Routine inspection·October 23, 2025

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Astoria Senior Care at Monarch Beach. The purpose of today’s visit was to conduct the annual required inspection. LPA was allowed entry into the home and met with House Manager Aries Jugo. Facility is licensed for 4 non-ambulatory residents and 2 ambulatory residents. Facility has an approved hospice waiver for 4 residents and the home currently has 5 residents, with 2 residents on hospice. Administrator Oana Abrudan has an administrator certificate expiring on 01/07/2027. LPA Lyman along with House Manager Aries Jugo toured the facility at 8:43 AM. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of 6 resident bedrooms, living room, dining room, and kitchen as well as a staff room/ bathroom and 3 shared bathrooms. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 121.4 degrees F and 123.6 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Auditory exit alarms are operational during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps as well as cleaning supplies secured in a kitchen cabinet. Kitchen appliances are operational during today's visit. The garage is locked and has an alarm on the door. Smoke detectors and carbon monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers were fully charged. Facility has an infection control plan and emergency disaster plan and plans are complete. Facility conducts quarterly emergency drills with the last drill conducted on 10/06/2025. Outside grounds were toured. CONTINUED ON LIC 809C DATED 10/23/2025 LPA observed a fenced pool in the backyard. Pool gate is locked and pool is inaccessible to residents in care. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. There is ample outdoor seating for residents. Exit gate is unlocked and self latching. LPA observed the emergency food and water supply. LPA reviewed five resident files and three staff files. All resident files contained required documentation including admission agreements, physician reports, resident appraisals, and physician orders for bed rails as indicated. Resident 5 (R5) has a primary diagnosis of Bi-Polar Disorder. Staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the kitchen. R1 has an order for Midrodine HCL 10 mg as needed which is being administered as routine. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.