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Facility Evaluation Report

Coastside Senior Home, Costa Mesa08/19/2025Licence 306001961

Capacity6
Census2
Date signed08/19/2025 03:29:15 PM
Name of licensing program analystFred Arias
Name of licensing program managerAlisa Ortiz
The inspector’s account

Licensing Program Analyst (LPA) Fred Arias made an unannounced visit for the purpose of conducting a Plan of Corrections Inspection for deficiencies issued on 06/25/2025 during the required annual inspection. LPA was greeted and granted entry by Administrator (AD) Joselito Rivera. LPA discussed the purpose of the inspection with AD.

LPA toured the facility to check the deficiencies has been corrected with AD. LPA observed corrections completed including auditory alarms being operational, cleaned bathroom, repaired shower chair, furniture relocation, and clutter/overgrowth removed from the backyard. Fire drill was completed on 06/28/2025.

Based on LPA's observation on today's visit, the Plan of Corrections has been fulfilled by the assigned POC due date of 07/09/2025, thus clearing the Type B deficiencies CCR 87303(a) and HSC 1569.695(c).

An exit interview was conducted with AD and a copy of this report was provided to the facility representative.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction