Routine inspection·August 21, 2025

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 LPAs observed multiple items out of date including yogurt, milk and cream.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 Smoke detectors are tested quarterly in house and fire inspections are conducted by an outside company, Fire Service Corporation with the last inspection on 02/17/2025. Fire extinguishers are fully charged. LPAs observed evacuation chairs at stairwells. LPAs toured the outside grounds and there is ample shaded seating for residents. There is a fenced pool secured with a lock. LPAs observed emergency food and water. LPAs reviewed the emergency disaster plan and infection control plan during the visit. Plans are thorough and complete. Facility conducts monthly emergency drills with the last drill conducted on 07/17/2025. Facility provides activities in the form of games, exercise, and outings in the community. LPAs observed residents participating in activities during the visit. At 11:15 AM, LPAs reviewed select resident and staff files. Resident files contained required documents including admission agreements, current physician reports and resident appraisals. Staff files reviewed contained required documentation such as health screen/TB and criminal record clearance. One out of six staff do not have a health screen/ TB. Six out of six staff do not have proof of required annual training. LPAs reviewed medication administration and storage. Medications are stored in a locked medication cart. Medications are being administered per physician order. 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 Administrator and a copy was provided as well as appeal rights.