COASTAL SENIOR LIVING

27202 PASEO PEREGRINO, San Juan Capistrano CA 92675

Facility 306005619 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jul 30, 2026Licensed

Additional info
Licensee
COASTAL SENIOR LIVING, INC.
Administrator
AHMAD ALI
Contact
AHMAD ALI
License first date
Jul 2, 2019
License effective date
Jul 2, 2019
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 1 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
Jul 30, 2026
Most recent deficiency
Jul 30, 2026

No later report is available, so the records do not show what happened afterward.

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 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 1 Type A and 5 Type B deficiencies.

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

Official inspections
5

More than the typical 4

1 in the last 12 months

Recorded deficiencies
6

Well above the typical 1

2 in the last 12 months

Type A deficiencies
1

Most this size have none

1 in the last 12 months

Type B deficiencies
5

More than the typical 1

1 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
1

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
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(3)
Regulation authority
CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in two out of two residents with bed rails who do not have physician orders for the rails which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2026 Plan of Correction Licensee to obtain physician orders and forward proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(h)
Regulation authority
CCR

What the official deficiency says

All services requiring specialized skills shall be performed by personnel qualified by training or experience in accordance with recognized professional standards. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Non-licensed facility staff are performing blood pressure checks for parameter medications for R3's Propranolol 10mg which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/31/2026 Plan of Correction Licensee to discontinue parameter medication and forward proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
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 record review, the licensee did not comply with the section cited above in 2 out 2 staff files, Staff 1 and Staff 2 did not have 4 hours of training specific to psotrual supports, restricted health conditions, and hospice care which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2025 Plan of Correction Licensee agrees to train Staff 1 and Staff 2 on 4 hours of training specific to postural supports, restricted health conditions, and hospice care and submit proof of training to LPA by the 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 record review, the licensee did not comply with the section cited above in 2 out 3 staff files, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2025 Plan of Correction Licensee agrees to complete a new reappraisal (appraisal/needs and care plan) for Resident 1 and Resident 3 by the POC due date and to submit proof of correction to LPA.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(a)(2)(B)
Regulation authority
CCR

What the official deficiency says

No room commonly used for other purposes shall be used as a sleeping room for any resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above, LPA observed that the laundry room and the closet in bedroom 5 had beds in them and are being used as staff bedrooms, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/19/2024 Plan of Correction Licensee agrees to remove the beds from both the laundry room and closet for bedroom 5 and not use them for staff bedrooms. Licensee agrees to read CCR 87307 and to sign a statement of understanding for the regulation and to forward proof to the LPA by the POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F and not more than 120 degreesF. Deficient Practice Statement This requirement is not met as evidenced by, LPA measured the hot water in 3 bathrooms at 132.2 degrees Fahrenheit to 136.0 degrees Fahrenheit. This poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/10/2022 Plan of Correction Licensee states the hot water temperature will be adjusted to meet the regulation requirements. Licensee states a hot water temperature log will be used daily to track the hot water temperature to avoid future issues with the water temperature.

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