Seaview Care Home II

Type of visit: Required - 1 Year

On this, day Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by Administrator Ang (AD) and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents. Facility has an approved hospice waiver for 6 residents and the home currently has 3 residents, with 1 resident on hospice. AD Ang has a certificate expiring on 11/25/2026 AD provided updated liability insurance that expires on 7/1/2026. LPA along with Administrator Ang toured the facility at 11:04 AM. LPA toured the physical plant, checked food service, facility documentation and the first aid kit. The home consists of 5 resident bedrooms, living room, dining room, and kitchen as well as 4 restrooms and 1 staff bedroom. 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 108.1 degrees F and 112.8 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. LPA toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPA reviewed the emergency disaster plan and plan is complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 11/01/2025. Outside grounds were toured. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. First aid kit contained all required items including tweezers, scissors and thermometer. Facility conducts activities in the form of exercise, music, and pet therapy. CONTINUED ON LIC 809C DATED 02/17/2026 There is shaded outdoor seating for residents. LPA observed the emergency food and water supply. LPA reviewed three resident files and three staff files. All resident files contained required documentation including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPA reviewed medication storage and administration. Medications appear to be administered per physician order. Based on the observations made during today’s visit, NO deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with Administrator and a copy was provided.the state’s words, verbatim · CDSS document, Feb 17, 2026

Type of visit: POC

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 01/16/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator Mercy Ang arrived during the visit. Deficiency cited under Title 22 Regulation 87303(a) pertaining to Maintenance and Operation has been cleared. LPA observed fence is operational during today's visit. Licensee has complied with the POC. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 20, 2025

Type of visit: Required - 1 Year

On this day Licensing Program Analysts (LPAs) Kimberly Lyman and Fred Arias made an unannounced visit to conduct a required annual visit. LPAs were greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents. Facility has an approved hospice waiver for 6 residents and the home currently has 5 residents, with 3 residents on hospice. Administrator (AD) Mercy Ang arrived shortly to conduct facility tour. AD Ang has a certificate renewal in process which was received on 10/10/2024 . AD provided updated liability insurance that expires on 7/1/2025. LPAs along with Administrator Ang toured the facility at 8:15 AM. LPAs toured the physical plant, checked food service, facility documentation and the first aid kit. The home consists of 5 resident bedrooms, living room, dining room, and kitchen as well as 4 restrooms and 1 staff bedroom. 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 107 degrees F and 117.8 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Auditory alarms were operational during today's visit. LPAs toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPAs reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 11/10/2024. Outside grounds were toured. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. First aid kit contained all required items including tweezers, scissors and thermometer. Facility conducts activities in the form of exercise, music, and pet therapy. CONTINUED ON LIC 809C DATED 1/16/2025 There is shaded outdoor seating for residents. At 8:40 AM, LPAs observed the exit gate is unable to close due to structural issues. LPAs observed the emergency food and water supply. LPAs reviewed five resident files and two staff files. All resident files contained required documentation including admission agreements, physician reports, resident appraisals, and physician orders for bed rails as indicated. Staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPAs reviewed medication storage and administration. Medication Administration Record (MAR) is not updated daily. Based on the observations made during today’s visit, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided.the state’s words, verbatim · CDSS document, Jan 16, 2025

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: POC

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 02/16/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator Mercy Ang arrived during the visit. Deficiency cited under Title 22 Regulation 87705(f)(2) pertaining to Care of Persons with Dementia has been cleared. Upon arrival to the facility, LPA observed sharps and pre-poured medications are secured. Licensee has complied with the POC. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 28, 2024

Type of visit: POC

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 01/30/2024. LPA was greeted and granted entry into the facility by Caregiver Cha Chua and explained the reason for the visit. Administrator Mercy Ang arrived during the visit. Deficiency cited under Title 22 Regulation 87705(f)(2) pertaining to Care of Persons with Dementia has NOT been cleared. Upon arrival to the facility, LPA observed garage door is propped open and toxins are accessible to residents in care. LPA observed the caregiver room door is open and medication are unsecured (photo). Sharps are unsecured as well. Licensee has NOT complied with the POC. Based on the observations made during today's visit, the following violation is being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.the state’s words, verbatim · CDSS document, Feb 16, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(2) · Plan of correction due date: Feb 17, 2024

The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. LPA observed multiple occurrences of unsecured medications, cleaning supplies and sharps. Facility has four residents with Dementia. This poses an immediate health, and safety risk to persons in care.the state’s words, verbatim · CDSS document, Feb 16, 2024

Plan of correction: Licensee to secure noted items and forward proof to LPA by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Seaview Care Home II. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the home and met with Caregiver Cha Chua. Facility is licensed for 6 non-ambulatory residents. Facility has an approved hospice waiver for 6 residents and the home currently has 5 residents present. There are 2 residents on hospice during today's visit. Mercy Ang has an Administrator Certificate expiring on 11/25/2024. Administrator Mercy Ang arrived during the visit. LPA Lyman along with Caregiver Cha Chua toured the facility at 12:55 PM. Facility appears to be clean, safe, and sanitary. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of five resident bedrooms, three resident bathrooms, one shared hall bathroom, staff room, living room, dining room, and kitchen. At 12:55 PM, LPA observed the garage door is propped open with a chair and cleaning supplies as well as rust oleum is unsecured (photo). LPA observed the staff room is unlocked with prescribed medications and over the counter medications unsecured. 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 115.1 and 120.5 degrees F in all facility bathrooms. 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 tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. At 1:15 PM, LPA observed unsecured sharps and cleaning supplies in the kitchen (photo). Smoke detectors and Carbon Monoxide detectors tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for residents as well as a fenced, empty pool. LPA observed emergency water supply on-site. LPA reviewed the emergency disaster plan during the visit. Plan is thorough and complete. Facility provided documentation of last fire drill conducted. Facility provides activities in the form of music and exercise. CONT ON LIC 809C DATED 01/30/2024. At 1:30 PM, LPA reviewed five resident files and two staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation of health screen/TB, criminal record clearance and required training. At 2:00 PM, LPA reviewed medication storage and administration. Medications are stored in a locked cabinet and are audited monthly by staff RN. Medications are being administered per physician order. Based on the observations made during today's visit, the following violation is being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.the state’s words, verbatim · CDSS document, Jan 30, 2024