Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced visit to Coastside Senior Home. The purpose of today's visit was to conduct a Required 1 Year inspection focusing primarily on the Infection Control. At 9:47 am, LPA Cho was allowed entry into the facility and met with Caregiver (CG) Vivien Curry after completing the Coronavirus 2019 (COVID-19) screening procedure. Caregiver John Pratt was also present. Administrator (Admin) Joselito Rivera came downstairs from the second floor at 9:48 am. Admin lives on the second floor. As of today, there are no active COVID-19 cases in the facility. Facility screens temperature for all visitors, and LPA observed the required COVID-19 precautionary signs on the glass storage cabinet. The facility is licensed for six non-ambulatory residents. The facility also has a Hospice waiver for two residents. There are currently three residents living in the facility and two residents are in hospice care. The Administrator's Certificate for Joselito Rivera expires on 10/03/2022.

At 9:50 am, LPA Cho conducted a tour of the physical plant along with Admin Rivera. The two story home consists of four resident bedrooms and one resident bathroom. There is a private staff bedroom and bathroom on the first floor. The second floor is the residence of the Admin. The facility also has a living room, family room, dining area, kitchen, and an attached garage. The three residents in the facility appeared well-groomed and well cared-for. LPA Cho observed the Complaint Poster in an incorrect sizing of 8.5" x 11" posted on the bulletin board in the hallway. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. A camera was installed in Bedroom #2 for R1 and Bedroom #4 for R2. Per Admin, the cameras were consented by both families but were removed during the visit. LPA also observed cameras in the common areas which are located in the dining area and family room. Resident bathroom was checked. Toilet and water faucet worked properly, grab bar was secure, shower was free of mold/mildew and a non-skid surface or mat was in place. Resident bath towels and personal hygiene supplies were adequately stocked including paper towels and hand soaps. The required hand washing signs were observed in the bathrooms. LPA Cho tested the hot water temperature in the resident bathroom and the temperature measured at 107.6 degrees Fahrenheit.