COASTSIDE SENIOR HOME

3264 COLORADO LANE, Costa Mesa CA 92626

Facility 306001961 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jul 29, 2026Licensed

Additional info
Licensee
JHEZ CORPORATION
Administrator
JOSELITO RIVERA
Contact
JOSELITO RIVERA
License first date
Jul 18, 2003
License effective date
Jul 18, 2003
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 5 Type A and 11 Type B deficiencies for this facility.

Most recent inspection
Jul 29, 2026
Most recent deficiency
Jul 8, 2026

1 later report, on Jul 29, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 984 Orange County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 5 Type A and 11 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
6

More than the typical 4

2 in the last 12 months

Recorded deficiencies
16

Well above the typical 1

8 in the last 12 months

Type A deficiencies
5

Most this size have none

4 in the last 12 months

Type B deficiencies
11

Well above the typical 1

4 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
4

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Hazardous items and storageType A
Official classification
Type A
Official code
87309(a)
Regulation authority
CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPAs observed an unsecured bleach container on the kitchen floor. LPAs also observed an unsecured disinfectant on the staircase.

Official plan of correction

POC Due Date: 07/09/2026 Plan of Correction The Administrator stated that he will conduct an in service training with all staff regarding the storage of disinfectants and cleaning solutions. The Administrator agreed to provide LPA proof of the training via email or fax by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Food serviceType A
Official classification
Type A
Official code
87555(b)(8)
Regulation authority
CCR

What the official deficiency says

(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPAs observed six expired food condiments and one expired condensed milk in the refrigerator. LPAs also observed a total of forty three expired food items in the kitchen pantry including sweet potatoes, pasta sauce, canned beans, and condensed milk.

Official plan of correction

POC Due Date: 07/09/2026 Plan of Correction The Administrator immediately threw away the expired food products. The Administrator stated that he will create a monthly food audit. The Administrator agreed to provide LPA proof of the scheduled audit plan via email or fax by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Medical and dental careType A
Official classification
Type A
Official code
87465(a)(4)
Regulation authority
CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPAs observed that the facility has not provided R1's prescribed Senna 8.6 MG routine medication in July 2026. LPAs observed that the facility has not provided Resident #2 (R2) prescribed Cyclosporine routine medication and did not have Resident #4 (R4) as needed Albuterol inhaler.

Official plan of correction

POC Due Date: 07/09/2026 Plan of Correction The Administrator stated that he will conduct an in service training with all staff regarding medication administrator. The Administrator agreed to provide LPA proof of the training via email or fax by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(2)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPAs observed four medications to be unsecured in the refrigerator where they can be accessible by residents in care.

Official plan of correction

POC Due Date: 07/09/2026 Plan of Correction The Administrator immediately secured the medications during the visit. The Administrator stated that he will conduct an in service training with all staff regarding the storage of medication. The Administrator agreed to provide LPA proof of the training via email or fax by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed one of the burners, from the four burner gas stove was not operational. LPAs observed two of the lights, in each of the two resident bathrooms were not operational. LPAs observed the toilets in each of the resident bathrooms to be yellow and to have rust present.

Official plan of correction

POC Due Date: 07/22/2026 Plan of Correction The Administrator stated that he will fix the burner, replace the light bulbs, and clean both resident bathrooms. LPA will conduct a follow up visit to verify that items have been addressed.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(d)(6)
Regulation authority
CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed two mattresses blocking the passageway on the north side of the facility. LPAs also observed multiple items including chairs, a couch, suitcases, boxes, and trash, to be obstructing the passageway of the southside of the facility.

Official plan of correction

POC Due Date: 07/22/2026 Plan of Correction The Administrator stated that he will clear both passageways. LPA will conduct a follow up visit to verify that passageways have been cleared.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(2)
Regulation authority
HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record reviewed, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed that Staff #3 (S3) and Staff #4 (S4) did not complete any the required annual training for the year of 2025.

Official plan of correction

POC Due Date: 07/22/2026 Plan of Correction The Administrator stated that he will have both staff complete the required annual training. The Administrator agreed to provide proof of the completed training for both staff to LPA via email or fax by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record reviewed, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed that the facility did not have a Reappraisal on file for Resident #1 (R1).

Official plan of correction

POC Due Date: 07/22/2026 Plan of Correction The Administrator stated that he will complete a Reappraisal for R1. The Administrator agreed to provide LPA the Reappraisal for R1 via email or fax by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Medical and dental careType A
Official classification
Type A
Official code
87465(a)(4)
Regulation authority
CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and record review, R1 is missing medications that are not being administered which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/26/2025 Plan of Correction AD to obtain updated medication list and ensure all medications are accounted for and being administered as prescribed for R1. AD to create a centrally stored medication and destruction list for all residents in care. AD to email proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87208(a)(12)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: (12) The Infection Control Plan pursuant to Section 87470. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, there is no infection control plan available which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction AD to create an infection control plan and email proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Hazardous items and storageType B
Official classification
Type B
Official code
87309(a)
Regulation authority
CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, cleaning powder accessible in the unlocked cabinet in the resident bathroom which a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction AD locked cabinet during inspection. AD to hold an in-service training for staff and email proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(2)
Regulation authority
HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, staff 2 (S2) does not have 20 hours annual training completed within 12 months which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction AD to train S2 and provide proof of training to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(a)(2)
Regulation authority
HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, there is not sufficient emergency water available for the facility to be self-reliant for 72 hours which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction AD to purchase at least 10 gallons of water for emergency use. AD to email photo of water and receipt of purchase to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the facility has not conducted a disaster drill this year which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction AD to conduct disaster drill and email proof to LPA including the type of drill, time taken, participant names with signatures, and summary by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision maintenance services and procedures for the safety and well-being of residents, employees, and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, resident bathroom shower floor is stained and dirty, three auditory alarms in bedrooms and bathroom are not functional, furniture is blocking sliding door exits in rooms 3 and 4, transfer chair has rust in wheel brackets, there is clutter in the backyard including plant overgrowth in side exit path and large items such as mattress and other times stacked by the house which poses/posed a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2025 Plan of Correction Facility to clean the bathroom, repair/replace auditory alarms, remove/rearrange furniture blocking sliding doors, repair/replace transfer chair, remove bulky items and trash from the backyard, and cut plant overgrowth from the side exit path. LPA to return and verify visually on or after POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Resident rightsType B
Official classification
Type B
Official code
87468.2(a)(1)
Regulation authority
CCR

What the official deficiency says

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. Deficient Practice Statement This requirement is not met as evidenced by: Based on observation and Administrator's interview, the facility utilizes a camera and is not providing R1 and R2 a reasonable level of personal privacy in their bedroom. This poses a potential health and safety risks to persons in care.

Official plan of correction

POC Due Date: 07/28/2022 Plan of Correction The cameras were removed during the visit, and licensee agrees to submit an exception waiver request for the use cameras for R1 and R2 by POC due date. Licensee agrees to submit the proof of correction to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology