Everest at Oceanside.

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced Case Management visit to follow up on a resident death reported to Community Care Licensing. LPA was welcomed by, identified herself to, and discussed the purpose of the visit to Sydney Recce, Business Office Director. Community Care Licensing received a Death Report on 4/22/26 in which it was reported that Resident #1 (R1) had passed away on 4/19/26 at the facility, following a hospitalization from a fall at the facility on 4/15/26. Per the report, R1 had an unwitnessed fall and was found by care staff and promptly called for emergency services. Per th e report, R1 sustained a laceration to bridge of nose and forehead which required stitches in addition to needing a blood transfusion. Upon being discharged back to the facility, R1 was admitted to hospice services. [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] During today's visit, LPA conducted a file review. The facility is currently awaiting the death certificate and will forward to the Department once received. Per LPA file review and interviews, the facility responded appropriately by arranging for prompt medical attention for R1 upon notification of incident. At this time, LPA observed no immediate health or safety concerns and no deficiencies were cited during today's visit. Additional visits and follow-up may be necessary for complete review of this incident based on additional information from the Death Certificate once obtained. An exit interview was conducted with Sydney Recce, Business Office Director to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.

Generally, resident records were only removed for Department review, to make copies of documents for reporting purposes, or to update resident care charting. Staff stated that when resident records needed to be copied, they would be taken to the facility’s copy room. Staff denied any knowledge that resident records were ever left unattended in the facility’s copy room, however evidence collected during the investigation contradicted these claims. Interviews stated that the copy room is only accessible to facility staff, and LPA observations during on-site visits on 2/20/2026 and 3/24/2026 determined that the copy room could only be accessed through the CDR's office located behind the receptionist desk or via a locked door in a common hallway. Interviews with staff confirmed that the hallway door was locked and only accessible via a key and that all staff had a key to the copy room. The Department’s investigation did not reveal any evidence that resident records were left in areas commonly or easily accessible to residents, visitors, or any other individuals without the presence of facility staff. The Department has investigated the above-mentioned allegation and based on interviews and observation, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated. An exit interview was conducted with CDR Yadi Moreno, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).

Interviews revealed that R1 notified facility management of their concerns about the mold sometime in late July 2025 and management offered to relocate R1 to another apartment in the facility at no cost to R1. While interviews provided conflicting information for R1 not relocating to the other apartment, interviews and LPA observation during on-site visit on 8/12/2025 revealed that R1 was not relocated to an alternative apartment until 8/12/2025. Interviews with staff and R1 revealed that facility staff tested R1’s carpet using mold test kits purchased at a local retailer and those tests did not show any mold present in R1’s carpet. However, R1 insisted on having a professional company test R1’s apartment for mold, which was scheduled for 8/12/2025. Interviews with staff revealed that following the mold testing, the facility planned on removing R1’s carpet, sanitizing the foundation, and installing non-absorbent plank flooring. Facility management stated that R1 would be relocated to a different apartment on 8/12/2025 to allow for the construction. During the on-site visit on 8/12/2025, LPA Borunda was able to tour R1’s apartment and observe the mold testing conducted in R1’s apartment by the professional mold company. LPA did not observe any mild or strong odors to be present in R1’s kitchen, living room, bedroom, closet, or bathroom. Additionally, LPA did not observe any damp or wet flooring in R1’s apartment. LPA did observe multiple carpet discolorations in R1’s apartment, but, those discolorations did not have any odors, specific coloring, or a clear cause. Review of the inspection report from the mold company revealed that the testing revealed no evidence of mold contamination or water related damage in R1’s bedroom, bathroom, or closet. Additionally, the testing did not reveal any evidence of a leaking pipe or water in the foundation. The report did note that spore count inside R1’s apartment was higher than the outside spore count, which was uncommon, however, the report stated that there are no current state or federal regulations governing mold and indoor air quality. The report also stated that the higher levels could be due to a hidden source, older carpet, dust buildup, or the presence of a small pet. Interviews with staff revealed that the carpet was replaced and the foundation was cleaned and disinfected prior to R1 returning to their room sometime by end of September 2025. The Department has investigated the above-mentioned allegation and based on observation, interviews, and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated. An exit interview was conducted with Executive Director Jill McDonald, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Activities Director Karie Winchester. Executive Director Jill McDonald arrived during the visit. During today's visit, LPA toured the facility, reviewed facility records, and observed residents in care. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed.LPA was away from the facility for approximately one hour between 12:15pm and 1:15pm. No deficiencies were cited on today's date. An exit interview was conducted with Executive Director Jill McDonald, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Chief Information Officer (CIO) Jane Owens. During today’s visit, LPA provided CIO Owens with guidance regarding the appeal rights, process, and timelines, and guidance regarding civil penalties payment. No deficiencies were cited on today’s date. An exit interview was conducted with CIO Jane Owens, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit regarding a self-reported incident. LPA was greeted by, identified herself to, and explained the purpose of the visit with Executive Director Jill McDonald. On 10/17/2025, the Department received a self-reported incident report from the licensee that described an incident that occurred between Resident 1 and Staff 1. [Executive Director was provided with LIC811 Confidential Names List to identify individuals] During today’s visit, LPA conducted a health and safety check, observed residents in care, and reviewed facility records. No deficiencies were cited on today’s date. An exit interview was conducted with Executive Director Jill McDonald, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an announced Pre-Licensing visit. LPA was met by Applicant Ferlina McBride and was granted entry into the facility. The purpose of today's visit is to inspect the facility to ensure that it is in compliance with California Code of Regulations, Title 22, Division 6. The fire inspection was completed on 10/17/2024 and the facility is approved for a total of 175 residents, 127 may be non-ambulatory and 48 may be bedridden. The facility is has one main building and two separate memory care buildings, and the facility is approved for delayed egress in the two memory care buildings. The facility has an approved hospice waiver for 50 residents. During today's visit, LPA toured the facility and inspected each building, including common areas, main kitchen, dining areas, common bathrooms and a random sampling of resident apartments and private bathrooms. The facility was found to be clean, safe, and in good repair with no pathway obstructions and was kept at a comfortable temperature. Common and private bathrooms were observed to be clean and the toilets and showers were found to be in working order. The facility's water temperature was randomly sampled in common and private bathrooms in each building and the temperatures were measured between 105 to 120 degrees Fahrenheit. LPA observed locked storage areas where all hazardous and/or toxic chemicals were stored and secured. LPA observed locked storage for resident medications. Fire extinguishers were observed throughout the facility and found to be in compliance. Functioning carbon monoxide detectors and smoke detectors were observed in the facility. No bodies of water were observed on the premises. LPA observed a 7-day supply of non-perishable food and a 2-day supply of perishable food located in the facility's main kitchen. Required postings were observed in the lobby of the facility. LPA reviewed facility’s Infection Control Plan, Emergency Disaster Plan, and a random sampling of resident and staff files. Continued on LIC809-C page... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA conducted Component III with the applicant. The topics discussed were continuing operation requirements, record keeping/reporting, and physical plant compliance. LPA was away from the facility for approximately one hour between 12:20pm and 1:20pm. Pre-licensing is complete, and this facility has no deficiencies. It is recommended that this facility be licensed pending final review and approval. An exit interview was conducted with the applicant, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).