Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Lyman and Fred Arias conducted an unannounced visit to San Clemente Villas by the Sea. The purpose of today’s visit was to conduct the Annual Required inspection. LPAs were allowed entry into the facility and explained the reason for the visit. Facility is licensed for 190 ambulatory of which 125 may be non-ambulatory and 40 bedridden. Facility has an approved hospice waiver for 20 residents and the facility currently has 11 residents on hospice care. Fred Paoli has an administrator certificate expiring on 04/17/2026.

LPAs Lyman and Arias along with Administrator Paoili toured the facility at 9:09 AM. LPAs toured the physical plant, checked food service, facility records and the first aid kit. Facility is currently under renovation with the third floor closed to residents. Facility consists of a four story building including assisted living and memory care. Throughout the building, LPAs observed kitchen, dining room, activity areas, gym, movie theater and beauty salon. Resident apartments had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident restrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 107.9 and 119.3 degrees F in facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Staff responded within 10 minutes for emergency pull. At 9:30 AM, LPAs observed the gates in the memory care patio are locked with a key and do not have the approved delayed egress on the gate. First aid kit had required elements including thermometer and scissors. LPAs observed no unsecured toxins. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPAs observed multiple items out of date including yogurt, milk and cream. CONTINUED ON LIC 809C DATED 08/21/2025