Routine inspection·March 24, 2022

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced visit to Coast New Horizon. The purpose of today's visit was to conduct a Required 1 Year inspection. LPA Velazquez was allowed entry into the facility and met with Administrator (AD) Malihe Fakhouri. Caregiver Janat Zamani was also present. The facility is licensed for 6 non-ambulatory residents. The facility has a Hospice waiver for 3 residents. There are currently 3 residents living in the facility. The last emergency disaster drill was conducted on January 16, 2022. At 1:41 PM LPA Velazquez conducted a tour of the physical plant along with AD Fakhouri. The 1 story home consists of 5 resident bedrooms with 3 bathrooms. There is 1 staff bedroom with 1 staff bathroom. The staff bathroom is currently undergoing renovation. The facility also has a living room, dining area, and kitchen. LPA Velazquez observed the Complaint poster was approximately an 8 x 10 size and informed AD Fakhouri of the correct poster size. AD Fakhouri ordered the correct Complaint poster during this visit and provided LPA with proof of such. The 3 residents in the facility appeared well-groomed and well cared-for. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. LPA Velazquez observed half bed rails on the bed of one of the residents which AD Fakhouri verified. AD Fakhouri provided LPA with the resident's file and LPA observed a written physician order for the bed rails but it did not specify the need for the bed rails. AD Fakhouri will obtain an updated written physician order for the resident's bed rails and maintain it in the resident's file. Resident bathrooms were checked. Resident bath towels and personal hygiene supplies were adequately stocked. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew and a non-skid surface or mat was in place. LPA Velazquez tested the hot water temperature in the resident bathrooms and the temperature measured at 109.5 degrees Fahrenheit in the first bathroom and at 105.4 degrees Fahrenheit in the second bathroom and at 105.8 degrees in the third bathroom which AD Fakhouri verified. LPA Velazquez inspected the kitchen along with AD Fakhouri. Perishable and non-perishable food supply was checked and adequately stocked at the time of the visit. The fire extinguisher was fully charged. The smoke and carbon monoxide detectors are hardwired were tested and found to be operational. Medications, toxins and sharps were locked and inaccessible to residents. The auditory alarms throughout the facility were in operating condition. First Aid kit was checked and found to be in order. The facility did not have a First Aid manual and AD Fakhouri will order an updated manual. LPA Velazquez along with AD Fakhouri toured the outside grounds. There was shading and sufficient seating for residents. Walkways around the home were clear of hazards and the exit gates were operational. There were no security bars or weapons on the premises. No resident or staff files were reviewed at the time of this visit. LPA Velazquez informed AD Fakhouri to ensure a written physician's order indicating the need for the bed rails is present in a resident's file pursuant to Title 22 Regulation Section 87608 Postural Supports. LPA also reviewed and provided a copy of Title 22 Regulation Section 87608 Postural Supports. AD Fakhouri acknowledged receiving a copy of said regulation. There were no deficiencies issued during this Required 1 Year inspection. An exit interview was conducted with Administrator Malihe Fakhouri and a copy of this report was provided at the time of this visit.