts. The LPA obtained Client Roster, Staff Roster and Insurance liability. The LPA reviewed five(5) out of six (6) resident files and four (4) out of four (4) staff files. All records were complete with pre-admission appraisals, needs and services plans, physician reports, admission agreements, and emergency contact information. However one residents appraisal needs and services plan is one month overdue. Otherwise, all resident and staff records were complete and current. The LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives are locked in a drawer and cleaning supplies are stored inaccessible in a locked cabinet and in the locked garage. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The LPA observed the stove knobs without covers. COMMON AREAS: The living room, family room and dining room areas were furnished appropriately and furnishings were in good condition. The facility maintained a comfortable temperature. Smoke detectors and carbon monoxide detector were tested and functioned properly. The fire extinguisher was fully charged and last serviced 2/06/2026. Report will continue on LIC809-C, 2nd page. The LPA observed required postings in the hallway. The backyard has a covered outdoor area equipped with furniture for resident use. There is a latched self-closing side gate. No bodies of water noted. The garage is locked and inaccessible to the clients. The washer, dryer, detergents, other supplies as well as additional non-perishable food items are located in the garage. BATHROOMS: The facility has four and one half bathrooms. There is a staff bathroom upstairs, two full bathrooms downstairs, one half bathroom downstairs and one private bathroom in a resident's room. Bathrooms were observed to be clean and sanitary with hand soap and paper towels. The hot water temperature measured at 112.*F. in the resident communal restroom near the entrance. BEDROOMS: There are four single-occupancy bedrooms for residents and one double-occupancy room. All rooms were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There is two bedroom for staff located upstairs. MEDICATIONS: Medications review was conducted for three (3) residents; medications are centrally stored and locked in a closet in a hallway; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. INTERVIEWS: The LPA interviewed two residents and two staff; no concerns were voiced No deficiencies were observed. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Feb 9, 2026

The state marks this report as 8 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a continuation of the required annual visit on 02/06/25. LPA met with staff and explained the reason for the visit. Administrator Rose Marie Lopez arrived at approximately at 2:30 PM. During LPA's prior visit on 2/06/2025, LPA conducted a physical plant tour, health and safety check.. During today's visit LPA conducted interviews, reviewed records and medications. RECORDS: A review of facility files was initiated. Facility records are stored in the locked office upstairs. The LPA observed documentation of Infection Control, Disaster prevention and last Disaster drill (conducted on 02/03/2025). The LPA obtained Client Roster, Staff Roster and Insurance liability. The LPA reviewed five(5) out of five (5) resident files and four (4) out of four (4) staff files. All records were complete with pre-admission appraisals, needs and services plans, physician reports, admission agreements, and emergency contact information. All records were complete and current for both residents and staff. MEDICATIONS: Medications review was initiated; medications are centrally stored and locked in a closet in a hallway; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. INTERVIEWS: LPA interviewed two residents and two staff; no concerns were voiced No deficiencies were observed. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Feb 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Required 1 Year inspection at the facility today. The LPA met with administrator Rose Lopez and explained the reason for the inspection. The LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives are locked in a drawer and cleaning supplies are stored inaccessible in a locked cabinet and in the locked garage. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. COMMON AREAS: The living room, family room and dining room areas were furnished appropriately and furnishings were in good condition. The facility maintained a comfortable temperature. Smoke detectors and carbon monoxide detector were tested and functioned properly. The fire extinguisher was fully charged and last serviced 2/05/2025. LPA observed required postings in the hallway. The backyard has a covered outdoor area equipped with furniture for client use. There is a latched self-closing side gate. No bodies of water noted. The garage is locked and inaccessible to the clients. The washer, dryer, detergents, other supplies as well as additional non-perishable food items are located in the garage. BATHROOMS: The facility has four and one half bathrooms. There is a staff bathroom upstairs, two full bathrooms downstairs, one half bathroom downstairs and one private bathroom in a resident's room. Bathrooms were observed to be clean and sanitary with hand soap and paper towels. The hot water temperature measured at 106.*F. LPA discussed best practices to not let hot water temperature go below 105*F with the administrator.. BEDROOMS: There are four single-occupancy bedrooms for residents and one double-occupancy room. All rooms were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There is two bedroom for staff located upstairs. No deficiencies were observed during the inspection. LPA will return at a later date to finish the annual inspection. A copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 6, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a continuation of the required annual visit. LPA met with administrator Rose Marie Lopez and explained the reason for the visit. During LPA's prior visit on 2/2/2024, LPA conducted a physical plant tour, health and safety check, and reviewed staff records. During today's visit LPA conducted interviews, reviewed records and medications. RESIDENT INTERVIEWS AND RECORDS: LPA interviewed two residents; there were no concerns stated. LPA reviewed five residents' records. All records were complete with pre-admission appraisals, needs and services plans, physician reports, admission agreements, and emergency contact information. LPA reviewed medications which appeared to be given as prescribed. STAFF INTERVIEWS AND RECORDS: LPA interviewed two staff who were all able to answer the questions appropriately; no concerns noted. During LPA's previous visit records were reviewed and all staff scheduled at the facility were fingerprint cleared and associated to the facility. DISASTER PLAN: LPA reviewed the facility's disaster plan which appeared to be complete. The facility conducts quarterly evacuation drills with all staff. No deficiencies were observed. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Feb 23, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Teresa Camara conducted an unannounced Required 1 Year inspection at the facility today. The LPA met with back-up administrator Divina Bigay and explained the reason for the inspection. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: LPA inspected the kitchen. Knives are locked in a drawer and cleaning supplies are stored inaccessible in a locked cabinet. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. COMMON AREAS: The living room, family room and dining room areas were furnished appropriately and furnishings were in good condition. The facility maintained a comfortable temperature. Smoke detectors and carbon monoxide detector were tested and functioned properly. The fire extinguisher was fully charged and last serviced 1/30/2024. LPA observed required postings in the hallway. The backyard has a covered outdoor area equipped with furniture for client use. There is a latched self-closing side gate. No bodies of water noted. The garage has an alarm on the door. The washer, dryer, detergents, other supplies as well as additional non-perishable food items are located in the garage. BATHROOMS: The facility has four and one half bathrooms. There is a staff bathroom upstairs, two full bathrooms downstairs, one half bathroom downstairs and one private bathroom in a resident's room. Bathrooms were observed to be clean and sanitary with hand soap and paper towels. The hot water temperature measured at 116.7*F. BEDROOMS: There are four single-occupancy bedrooms for residents and one double-occupancy room. All rooms were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There is one bedroom for staff located upstairs along with an office. RECORDS: LPA reviewed records for the three regularly scheduled staff; all were complete. No deficiencies were observed during the inspection. LPA will return at a later date to finish the annual inspection. A copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 2, 2024